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Pay for success, collaboration among federal agencies would be helpful as governments explore new financing mechanisms: report to the Chairman, Commit
ISBN: 9781973956259 / Angielski / Miękka / 88 str. Termin realizacji zamówienia: ok. 5-8 dni roboczych. " Federal, state, and local agencies play an important role in improving social outcomes for society's most vulnerable populations. A small number of state, local, and foreign governments are employing PFS to fund efforts designed to better serve these vulnerable populations. GAO was asked to provide information about PFS. This report examines (1) how selected PFS projects have been structured and what potential benefits these projects can provide; (2) how selected PFS contracts have been structured to address potential project risks; and (3) the potential roles for the federal government's...
" Federal, state, and local agencies play an important role in improving social outcomes for society's most vulnerable populations. A small number of ...
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Federal-aid highways: Federal Highway Administration could further mitigate locally administered project risks: report to the Ranking Member
ISBN: 9781973956297 / Angielski / Miękka / 50 str. Termin realizacji zamówienia: ok. 5-8 dni roboczych. " FHWA provides funding to states to build and maintain the nation's roadways and bridges. States may then make federal funding available to a local public agency, such as a city or a county, to administer projects. FHWA estimates that 7,000 local public agencies administer such projects. FHWA has identified locally administered projects as an agency-wide, high-risk oversight area. GAO was asked to review FHWA's oversight of locally administered projects. GAO examined: (1) what is known about federal-aid projects local agencies administer; (2) what risks are presented by local agencies...
" FHWA provides funding to states to build and maintain the nation's roadways and bridges. States may then make federal funding available to a local p...
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Army networks, select programs are utilizing competition to varying degrees: report to the Subcommittee on Tactical Air and Land Forces, Committee on
ISBN: 9781973956341 / Angielski / Miękka / 42 str. Termin realizacji zamówienia: ok. 5-8 dni roboczych. " For nearly 20 years, the Army has had limited success in developing an information network-sensors, software, and radios-to give soldiers the exact information they need, when they need it, in any environment. The Army has declared its tactical network as its top modernization priority and estimated the modernization may cost up to $3 billion per year into the foreseeable future. The Army's current modernization approach is intended to leverage solutions developed by private industry. Given the costs and importance of the network, GAO was asked to examine aspects of the Army's effort to...
" For nearly 20 years, the Army has had limited success in developing an information network-sensors, software, and radios-to give soldiers the exact ...
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61,81 |
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Federal motor carrier safety, modifying the compliance, safety, accountability program would improve the ability to identify high risk carriers: repor
ISBN: 9781973956419 / Angielski / Miękka / 112 str. Termin realizacji zamówienia: ok. 5-8 dni roboczych. " From 2009 to 2012, large commercial trucks and buses have averaged about 125,000 crashes per year, with about 78,000 injuries and over 4,100 fatalities. In 2010, FMCSA replaced its tool for identifying the riskiest carriers-SafeStat-with the CSA program. CSA is intended to reduce the number of motor carrier crashes by better targeting the highest risk carriers using information from roadside inspections and crash investigations. CSA includes SMS, a data-driven approach for identifying motor carriers at risk of causing a crash. GAO was directed by the Consolidated Appropriations Act of 2012...
" From 2009 to 2012, large commercial trucks and buses have averaged about 125,000 crashes per year, with about 78,000 injuries and over 4,100 fatalit...
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Federal real property, strategic focus needed to help manage vast and diverse warehouse portfolio: report to congressional requesters.
ISBN: 9781973956747 / Angielski / Miękka / 52 str. Termin realizacji zamówienia: ok. 5-8 dni roboczych. " GAO has identified managing the federal government's real property portfolio-which includes warehouses- as a high-risk area, due to long-standing problems such as reliance on long-term leasing. In 2013, federal civilian agencies reported that they occupied approximately 19,000 warehouses consisting of approximately 90-million square feet of space. GAO was asked to examine the management of federal civilian warehouses. This report examines (1) available information on the characteristics of federal warehouses held or leased by civilian agencies; (2) the challenges selected civilian agencies...
" GAO has identified managing the federal government's real property portfolio-which includes warehouses- as a high-risk area, due to long-standing pr...
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61,81 |
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Group purchasing organizations, funding structure has potential implications for Medicare costs: report to congressional requesters.
ISBN: 9781973956938 / Angielski / Miękka / 40 str. Termin realizacji zamówienia: ok. 5-8 dni roboczych. " GPOs are purchasing intermediaries that negotiate contracts for medical products and services. GPOs contract with vendors and receive a fee from them when providers purchase from the vendor. These fees are a source of operating revenue for GPOs, and they are allowed to collect them if they meet the requirements of a safe harbor to the "anti-kickback" provision of the Social Security Act-known as the Anti-Kickback statute-which would otherwise prohibit such fees. You raised questions about GPOs' contracting practices and about the impact of the GPO funding structure. This report examines (1)...
" GPOs are purchasing intermediaries that negotiate contracts for medical products and services. GPOs contract with vendors and receive a fee from the...
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61,81 |
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y
ISBN: 9781973957102 / Angielski / Miękka / 116 str. Termin realizacji zamówienia: ok. 5-8 dni roboczych. " In 2007, the United States enacted a law incrementally raising the minimum wages in American Samoa and the CNMI until they equal the U.S. minimum wage. American Samoa's minimum wage increased by $.50 per hour three times, and the CNMI's four times before legislation delayed the increases amid concerns that they would have a detrimental effect on the American Samoa and CNMI economies. The most recent increase in American Samoa occurred on May 25, 2009. The next is scheduled for September 30, 2015, with additional increases every 3 years thereafter. Under current law, the minimum wage in...
" In 2007, the United States enacted a law incrementally raising the minimum wages in American Samoa and the CNMI until they equal the U.S. minimum wa...
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Defense efficiencies: action needed to improve evaluation of initiatives: report to congressional committees.
ISBN: 9781973957515 / Angielski / Miękka / 28 str. Termin realizacji zamówienia: ok. 5-8 dni roboczych. " In May 2010, the Secretary of Defense announced a department-wide initiative with the goal of achieving efficiencies and reducing excess overhead costs while reinvesting those savings in sustaining DOD's force structure and modernizing its weapons portfolio. The Secretary tasked the military departments and SOCOM to find estimated savings of about $100 billion over the period of fiscal years 2012 to 2016. For fiscal years 2013 and 2014, DOD identified additional efficiency initiatives. The National Defense Authorization Act for Fiscal Year 2012 mandated that GAO assess the extent to which...
" In May 2010, the Secretary of Defense announced a department-wide initiative with the goal of achieving efficiencies and reducing excess overhead co...
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61,81 |
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Medicare Advantage, CMS should fully develop plans for encounter data and assess data quality before use: report to the Ranking Member, Committee on W
ISBN: 9781973958499 / Angielski / Miękka / 40 str. Termin realizacji zamówienia: ok. 5-8 dni roboczych. " Medicare Advantage-the private plan alternative to the traditional Medicare program-provides health care for nearly 15.5 million enrollees, about 30 percent of all Medicare beneficiaries. After a multiyear rollout, CMS began collecting encounter data in January 2012. GAO was asked to review CMS's plans for using MA encounter data and its efforts to validate the data's quality. This report examines (1) how the scope of MA encounter data compare with CMS's current risk adjustment data, (2) the extent to which CMS has specified plans and time frames to use encounter data for risk adjustment...
" Medicare Advantage-the private plan alternative to the traditional Medicare program-provides health care for nearly 15.5 million enrollees, about 30...
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61,81 |
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Traffic safety - alcohol ignition interlocks are effective while installed; less is know about how to increase installation rates: report to the Chair
ISBN: 9781973958697 / Angielski / Miękka / 40 str. Termin realizacji zamówienia: ok. 5-8 dni roboczych. " Motor vehicle crashes involving alcohol-impaired drivers killed 10,322 people in 2012 and account for almost one third of all traffic fatalities annually. Ignition interlocks are one strategy states use to combat DWI. In 2012, MAP-21 established a grant program for states that adopt and implement mandatory alcohol ignition-interlock laws for all convicted DWI offenders. Funding authorization for this program expires at the end of fiscal year 2014. GAO was asked to review the effectiveness of ignition interlocks and NHTSA's implementation of the new grant program. This report discusses (1)...
" Motor vehicle crashes involving alcohol-impaired drivers killed 10,322 people in 2012 and account for almost one third of all traffic fatalities ann...
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61,81 |
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Health care access, improved oversight, accountability, and prioritization can improve access for Native American veterans: report to congressional re
ISBN: 9781973958802 / Angielski / Miękka / 44 str. Termin realizacji zamówienia: ok. 5-8 dni roboczych. " Native Americans who have served in the military may be eligible for health care services from both VA and IHS, but according to reports some have had problems accessing care. In 2010 these two agencies expanded upon an MOU designed to improve Native American veterans' access to care at their facilities. GAO was asked to examine how the MOU has increased access to care. This report examines: (1) the actions that VA and IHS have taken to implement the provisions in the 2010 MOU related to access to care for Native American veterans, and (2) what is known about how access to care for Native...
" Native Americans who have served in the military may be eligible for health care services from both VA and IHS, but according to reports some have h...
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Coast Guard: resources provided for drug interdiction operations in the transit zone, Puerto Rico, and the U.S. Virgin Islands: rep
ISBN: 9781973959670 / Angielski / Miękka / 46 str. Termin realizacji zamówienia: ok. 5-8 dni roboczych. " One part of the U.S. National Drug Control Strategy is to disrupt the flow of cocaine through the transit zone. Puerto Rico and the U.S. Virgin Islands, the only U.S. territories located geographically within the transit zone, have served as entry points for cocaine destined for the continental United States. In recent years, federal and local government agencies have cited growing levels of violent crime in these territories and attribute this violence to illicit drug trafficking. Within DHS, the U.S. Coast Guard is the lead federal agency for maritime drug interdiction and a key provider...
" One part of the U.S. National Drug Control Strategy is to disrupt the flow of cocaine through the transit zone. Puerto Rico and the U.S. Virgin Isla...
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61,81 |
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Defense transportation, DOD needs to take actions to improve the transportation of hazardous material shipments: report to congressional committees.
ISBN: 9781973959830 / Angielski / Miękka / 50 str. Termin realizacji zamówienia: ok. 5-8 dni roboczych. " Over 3 billion tons of HAZMAT are transported by commercial carriers in the United States each year. DOD accounted for about 1.6 million HAZMAT shipments in fiscal year 2013, using commercial and military carriers. These shipments can be high risk and highly sensitive and if improperly handled, labeled, or packaged could result in the loss of life, property damage, and harm to national security interests. The National Defense Authorization Act for Fiscal Year 2013 mandates GAO to review DOD's guidance, policies, and procedures regarding HAZMAT shipments. GAO examined the (1) statutes,...
" Over 3 billion tons of HAZMAT are transported by commercial carriers in the United States each year. DOD accounted for about 1.6 million HAZMAT ship...
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Patient Protection and Affordable Care Act, procedures for reporting certain financial management information should be improved: report to congressio
ISBN: 9781973960508 / Angielski / Miękka / 32 str. Termin realizacji zamówienia: ok. 5-8 dni roboczych. " PPACA makes significant changes in the way health insurance in the United States is provided, including changes to private health insurance coverage. GAO was asked to examine the resources that CCIIO used and expects to use in implementing the private health insurance provisions of PPACA. GAO's objective was to identify resources that CCIIO received, used, and expects to use from enactment of PPACA through fiscal year 2014, including certain categories of expenditures, the sources of funding, and the total number of staff, along with the number of staff reassigned from other units. To...
" PPACA makes significant changes in the way health insurance in the United States is provided, including changes to private health insurance coverage...
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Patient Protection and Affordable Care Act, largest issuers of health coverage participated in most exchanges, and number of plans available varied: r
ISBN: 9781973960560 / Angielski / Miękka / 40 str. Termin realizacji zamówienia: ok. 5-8 dni roboczych. " PPACA required by January 1, 2014, the establishment in each state of health insurance exchanges- marketplaces where eligible individuals and small businesses can compare and select among insurance plans. Issuer participation, including the number of plans these issuers offer, is a key factor in the extent of consumer choice offered by the exchanges. GAO was asked to examine the number and types of issuers participating in both the individual and small-business exchanges beginning in 2014, as well as how this compared with issuer participation in the individual and small-group markets prior...
" PPACA required by January 1, 2014, the establishment in each state of health insurance exchanges- marketplaces where eligible individuals and small ...
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Regenerative medicine, federal investment, information sharing, and challenges in an evolving field: report to congressional requesters.
ISBN: 9781973961093 / Angielski / Miękka / 36 str. Termin realizacji zamówienia: ok. 5-8 dni roboczych. " Regenerative medicine is an interdisciplinary field with a focus on conducting research and developing treatments for a vast assortment of previously untreatable diseases and conditions through self-healing-a process by which the body uses its own systems to recreate cells and rebuild tissues and organs. GAO was asked to review the federal involvement in this field. This report describes (1) which federal agencies conducted or funded regenerative medicine research in recent years and how these agencies invested their resources; (2) the activities these federal agencies undertake to share...
" Regenerative medicine is an interdisciplinary field with a focus on conducting research and developing treatments for a vast assortment of previousl...
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Medicare physical therapy: self-referring providers generally referred more beneficiaries but fewer services per beneficiary: report to congressi
ISBN: 9781973961116 / Angielski / Miękka / 50 str. Termin realizacji zamówienia: ok. 5-8 dni roboczych. " Rising Medicare expenditures for PT services have long been of concern, and questions have been raised about the role of self-referral in this growth. Self-referral occurs when a provider refers patients to entities in which the provider or the provider's family members have a financial interest. GAO was asked to examine self-referral for PT services and Medicare spending for these services. This report examines (1) trends in the number of and expenditures for self-referred and non-self-referred Medicare PT services and (2) how provision of these services differs among providers on the...
" Rising Medicare expenditures for PT services have long been of concern, and questions have been raised about the role of self-referral in this growt...
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61,81 |
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Small Business Administration, leadership attention needed to overcome management challenges: report to congressional requesters.
ISBN: 9781973961147 / Angielski / Miękka / 136 str. Termin realizacji zamówienia: ok. 5-8 dni roboczych. " SBA has provided billions of dollars in loans and guarantees to small businesses. As of March 31, 2015, SBA's total loan portfolio was about $116.9 billion, including $110.3 billion in direct and guaranteed loans and $6.6 billion in disaster loans. GAO has previously reported on management challenges at SBA. GAO was asked to review SBA management, including whether those challenges were ongoing. This report discusses SBA's efforts to address management challenges related to specific programs and internal controls. It also looks at challenges in strategic planning, human capital,...
" SBA has provided billions of dollars in loans and guarantees to small businesses. As of March 31, 2015, SBA's total loan portfolio was about $116.9 ...
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61,81 |
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Defense transportation, DOD can better ensure that federal agencies fully reimburse for using military aircraft: report to congressional requesters.
ISBN: 9781973961376 / Angielski / Miękka / 34 str. Termin realizacji zamówienia: ok. 5-8 dni roboczych. " Senior federal government officials-including high-ranking DOD officials, cabinet members, and members of Congress-are required or authorized to fly on military aircraft. This high-priority movement of senior government officials, known as special air missions, is accomplished with a fleet of 15 aircraft assigned to the Air Force's 89th Airlift Wing, located at Joint Base Andrews, Maryland. Both the Office of Management and Budget and DOD issued guidance on the management and use of these aircraft. GAO was requested to examine government officials' use of military aircraft and the...
" Senior federal government officials-including high-ranking DOD officials, cabinet members, and members of Congress-are required or authorized to fly...
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61,81 |
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Drug control, additional performance information is needed to oversee the National Guard's state counterdrug program: report to Committee on Armed Ser
ISBN: 9781973961604 / Angielski / Miękka / 48 str. Termin realizacji zamówienia: ok. 5-8 dni roboczych. " Since 1989 the National Guard has received hundreds of millions of dollars to help enhance the effectiveness of state-level counterdrug efforts by providing military support to assist interagency partners with their counterdrug activities. The program funds the drug interdiction priorities of each state Governor; counterdrug-related training to interagency partners at five counterdrug schools; and state-level counterthreat finance investigations, all of which are part of DOD's broader counterdrug efforts. Senate Report 113-176 included a provision for GAO to conduct an assessment of the...
" Since 1989 the National Guard has received hundreds of millions of dollars to help enhance the effectiveness of state-level counterdrug efforts by p...
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61,81 |
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