Cost estimates (1 - 10 of 64 items) in Custom Date Range
VA Real Property: VA Should Better Justify Its Need to Lease Major Medical Facilities
GAO-16-884T: Published: Sep 28, 2016. Publicly Released: Sep 28, 2016.
The Department of Veterans Affairs (VA) leases major medical facilities to benefit from shorter time frames to open a facility and to attain flexibility to relocate. These factors may help VA to meet its needs, such as improving facilities’ compliance with standards and increasing veterans’ access to care and services. Unlike owned facilities that can be difficult to dispose of, VA must vacate...
Defense Health Care Reform: DOD Needs Further Analysis of the Size, Readiness, and Efficiency of the Medical Force
GAO-16-820: Published: Sep 21, 2016. Publicly Released: Sep 21, 2016.
The Department of Defense's (DOD) approach in its Report on Military Health System Modernization (the Study) did not consistently follow relevant generally accepted research standards for research design and execution. While the Study's recommendations position DOD, over time, to take actions to improve the effectiveness and efficiency of the Military Health System, GAO found a number of shortco...
VA's Health Care Budget: In Response to a Projected Funding Gap in Fiscal Year 2015, VA Has Made Efforts to Better Manage Future Budgets
GAO-16-584: Published: Jun 3, 2016. Publicly Released: Jun 3, 2016.
GAO found that two areas accounted for the Department of Veterans Affairs' (VA) fiscal year 2015 projected funding gap of $2.75 billion.Higher-than-expected obligations for VA's longstanding care in the community (CIC) programs—which allow veterans to obtain care from non-VA providers—accounted for $2.34 billion or 85 percent of VA's projected funding gap. VA officials expected that the Vetera...
Tricare Pharmacy Pilot: Improved Monitoring Needed with Expansion of Pilot Requirements
GAO-15-768: Published: Sep 30, 2015. Publicly Released: Oct 1, 2015.
For covered brand maintenance medications—those medications that are taken on a regular and recurring basis—the Department of Defense (DOD) has not fully monitored availability or the timeliness and accuracy of prescriptions filled for the TRICARE for Life Pharmacy Pilot. Specifically, GAO found that for themail-order program: DOD has monitored the availability of medications. It has also esta...
Health Care Transparency: Actions Needed to Improve Cost and Quality Information for Consumers
GAO-15-11: Published: Oct 20, 2014. Publicly Released: Nov 18, 2014.
Results obtained from two selected private consumer transparency tools GAO reviewed—websites with health cost or quality information comparing different health care providers—show that some providers are paid thousands of dollars more than others for the same service in the same geographic area, regardless of the quality of such services. For example, the cost for maternity care at selected ac...
Defense Health Care: TRICARE Dental Services Contracts' Requirements and Structure
GAO-14-497: Published: Jun 13, 2014. Publicly Released: Jun 13, 2014.
To develop requirements for its current dental services contracts, officials from the Department of Defense's (DOD) Defense Health Agency (DHA) analyzed market research, data from contractors' past performance, legislation, independent cost estimates, and other information. DHA officials used this information to align the contracts' requirements with contract goals to deliver high quality dental s...
VA Construction: VA's Actions to Address Cost Increases at Denver and Other Major Medical-Facility Projects
GAO-14-548T: Published: Apr 22, 2014. Publicly Released: Apr 22, 2014.
The costs associated with the Veterans Affairs' (VA) medical-center construction project in Denver have substantially increased, its schedule significantly delayed, and its scope modified. In fact, GAO reported in April 2013 that of VA's four largest medical-facility construction projects, Denver had the highest cost increase—from $328 million in 2004 to $800 million in November, 2012. Further,...
Electronic Health Records: VA and DOD Need to Support Cost and Schedule Claims, Develop Interoperability Plans, and Improve Collaboration
GAO-14-302: Published: Feb 27, 2014. Publicly Released: Feb 27, 2014.
The Departments of Veterans Affairs (VA) and Defense (DOD) abandoned their plans to develop an integrated electronic health record (iEHR) system and are instead pursuing separate efforts to modernize or replace their existing systems in an attempt to create an interoperable electronic health record. Specifically, in February 2013, the secretaries cited challenges in the cost and schedule for devel...
Military Health System: Sustained Senior Leadership Needed to Fully Develop Plans for Achieving Cost Savings
GAO-14-396T: Published: Feb 26, 2014. Publicly Released: Feb 26, 2014.
Department of Defense (DOD) senior leadership has demonstrated a commitment to oversee implementation of its military health system’s (MHS) reform and has taken a number of actions to enhance the reform efforts. For example, in March 2013, DOD chartered the MHS Governance Transition Organization to provide oversight, management, and support for the implementation. This entity is chartered to exi...
Defense Health Care Reform: Additional Implementation Details Would Increase Transparency of DOD's Plans and Enhance Accountability
GAO-14-49: Published: Nov 6, 2013. Publicly Released: Nov 6, 2013.
GAO determined that the Department of Defenses (DOD) March and June 2013 submissions on establishing a Defense Health Agency (DHA) to reform the governance of the Military Health System (MHS) met three statutory requirements to include information on goals, performance measures, and staffing; partially met one requirement to include information on timelines; and was not required to include i...