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VETERANS’ HEALTH CARE - Preliminary Observations on VHA’s Claims Processing Delays and Efforts to Improve the Timeliness of Payments to Community Providers
existing VA care in the community programs, as required by law, the agency said it will examine strategies for improving the timeliness and accuracy of its payments to community providers.<br ... Due to increases in expenditures and utilization of VA care in the community services in recent years, VHA has had difficulty processing claims in a timely manner. In planning to consolidate its ... /> This statement, which is based on ongoing work, summarizes GAO’s preliminary observations about (1) VHA’s, Medicare’s, and TRICARE’s claims processing timeliness in fiscal year 2015; (2) factors that have impeded ... Data processing hold back by technology limitation, workload and administrative burden ... US GAO analyzed all factors of slower processing and user unfriendliness that occur sometimes to the veterans healthcare. The main focus is data processing - and it has been proved that it can ... be failing not only because of technology, but also because of work-process design, staff and organisation.
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existing VA care in the community programs, as required by law, the agency said it will examine strategies for improving the timeliness and accuracy of its payments to community providers.<br ... Due to increases in expenditures and utilization of VA care in the community services in recent years, VHA has had difficulty processing claims in a timely manner. In planning to consolidate its ... /> This statement, which is based on ongoing work, summarizes GAO’s preliminary observations about (1) VHA’s, Medicare’s, and TRICARE’s claims processing timeliness in fiscal year 2015; (2) factors that have impeded ... Data processing hold back by technology limitation, workload and administrative burden ... US GAO analyzed all factors of slower processing and user unfriendliness that occur sometimes to the veterans healthcare. The main focus is data processing - and it has been proved that it can ... be failing not only because of technology, but also because of work-process design, staff and organisation.
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General Accountability Office
, issued in 2016
Risk cases: 6
Incorrect payments in social insurance - Control activities of the Swedish Social Insurance Agency
In 2014 the social insurance system accounted for six per cent of GDP. The long-term sustainability of a system of that magnitude requires that the public perceives its purpose to be important ... , that it is well administered and that it is as free of abuse as possible. It must also be financially stable over time, since major fluctuations impact other areas of the central government budget. When ... these things function as they should, the system is perceived to be legitimate and enjoys public confidence.<br/> According to available estimations, almost SEK 20 billion had been paid out incorrectly from ... Balance of priorities needed to reduce incorrect payments ... Role of social insurance in public finance is so substantial that reduction of incorrect payments' volume is matter of huge savings. The Swedish NAO noted positive initiatives by the Social Insurance ... Agency in this regard. However they found also, that serious problems can stem from giving higher priority to the speed of payment and customers satisfaction. They both are undoubtedly important features ... of each system, still, the prevention of incorrect payments needs strategic support to be really effective.
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In 2014 the social insurance system accounted for six per cent of GDP. The long-term sustainability of a system of that magnitude requires that the public perceives its purpose to be important ... , that it is well administered and that it is as free of abuse as possible. It must also be financially stable over time, since major fluctuations impact other areas of the central government budget. When ... these things function as they should, the system is perceived to be legitimate and enjoys public confidence.<br/> According to available estimations, almost SEK 20 billion had been paid out incorrectly from ... Balance of priorities needed to reduce incorrect payments ... Role of social insurance in public finance is so substantial that reduction of incorrect payments' volume is matter of huge savings. The Swedish NAO noted positive initiatives by the Social Insurance ... Agency in this regard. However they found also, that serious problems can stem from giving higher priority to the speed of payment and customers satisfaction. They both are undoubtedly important features ... of each system, still, the prevention of incorrect payments needs strategic support to be really effective.
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Swedish National Audit Office
, issued in 2016
Risk cases: 3
Preparations and realization of the State A-levels
The aim of the audit was to scrutinise the utilisation of the state budget and EU budget funds that had been spent on preparing and implementing the State A-levels examinations. The auditing ... operation was performed from May to November 2011. The audited period extended from January 1, 2005, to June 30, 2011; where relevant, the data from the previous period and the period until the end ... of the auditing operation were also scrutinized. Among the audited bodies were the Ministry of Education, the Education Result Survey Centre, and the National Institute for Further Education. The auditing operation ... ... Begin with good strategy ... Analyzing problems of state examinations system, Czech Republic SAI found that commonplace strategy effected in shortsighted planning, poor procurement and disadvantageous contracting.
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The aim of the audit was to scrutinise the utilisation of the state budget and EU budget funds that had been spent on preparing and implementing the State A-levels examinations. The auditing ... operation was performed from May to November 2011. The audited period extended from January 1, 2005, to June 30, 2011; where relevant, the data from the previous period and the period until the end ... of the auditing operation were also scrutinized. Among the audited bodies were the Ministry of Education, the Education Result Survey Centre, and the National Institute for Further Education. The auditing operation ... ... Begin with good strategy ... Analyzing problems of state examinations system, Czech Republic SAI found that commonplace strategy effected in shortsighted planning, poor procurement and disadvantageous contracting.
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Supreme Audit Office of Czech Republic
, issued in 2011
Risk cases: 4
Storage of Electronic Documents and Data at the National Archives of Latvia
Ever since electronic documents with legal force equivalent to that of paper documents have entered our daily lives and the majority of state administration processes have been transferred ... to electronic information systems, the role of the archives has become unclear — whether an inhabitant can rely on that the archives will be able to issue statements in the areas, which are currently processed ... in electronic form, many years later.<br/> The audit concerning the storage of electronic documents was carried out in order to assess the development of the area of electronic document circulation and storage ... ... Do Archives ensure the storage of e-documents? ... National archives fulfil an important function for storing the documentary heritage and became one of the most important sources of information. But after electronic documents have entered our daily ... lives and majority of state administration processes have been transferred to electronic information systems, the archives still have a lot of work to do for improving the storage of electronic documents ... . SAI Latvia analysed causes of over 12 years with no progress in this domain.
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Ever since electronic documents with legal force equivalent to that of paper documents have entered our daily lives and the majority of state administration processes have been transferred ... to electronic information systems, the role of the archives has become unclear — whether an inhabitant can rely on that the archives will be able to issue statements in the areas, which are currently processed ... in electronic form, many years later.<br/> The audit concerning the storage of electronic documents was carried out in order to assess the development of the area of electronic document circulation and storage ... ... Do Archives ensure the storage of e-documents? ... National archives fulfil an important function for storing the documentary heritage and became one of the most important sources of information. But after electronic documents have entered our daily ... lives and majority of state administration processes have been transferred to electronic information systems, the archives still have a lot of work to do for improving the storage of electronic documents ... . SAI Latvia analysed causes of over 12 years with no progress in this domain.
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State Audit Office of the Republic of Latvia
, issued in 2015
Risk cases: 3
Management of State Information Resources
The objective of the audit was to assess effectiveness of the management of the state information resources and of the use of their possibilities: suitability of the chosen state resources management ... model; rationality of the use of the State Budget funds when managing information resources; use of the possibilities of the state information resources to improve the performance of the public sector ... . Audit procedures were performed in all major institutions which form and implement the policy of information resources: Ministry of Transport and Communications, Ministry of the Interior, Ministry ... Well targeted requirements, interconnected information resources and broad use - why so difficult to be gained? ... The leading idea of the 'Approach to Management of State Information Resources' programme was to entrench a comprehensive management of data resources. After five years preparations, the desired ... momentum was still not the case. SAI Lithuania analysed roots of the problems: concept, poor use of funds, lack of interconnections, unsatified users.
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The objective of the audit was to assess effectiveness of the management of the state information resources and of the use of their possibilities: suitability of the chosen state resources management ... model; rationality of the use of the State Budget funds when managing information resources; use of the possibilities of the state information resources to improve the performance of the public sector ... . Audit procedures were performed in all major institutions which form and implement the policy of information resources: Ministry of Transport and Communications, Ministry of the Interior, Ministry ... Well targeted requirements, interconnected information resources and broad use - why so difficult to be gained? ... The leading idea of the 'Approach to Management of State Information Resources' programme was to entrench a comprehensive management of data resources. After five years preparations, the desired ... momentum was still not the case. SAI Lithuania analysed roots of the problems: concept, poor use of funds, lack of interconnections, unsatified users.
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National Audit Office of the Republic of Lithuania
, issued in 2013
Risk cases: 3
State funds spent on development, operation and using of data centres services
The aim of the audit was to scrutinise the management of funds spent on building and operating the national data centre (hereinafter “STC1 data centre”), including the expenditure of selected ... organisational units of the state on buying hosting, server-housing and other related services. The audited period was between 2010 and 2014; where relevant, the preceding period was also scrutinised. Audited ... entities: Ministry of the Interior (“MoI”); Ministry of Finance (“MoF”); STÁTNÍ TISKÁRNA CENIN, state firm (state banknote printing firm, hereinafter “STC” or “the state firm”). The audit was conducted ... ... Risks steming from uncoordinated strategy ... SAI of Czech Republic analysed consequences of failures in strategic IT management at the state level. Lack of coordination and implementation rules reduced practical role of the ministry whose task ... was to guard high quality standards for all crucial IT systems in the state administration. Next consecquences were (among others) risk of uneconomical results of large IT investment and risk of inefficient ... supply of services, as well as opposite results of workforce reduction.
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The aim of the audit was to scrutinise the management of funds spent on building and operating the national data centre (hereinafter “STC1 data centre”), including the expenditure of selected ... organisational units of the state on buying hosting, server-housing and other related services. The audited period was between 2010 and 2014; where relevant, the preceding period was also scrutinised. Audited ... entities: Ministry of the Interior (“MoI”); Ministry of Finance (“MoF”); STÁTNÍ TISKÁRNA CENIN, state firm (state banknote printing firm, hereinafter “STC” or “the state firm”). The audit was conducted ... ... Risks steming from uncoordinated strategy ... SAI of Czech Republic analysed consequences of failures in strategic IT management at the state level. Lack of coordination and implementation rules reduced practical role of the ministry whose task ... was to guard high quality standards for all crucial IT systems in the state administration. Next consecquences were (among others) risk of uneconomical results of large IT investment and risk of inefficient ... supply of services, as well as opposite results of workforce reduction.
Full description
Supreme Audit Office of Czech Republic
, issued in 2015
Risk cases: 7
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