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    Subject Term: "Retail facilities"

    4 publications with a total of 6 open recommendations
    Director: John Dicken
    Phone: (202) 512-7114

    1 open recommendations
    Recommendation: The Executive Director of NCD should assign responsibilities for conducting future campaign activities and develop an evaluation plan for its activities.

    Agency: National Council on Disability
    Status: Open

    Comments: As of July 2017, the National Council on Disability (NCD) had developed a plan for conducting campaign activities that had assigned responsibilities. However, as a result of recent changes in leadership and staff, several key activities do not have staff assigned and will need to be updated to ensure responsibility for completing the plan. Additionally, NCD said that they plan to conduct an internal audit in December 2017 to monitor the progress of their activities. While this audit is helpful in identifying progress to date, our recommendation suggests that NCD should also plan to evaluate the effectiveness of its activities.
    Director: Lori Rectanus
    Phone: (202) 512-2834

    2 open recommendations
    Recommendation: The Postmaster General should direct executive leaders to establish guidance that clarifies when USPS should develop cost-savings estimates using a rigorous approach that includes, for example, a sensitivity analysis and consideration of other factors that could affect net costs and savings, versus when it is sufficient to develop a rough estimate.

    Agency: United States Postal Service
    Status: Open

    Comments: In July 2017, USPS provided documentation that demonstrates the current processes cost-savings estimates would be developed under, which includes additional rigor testing. As of August 2017, this recommendation remains open pending additional review of the documentation provided and discussions with USPS about these current processes.
    Recommendation: The Postmaster General should direct executive leaders to verify that calculations of changes in revenue at POStPlan post offices in USPS's revenue analyses are consistent with USPS's definition of POStPlan post offices and take steps to consider when it may be appropriate to develop an approach for these analyses that will allow USPS to more fully consider the effects of POStPlan on retail revenue across USPS.

    Agency: United States Postal Service
    Status: Open

    Comments: According to USPS officials as of June 2017, USPS has updated the calculations in its re-occurring POStPlan revenue analyses to reflect the inconsistencies GAO identified and has had internal discussions to consider at what benchmark it would be appropriate to develop an approach for these analyses that more fully considers POStPlan?s effects on retail revenue across USPS. As of August 2017, this recommendation remains open pending additional documentation from USPS supporting its statements about the updates to its revenue analyses and additional information from USPS about the results of its benchmarking considerations.
    Director: Dicken, John E
    Phone: (202) 512-7114

    1 open recommendations
    Recommendation: The Secretary of HHS should direct the Administrator of CMS to monitor the relationship between PPACA-based FULs and the NADACs on an ongoing basis to help determine whether PPACA-based FULs effectively control federal Medicaid expenditures without reducing beneficiary access to drugs subject to FULs over time.

    Agency: Department of Health and Human Services
    Status: Open

    Comments: As part of the final rule implementing the PPACA-based FUL formula, CMS monitors the relationship between the FUL and the NADAC for individual drugs on an ongoing basis and ensures that the FUL does not fall below the NADAC. CMS, however, does not monitor the relationship between the FUL and NADAC in aggregate. This monitoring would provide CMS information on the extent to which the FUL effectively controls federal Medicaid expenditures, particularly in cases where there may be potential for over-reimbursement. CMS officials expect that, by mid-2017, many states will determine reimbursement using an average acquisition cost based on the NADAC. As a result, any potential variation between the FUL and NADAC would be reduced according to CMS officials. We plan to obtain state plan amendments from CMS to confirm whether states are reimbursing at an average acquisition cost or using some other methodology to control Medicaid expenditures.
    Director: Herr, Phillip R
    Phone: (202)512-8509

    2 open recommendations
    Recommendation: To better ensure that USPS's efforts to expand access through retail alternatives support its strategic goals to improve its service and financial performance, the Postmaster General should develop and implement a plan with a timeline to guide efforts to modernize USPS's retail network that addresses both traditional post offices and retail alternatives. This plan should also include: (1) criteria for ensuring the retail network continues to provide adequate access for customers as it is restructured; (2) procedures for obtaining reliable retail revenue and cost data to measure progress and inform future decision making; and (3) a method to assess whether USPS's communications strategy is effectively reaching customers, particularly those customers in areas where post offices may close.

    Agency: United States Postal Service
    Status: Open

    Comments: USPS has undertaken actions to ensure customers have adequate access to postal services, including providing more ways to access postal services in high-revenue markets and expanding the Village Post Office program in rural areas. With regard to USPS's communications strategy, USPS discussed the public notice requirements that are part of the post office discontinuance policy and the role of the Corporate Communications Office in communicating about postal services provided through retail partners. USPS also discussed the process that occurs during discontinuance proceedings to ensure sufficient service is maintained. However, USPS has not provided information to GAO on how USPS intends to obtain reliable revenue and cost data and how it ensures retail service is sufficient to meet customer demand. GAO discussed the need for additional documentation of these matters. Implementation date is to be determined.
    Recommendation: To help ensure contract postal units and Approved Shippers provide postal products and services in accordance with USPS policies, while making efficient use of its constrained resources, the Postmaster General should establish procedures to focus monitoring of retail partners on those determined to be at a greater risk of not complying with its requirements and procedures.

    Agency: United States Postal Service
    Status: Open

    Comments: During a discussion with USPS in January 2017, USPS described a proposed risk-based approach to monitoring CPUs which, if implemented, would meet the intent of the recommendation. GAO is awaiting documentation of this approach.