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Department of Health and Human Services, Executive (21 - 30 of 1,323 items)
Delegated Leasing Authority: Review of Selected Leases and Information on GSA's Changes to Delegation Procedures
GAO-16-716R: Published: Sep 27, 2016. Publicly Released: Sep 27, 2016.
GAO reviewed leases executed by four federal agencies using a delegation of authority from the General Services Administration (GSA) and determined that 42 of 45 leases complied with a selected set of requirements. The remaining 3 leases, all from the United States Fish and Wildlife Service (FWS), met 4 of the 5 requirements. GAO raised questions about the scope of the contracting officers’ au...
Foreign Assistance: Selected Agencies' Monitoring and Evaluation Policies Generally Address Leading Practices
GAO-16-861R: Published: Sep 27, 2016. Publicly Released: Sep 27, 2016.
All the agencies we reviewed, except DOD, have established M&E policies that apply to their major foreign assistance programs. State, USAID, and MCC have agency-wide policies for foreign assistance M&E, while the civilian non-foreign-affairs agencies have policies relevant to their major foreign assistance programs—for USDA, the Foreign Agriculture Service’s food aid programs, and for HHS, the...
Electronic Health Information: HHS Needs to Strengthen Security and Privacy Guidance and Oversight
GAO-16-771: Published: Aug 26, 2016. Publicly Released: Sep 26, 2016.
The use of electronic health information can allow providers to more efficiently share information and give patients easier access to their health information, among other benefits. Nonetheless, systems storing and transmitting health information in electronic form are vulnerable to cyber-based threats. The resulting breaches—involving over 113 million records in 2015—can have serious adverse...
High-Containment Laboratories: Improved Oversight of Dangerous Pathogens Needed to Mitigate Risk
GAO-16-642: Published: Aug 30, 2016. Publicly Released: Sep 21, 2016.
The total number of incidents involving incomplete inactivation—a process to destroy the hazardous effects of pathogens while retaining characteristics for future use—that occurred from 2003 through 2015 is unknown for several reasons. One key reason is that the Select Agent Program—operated by the Departments of Health and Human Services (HHS) and Agriculture (USDA) to oversee certain dange...
Tiered Evidence Grants: Opportunities Exist to Share Lessons from Early Implementation and Inform Future Federal Efforts
GAO-16-818: Published: Sep 21, 2016. Publicly Released: Sep 21, 2016.
Tiered evidence grants are a new policy tool federal agencies are using to incorporate evidence of effectiveness into grantmaking. Under this approach, agencies establish tiers of grant funding based on the level of evidence grantees provide on their models for providing social, educational, health, or other services. Smaller awards are used to test new and innovative service models; larger awards...
Health Care: Results of Recent Undercover Testing for Patient Protection and Affordable Care Act Coverage, and Review of Market Concentration in the Private Insurance Markets
GAO-16-882T: Published: Sep 14, 2016. Publicly Released: Sep 14, 2016.
The Patient Protection and Affordable Care Act (PPACA) requires health-insurance marketplaces to verify application information, such as citizenship or immigration status and household income, to determine eligibility for enrollment and, if applicable, eligibility for income-based subsidies. While inconsistencies between the information provided by the applicant and by government sources are being...
Generic Drugs Under Medicare: Part D Generic Drug Prices Declined Overall, but Some Had Extraordinary Price Increases
GAO-16-706: Published: Aug 12, 2016. Publicly Released: Sep 12, 2016.
Generic drug prices declined overall under Medicare Part D—the voluntary outpatient prescription drug program administered by the Centers for Medicare & Medicaid Services within the Department of Health and Human Services (HHS)—since 2010. Specifically, generic drug prices fell 59 percent from the first quarter of 2010 through the second quarter of 2015. This decline reflects a changing basket...
Patient Protection and Affordable Care Act: Final Results of Undercover Testing of the Federal Marketplace and Selected State Marketplaces for Coverage Year 2015
GAO-16-792: Published: Sep 9, 2016. Publicly Released: Sep 12, 2016.
Under the Patient Protection and Affordable Care Act (PPACA), health-insurance marketplaces are required to verify application information to determine eligibility for enrollment and, if applicable, determine eligibility for income-based subsidies or Medicaid. Verification steps include reviewing and validating an applicant's Social Security number, if one is provided; citizenship, status as a U.S...
Patient Protection and Affordable Care Act: Most Enrollees Reported Satisfaction with Their Health Plans, Although Some Concerns Exist
GAO-16-761: Published: Sep 12, 2016. Publicly Released: Sep 12, 2016.
Available survey data show that most enrollees who obtained their coverage through the health insurance exchanges were satisfied overall with their qualified health plans (QHP) during the first few years that exchanges operated, according to five national surveys of QHP enrollees that GAO identified through its literature review. Specifically, most QHP enrollees who obtained their coverage through...
Foster Care: Most Tribes Do Not Anticipate Challenges with Case Goal Changes, but HHS Could Further Promote Guardianship Assistance
GAO-16-625: Published: Aug 8, 2016. Publicly Released: Sep 7, 2016.
To receive federal child welfare funding, state and tribal child welfare agencies must comply with certain requirements, including developing a permanency plan for the child that identifies how the child will exit the foster care system to a permanent home (“case goal”). If other case goals, such as reunifying with parents, adoption, or guardianship are not possible or appropriate, a child may...