Department of Health and Human Services (51 - 60 of 101 items) in Past Year
NIH Biomedical Research: Agencies Involved in the Indirect Cost Rate-Setting Process Need to Improve Controls
GAO-16-616: Published: Sep 7, 2016. Publicly Released: Sep 28, 2016.
Research organizations that apply for National Institutes of Health (NIH) funding participate in an indirect cost rate-setting process, which involves submitting a rate proposal; reviewing the proposal and having it audited by a third-party agency at the cognizant agency's request; and finalizing (negotiating) the rate for the organization. The Office of Management and Budget (OMB) and the Departm...
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: Actions Needed to Mitigate Risk of Potential Exposure and Release of Dangerous Pathogens
GAO-16-871T: Published: Sep 23, 2016. Publicly Released: Sep 22, 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 dangerou...
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...
Long-Term Care Workforce: Better Information Needed on Nursing Assistants, Home Health Aides, and Other Direct Care Workers
GAO-16-718: Published: Aug 16, 2016. Publicly Released: Sep 15, 2016.
Federal data sources provide a broad picture of direct care workers—nursing assistants and home health, psychiatric, and personal care aides—who provide long-term services and supports (LTSS), but limitations and gaps affect the data's usefulness for workforce planning. Some states have collected data in areas where federal data are limited, but these have been one-time studies. Federal data s...
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...