Cost control (1 - 10 of 299 items) in Custom Date Range
Patient Protection and Affordable Care Act: Effect on Long-Term Federal Budget Outlook Largely Depends on Whether Cost Containment Sustained
GAO-13-281: Published: Jan 31, 2013. Publicly Released: Feb 26, 2013.
The effect of the Patient Protection and Affordable Care Act (PPACA), enacted in March 2010, on the long-term fiscal outlook depends largely on whether elements in PPACA designed to control cost growth are sustained. There was notable improvement in the longer-term outlook after the enactment of PPACA under GAO's Fall 2010 Baseline Extended simulation, which assumes both the expansion of health ca...
Preventive Health Activities: Available Information on Federal Spending, Cost Savings, and International Comparisons Has Limitations
GAO-13-49: Published: Dec 6, 2012. Publicly Released: Jan 7, 2013.
The Departments of Health and Human Services (HHS), Veterans Affairs (VA), and Defense (DOD) administer programs that include preventive health activities such as health screenings and education campaigns, but the departments reported that they do not track department-wide spending on these activities. Departments reported that determining such spending is challenging because these activities can...
The Federal Government's Long-Term Fiscal Outlook: Fall 2012 Update
GAO-13-148SP: Published: Dec 3, 2012. Publicly Released: Dec 3, 2012.
GAO's simulations continue to illustrate that the federal government is on an unsustainable long-term fiscal path. In both the Baseline Extended and Alternative simulations, debt held by the public grows as a share of gross domestic product (GDP) over the long term. While the timing and pace of growth varies depending on the assumptions used, neither set of assumptions achieves a sustainable path...
The Federal Government's Long-Term Fiscal Outlook: Fall 2011 Update
GAO-12-28SP: Published: Oct 24, 2011. Publicly Released: Oct 24, 2011.
Since 1992, GAO has published long-term fiscal simulations showing federal deficits and debt under different sets of assumptions. GAO developed its long-term model in response to a bipartisan request from members of Congress concerned about the long-term effects of fiscal policy. GAO's simulations provide context for consideration of policy options. They are not intended to suggest particular poli...
The Federal Government's Long-Term Fiscal Outlook: Fall 2010 Update
GAO-11-201SP: Published: Nov 15, 2010. Publicly Released: Nov 15, 2010.
Since 1992, GAO has published long-term fiscal simulations showing federal deficits and debt levels under both "Baseline Extended" and an "Alternative" set of assumptions. GAO has regularly updated these twice a year. GAO developed its long-term model in response to a bipartisan request from Members of Congress concerned about the long-term effects of fiscal policy. GAO's simulations provide a bro...
Credit and Debit Cards: Federal Agencies Benefit from Card Acceptance, but Have Limited Ability to Control Interchange Fee Costs
GAO-10-821T: Published: Jun 16, 2010. Publicly Released: Jun 16, 2010.
Federal entities--agencies, corporations, and others--are growing users of credit and debit cards, as both "merchants" (receiving payments) and purchasers. Federal entities, like other merchants that accept cards, incur fees--called merchant discount fees--to process card transactions. For Visa and MasterCard transactions, a large portion of these fees-- referred to as interchange fees--goes to th...
Campaign Finance Reform: Experiences of Two States That Offered Full Public Funding for Political Candidates
GAO-10-390: Published: May 28, 2010. Publicly Released: May 28, 2010.
The 2000 elections in Maine and Arizona were the first in the nation's history where candidates seeking state legislative seats had the option to fully fund their campaigns with public moneys. In 2003, GAO reviewed the public financing programs in Maine and Arizona and found the programs' goals were to (1) increase electoral competition; (2) increase voter choice; (3) curb increases in campaign co...
Contract Management: Extent of Federal Spending under Cost-Reimbursement Contracts Unclear and Key Controls Not Always Used
GAO-09-921: Published: Sep 30, 2009. Publicly Released: Oct 30, 2009.
Federal agencies obligate billions of dollars annually using cost-reimbursement contracts. This type of contract involves high risk for the government because of the potential for cost escalation and because the government pays a contractor's costs of performance regardless of whether the work is completed. As such, cost-reimbursement contracts are suitable only when the cost of the work to be don...
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...
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...