Cost analysis (71 - 80 of 547 items)
VA Health Care: Challenges in Budget Formulation and Issues Surrounding the Proposal for Advance Appropriations
GAO-09-664T: Published: Apr 29, 2009. Publicly Released: Apr 29, 2009.
The Department of Veterans Affairs (VA) estimates it will provide health care to 5.8 million patients with appropriations of about $41 billion in fiscal year 2009. It provides a range of services, including primary care, outpatient and inpatient services, long-term care, and prescription drugs. VA formulates its health care budget by developing annual estimates of its likely spending for all its h...
VA Health Care: Challenges in Budget Formulation and Execution
GAO-09-459T: Published: Mar 12, 2009. Publicly Released: Mar 12, 2009.
The Department of Veterans Affairs (VA) estimates it will provide health care to 5.8 million patients with appropriations of $41.2 billion in fiscal year 2009. The President has proposed an increase in VA's health care budget for fiscal year 2010 to expand services for veterans. VA's patient population includes aging veterans who need services such as long-term care-- including nursing home and no...
Debt Management: Treasury's Cash Management Challenges and Timing of Payments to Medicare Private Plans
GAO-09-118: Published: Jan 30, 2009. Publicly Released: Mar 2, 2009.
A timing difference between cash in- and outflows poses challenges for the Department of the Treasury. Increased volatility of monthly cash flows may lead to unexpected short-term debt issuance and hence increased borrowing. While Social Security payments made at the start of the month will diminish gradually in coming years, start-of month payments to Medicare plan sponsors for Medicare Advantage...
Certificated Expenditures: Executive Office of the President Fiscal Year 2007 Certificated Expenditures Were Used for Authorized Purposes
GAO-09-305: Published: Feb 17, 2009. Publicly Released: Feb 17, 2009.
Pursuant to 3 U.S.C. 105(d) and 106(b), we reviewed certificated expenditures from fiscal year 2007 appropriations of the President of the United States and the Vice President of the United States. These sections authorize the President and the Vice President to expend appropriated funds for certain specified purposes that may be accounted for solely on their certificates and as they determine, no...
Secure Border Initiative Fence Construction Costs
GAO-09-244R: Published: Jan 29, 2009. Publicly Released: Jan 29, 2009.
Much of the United States' 6,000 miles of international borders with Canada and Mexico remains vulnerable to illegal entry of aliens, criminals, and cargo. The Department of Homeland Security (DHS) apprehends hundreds of thousands of people and seizes large volumes of cargo entering the country illegally each year; however, several hundreds of thousands of individuals and an unknown volume of cont...
Immigration Application Fees: Costing Methodology Improvements Would Provide More Reliable Basis for Setting Fees
GAO-09-70: Published: Jan 23, 2009. Publicly Released: Jan 23, 2009.
The Department of Homeland Security's (DHS) U.S. Citizenship and Immigration Services (USCIS) is responsible for granting or denying immigration benefits to individuals. USCIS charges fees for the millions of immigration applications it receives each year to fund the cost of processing and adjudicating them. In February 2007, USCIS completed a study to determine the full costs of its operations an...
Approaches to Mitigate Freight Congestion
GAO-09-163R: Published: Nov 20, 2008. Publicly Released: Nov 20, 2008.
Strong productivity gains in the U.S. economy hinge, in part, on transportation networks working efficiently. Continued development and efficient management of the nation's freight transportation system--especially highways and rail lines that connect international gateways and intermodal facilities to retailers, producers, and consumers--are important to sustaining the nation's competitive positi...
State and Local Fiscal Challenges: Rising Health Care Costs Drive Long-term and Immediate Pressures
GAO-09-210T: Published: Nov 19, 2008. Publicly Released: Nov 19, 2008.
GAO was asked to provide its views on projected trends in health care costs and their effect on the long-term outlook for state and local governments in the context of the current economic environment. This statement addresses three key points: (1) the state and local government sector's long-term fiscal challenges; (2) rapidly rising health care costs which drive the sector's long-term fiscal dif...
Highlights of a Forum: Ensuring Opportunities for Disadvantaged Children and Families
GAO-09-18SP: Published: Nov 13, 2008. Publicly Released: Nov 13, 2008.
Investments in the education and health of children are critical to the nation's future, as the nation's security and well-being depend on a productive citizenry. While families play the essential role in nurturing their children, the federal government has traditionally provided aid to disadvantaged children and families. However, federal spending on current health care and retirement programs--M...
The Nation's Long-Term Fiscal Outlook: September 2008 Update
GAO-09-94R: Published: Nov 6, 2008. Publicly Released: Nov 6, 2008.
Since 1992, GAO has published long-term fiscal simulations of what might happen to federal deficits and debt levels under varying policy assumptions. We developed our long-term model in response to a bipartisan request from Members of Congress who were concerned about the longterm effects of fiscal policy. GAO runs two simulations: (1) "Baseline Extended" follows the Congressional Budget Office's...