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VA Health Care: Inadequate Controls Over Scarce Medical Specialist Contracts

T-HRD-92-50 Published: Aug 05, 1992. Publicly Released: Aug 05, 1992.
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Highlights

GAO discussed the status of the Department of Veterans Affairs' (VA) efforts to strengthen its management controls over contracts for medical specialists. GAO noted that: (1) VA still lacks management controls to ensure that medical centers are avoiding contracting problems; (2) VA needs to provide better staffing guidelines for medical centers and utilize reviewers to develop and evaluate contract proposals; (3) few VA centers provide adequate support and data required for the use of contract specialists and contract review; and (4) VA fails to provide follow-up procedures to ensure that required contract modifications are completed.

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Topics

Veterans
Accounting proceduresContract administrationContract modificationsFinancial management systemsHealth care servicesStaff utilizationInternal controlsPhysiciansVeterans benefitsVeterans hospitals