{"id":8619,"date":"2011-02-10T14:07:57","date_gmt":"2011-02-10T19:07:57","guid":{"rendered":"http:\/\/cfif.org\/v\/freedom_line_blog\/?p=8619"},"modified":"2011-02-10T14:07:57","modified_gmt":"2011-02-10T19:07:57","slug":"is-this-the-bureaucracy-you-want-in-change-of-your-health-care","status":"publish","type":"post","link":"https:\/\/cfif.org\/v\/freedom_line_blog\/8619\/is-this-the-bureaucracy-you-want-in-change-of-your-health-care\/","title":{"rendered":"Is This the Bureaucracy You Want In Change of Your Health Care?"},"content":{"rendered":"<p>Earlier this week, InsideHealthPolicy.com reported:<\/p>\n<blockquote><p>Republican aides on Capitol Hill are circulating sections of an <a href=\"http:\/\/coburn.senate.gov\/public\/index.cfm?a=Files.Serve&amp;File_id=f319b609-b3c0-4b26-b76f-24104f36943b\">independent audit<\/a> that found significant shortcomings in HHS&#8217; financial management &#8212; including noncompliance with federal laws and a $3 billion difference between the department&#8217;s own balance sheet and records maintained by the Treasury Department. HHS acknowledged \u201cmaterial weaknesses\u201d in its financial management systems and said some of those issues will be worked out as the department implements a new reporting system this year.<\/p><\/blockquote>\n<p>Below are some of the specifics, care of <a href=\"http:\/\/coburn.senate.gov\/public\/index.cfm\/rightnow?ContentRecord_id=7822e38b-f7d9-4dcc-ba26-e390e46cf229\" target=\"_blank\">Senator Tom Coburn<\/a>:<\/p>\n<ul>\n<blockquote>\n<li><strong>HHS Is Not In Compliance With Federal Financial Management Law<\/strong>. According to the HHS Inspector General\u2019s review of Ernst &amp; Young\u2019s financial audit of HHS, \u201cHHS&#8217;s financial management systems are not compliant with the Federal Financial Management Improvement Act of 1996.\u201d<\/li>\n<li><strong>Nearly $2 Billion Taxpayer Dollars Are Stuck in Limbo<\/strong>. \u201cAs of September 30, 2010, the audit identified approximately 102,500 transactions totaling an approximate $1.8 billion that were more than 2 year s old without activity.\u201d<\/li>\n<li><strong>Nearly $800 Million Dollars \u201cCould Not Be Explained<\/strong>\u201d Differing Between HHS\u2019 Records and Treasury Department Records. \u201cBased on our review and discussions with management, we noted differences of $794 million that could not be explained.\u201d<\/li>\n<li><strong>Some Processes and Procedural Manuals Have Not Been Updated Since the 1980s<\/strong>. \u201cHHS\u2019s formalized policies and procedures are out of date and may be inconsistent with actual processes taking place\u2026.For example, we noted that certain policies and procedures, including certain accrual processes, had not been updated since the mid-1980s.\u201d<\/li>\n<li><strong>Current HHS Personnel Need Training To \u201cComplete Their Day-to-Day Responsibilities.\u201d<\/strong> \u201cFurther, we noted additional training on the financial systems was needed to enable HHS personnel in their ability to access needed information from the system to complete their day-to-day responsibilities &#8211; including the preparation of reconciliations, research of differences noted, and the ability to identify and clear older \u201cstale\u201d transactions dating back several years.\u201d<\/li>\n<\/blockquote>\n<\/ul>\n<p>America, meet the federal\u00a0department charged with implementing and managing the most significant provisions of the monstrosity known as ObamaCare.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Earlier this week, InsideHealthPolicy.com reported: Republican aides on Capitol Hill are circulating sections of an independent audit that found significant shortcomings in HHS&#8217; financial management &#8212; including noncompliance with federal laws and a $3 billion difference between the department&#8217;s own balance sheet and records maintained by the Treasury Department. HHS acknowledged \u201cmaterial weaknesses\u201d in its [&hellip;]<\/p>\n","protected":false},"author":3,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[2383,2384,12,186,35],"class_list":["post-8619","post","type-post","status-publish","format-standard","hentry","category-posts","tag-audit","tag-ernst-young","tag-health-care","tag-hhs","tag-obamacare"],"_links":{"self":[{"href":"https:\/\/cfif.org\/v\/freedom_line_blog\/wp-json\/wp\/v2\/posts\/8619","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/cfif.org\/v\/freedom_line_blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/cfif.org\/v\/freedom_line_blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/cfif.org\/v\/freedom_line_blog\/wp-json\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/cfif.org\/v\/freedom_line_blog\/wp-json\/wp\/v2\/comments?post=8619"}],"version-history":[{"count":7,"href":"https:\/\/cfif.org\/v\/freedom_line_blog\/wp-json\/wp\/v2\/posts\/8619\/revisions"}],"predecessor-version":[{"id":8626,"href":"https:\/\/cfif.org\/v\/freedom_line_blog\/wp-json\/wp\/v2\/posts\/8619\/revisions\/8626"}],"wp:attachment":[{"href":"https:\/\/cfif.org\/v\/freedom_line_blog\/wp-json\/wp\/v2\/media?parent=8619"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/cfif.org\/v\/freedom_line_blog\/wp-json\/wp\/v2\/categories?post=8619"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/cfif.org\/v\/freedom_line_blog\/wp-json\/wp\/v2\/tags?post=8619"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}