Executive Report. Developing a Shared Vision for 21st Century Accountability. December 2014

Size: px
Start display at page:

Download "Executive Report. Developing a Shared Vision for 21st Century Accountability. December 2014"

Transcription

1 Executive Report December 2014 Developing a Shared Vision for 21st Century Accountability SUMMARY OF AGA S EXECUTIVE SESSION JULY 13, 2014 ORLANDO, FL

2 Acknowledgements Contributors: Moderator and Sponsor Daniel J. Murrin, CGFM, CPA, Americas Director, Government and Public Services, Professional Practice, EY Moderator Helena Sims, Director of Intergovernmental Relations, AGA Speakers Robert F. Dacey, CGFM, CPA, Chief Accountant, U.S. Government Accountability Office Beryl H. Davis, CGFM, Director, Financial Management and Assurance, U.S. Government Accountability Office Amy L. Haseltine, Associate Deputy Assistant Secretary Grants, U.S. Department of Health and Human Services David Lebryk, MPA, Fiscal Assistant Secretary, U.S. Department of the Treasury Karen Lee, Chief, Management Controls & Assistance Branch, Office of Federal Financial Management, Office of Management and Budget Melinda Miguel, Chief Inspector General, Florida Executive Office of the Governor Merril Oliver, Deputy Director, Puerto Rico Governor s Office of Management and Budget Mark A. Reger, Interim Controller, Office of Management and Budget AGA Staff: Ann Ebberts Chief Executive Officer Susan Fritzlen Chief Operating Officer Maryann Malesardi Director of Communications Jennifer Curtin, MPA Director of Public Affairs Joseph Davis, MA Marketing & Communications Manager AGA is the member organization for financial professionals in the Government. We lead and encourage change that benefits our field and all citizens. Our networking events, professional certifications, publications, and ongoing education help members build their skills and advance their careers. AGA s Corporate Partner Advisory Group are a network of public accounting firms, major system integrators, IT companies, management consulting firms, financial services organizations and education & training companies. These organizations all have long-term commitments to supporting the financial management community and choose to partner with and help AGA in its mission of advancing government accountability. 2 AGA EXECUTIVE SUMMARY

3 Introduction Progress in promoting transparency for government financial information is real, expanding and unstoppable. Increasingly, financial managers are exploring how they can help align financial management and performance information, and simultaneously add relevancy and value. In the interest of refining a shared vision for 21st century accountability, AGA s 2014 Executive Session (Executive Session) sought to develop actionable steps to promote financial accountability, and also to pivot and expand the accountability concept by putting financial information in context program accomplishments. The Executive Session was conducted July 13 in conjunction with AGA s Professional Development Training event in Orlando, FL. The session leveraged progress from previous executive sessions that Ernst & Young LLP (EY) has sponsored to stimulate thought and share ideas for improving government financial reporting and accountability. The session also explored how we can leverage the standardization called for During the session, AGA laid out a framework for developing a shared vision for 21st century accountability with the intention of identifying key components of that vision. in recent uniform grant reform guidance (Uniform Guidance) 1 issued by the Office of Management and Budget (OMB) and the Digital Accountability and Transparency Act of 2014 (DATA Act) in reporting both performance and financial information. During the session, AGA laid out a framework for developing a shared vision for 21st century accountability with the intention of identifying key components of that vision. The session brought together 100 thought leaders from all levels of government and the private sector. The Accountability Pyramid, depicted in Figure 1, was developed to stimulate discussion during previous Executive Sessions. It places transactional and other raw data on the bottom of the pyramid and the more refined data, such as Citizen-Centric Reports (CCRs), audited financial statements and Comprehensive Annual Financial Reports (CAFRs), at the top. AGA wants to extend this hierarchy, which is well established in financial reporting, and array similar views of performance information to better understand what government is accomplishing with its resources. Developing a Shared Vision for 21st Century Accountability 3

4 Why Things Are Different This Time Occasionally, someone asks a simple question that halts conversation. This happened during the Executive Session when an audience member wanted to know why things would be different this time. Why will the federal government be able to use financial and performance data to explain where tax dollars are going and what the public is getting for its money? After all, haven t government officials tried to leverage financial and performance information for years? Why would government officials succeed this time when they had not previously succeeded? Executive Session speakers had no trouble explaining why things would be different this time. Since enactment of the Chief Financial Officers (CFO) Act in 1990, a number of additional laws have established leadership and mandates for financial and performance management. Within the past year alone, OMB issued the Uniform Guidance; and Congress enacted the DATA Act. In addition, OMB and the U.S. General Services Administration have launched a benchmarking project whereby interagency management councils have developed performance benchmarks, which include 39 elements and six categories. Beryl Davis of the U.S. Government Accountability Office (GAO) pointed out financial data is already driving performance. For example, Davis said three pieces of improper payments legislation enacted over the past fourteen years include requirements for estimating and reporting improper payments. This emphasis on proper reporting of financial data has resulted in agencies actions to reduce, and in many cases prevent, improper payments. Increased public scrutiny is also making a difference. As OMB s Mark Reger said, There are bright lights on us now. In response to scandals dealing with the U.S. Department of Veterans Affairs waiting lists and Congressional investigations into the Internal Revenue Services handling of tax-exemption requests, public trust is waning, making data accuracy and transparency increasingly important. The public s expectations are higher and their impatience for information is growing. The public expects timely, user-friendly information on a 24/7 basis. Karen Lee of OMB explained, We are operating in a more passionate environment. Citizens want answers now. Lee also pointed out that, in an era of persistent budget restraints, more scrutiny can be expected over government expenditures, and added, We don t have the luxury of redundant funding. People want to know what a program is accomplishing and how the money was spent. Amy Haseltine, U.S. Department of Health and Human Services Also, technology has improved. We can tag and map data better than ever before, and federal CFOs receptivity to the use of technology has increased. Furthermore, today s questions are different. We have more questions that aren t spelled out in authorizing legislation, said Amy Haseltine of the U.S. Department of Health and Human Services (HHS). People want to know what a program is accomplishing and how the money was spent. Data is becoming integral to program management. 4 AGA EXECUTIVE SUMMARY

5 Why Things Are Different This Time FIGURE 1: ACCOUNTABILITY PYRAMID Although comparative financial statement reporting largely addresses two dimensions at an aggregate level at the top of the Pyramid for GPFS, there are at least four dimensions to the Accountability Pyramid. A deeper dive into the data that are important to users enable them to make decisions at an actionable/lower level with multiple building blocks/pyramids for projects grouped into programs, bureaus and departments, ultimately aggregating to agencies and the consolidated government entity. Two dimensions at the top for general purpose financial statements Financial Information Time Financial Information Program/ Performance Information An aerial view reveals four dimensions of each pyramid for a deeper dive. External reported data Aggregated budget and accounting data By vendor, grantee, employee, payee, etc. Initially aggregated by contract, program or other metric Time Geography/ Demographic Information Time Financial Information Financial Information Time Project A Project B Project C Project D Transaction and other raw data Multiple departments/programs aggregate to agencies/ consolidated government. Multiple projects aggregate to programs. Developing a Shared Vision for 21st Century Accountability 5

6 Importance of Recent Developments OMB s Uniform Guidance reiterates the importance of gathering performance, as well as financial, information. The Uniform Guidance promotes greater standardization of information collection and provides that the federal awarding agency require the recipient to relate financial data to performance accomplishments of the federal award. The federal awarding agency is required to provide recipients with clear performance goals, indicators and milestones. The Uniform Guidance includes provisions for federal agencies to manage federal awards via standardized business processes and use of consistentlydefined data elements. This consistency is intended to reduce the administrative burden non-federal entities must navigate. The document also provides 99 standard definitions of terms present not only throughout the Uniform Guidance, but also throughout many approved federal information collections used to manage awards. The DATA Act, signed by President Obama on May 9, 2014, is viewed by many as transformative. It mandates government-wide data standards for financial data and the streamlining of reporting requirements for entities receiving federal funds. In addition to these mandates, the DATA Act assigns leadership for implementation to OMB and the U.S. Department of the Treasury (Treasury). The DATA Act, therefore, squarely addresses what Dave Lebryk at Treasury said are key elements for success in aligning financial and performance data: leadership and a mandate. The importance of assigning leadership cannot be overstated because, as Lebryk indicated, Challenges associated with financial and programmatic data are not related to technology; they are related to leadership. Like the American Recovery and Reinvestment Act (ARRA), the DATA Act opens the door for communication and collaboration across the levels of Data leads to better decisions, which leads to better government. Dave Lebryk, U.S. Department of the Treasury government. The DATA Act specifically requires consultation with states and local governments, universities, and other recipients of federal funds in keeping with speakers comments on the importance of intergovernmental collaboration. As Reger pointed out, The states are patient as long as they are kept informed about what is going on; and, the lessons learned during ARRA implementation should be kept in mind. Major milestones established by the DATA Act are fast approaching. By May 9, 2015, the Director of OMB and the Secretary of the Treasury must issue guidance establishing government-wide financial data standards. Pilots with award recipients, including states, local governments and universities, are also scheduled to begin in May Within three years of enactment, standardized financial information must be posted online. Lebryk said the DATA Act should help government officials make better decisions. He added, Data leads to better decisions, which leads to better government. Yet, shortcomings in reporting meaningful data were highlighted when the audience was asked whether they had enough information to measure their programs well. Only one person in the room indicated they had sufficient information. Speakers stressed the importance of data standardization and common data definitions. Lebryk indicated that Treasury s goal is to capture and make available financial management data, enabling data consumers to follow the complete life cycle of federal receipts 6 AGA EXECUTIVE SUMMARY

7 Importance of Recent Developments FIGURE 2: TREASURY APPROACH TRANSPARENCY 360 o Spending Life Cycle Receipts/ Financing Disbursement Payment Budget Formulation Appropriation Budget Execution Capture and make available financial management data to enable the data consumers to follow the complete life cycle of federal receipts and spending from appropriations to the disbursements of grants, contracts and administrative spending Enabled by Treasury and agency data via data standardization (i.e., intelligent data) Apportionment Obligation Warrant Commitment Award Allotment (Allocation) and spending from appropriations to the disbursements of grants, contracts and administrative spending. See Figures 2 and 3. Building upon the standardization theme, Dan Murrin of EY said the lack of commonality makes it difficult to aggregate data across states, systems, programs and funding sources. Reger responded that commonality is likely to be even more important than flexibility in reforming grant administration. The federal government is aware of the need for standardization and is moving forward on a number of fronts. Haseltine highlighted a project underway at HHS to work across the grants and financial communities in identifying common terms and associated definitions. Success, she said, will be defined by a reduction in burden and in increase in collaboration, transparency and efficiency. AGA has championed efforts to bring financial management information into focus through concepts underpinning the Accountability Pyramid for a decade. One need only pick-up a major newspaper, with articles leveraging disaggregated claims data, to see the desire for actionable detailed information in areas ripe for further financial analysis regarding some of the largest government healthcare programs. Whether focused on groups of procedures, specific physician practices, durable medical equipment providers or classes of drugs, access to disaggregated data has led to a broadened awareness of the issues impacting government health care programs as they wrestle with cost issues. And, at the most aggregated level, articles about overall fiscal sustainability of federal, state and local government operations, leverage information contained in CAFRs and financial statements to provide context for debate about the way forward. Developing a Shared Vision for 21st Century Accountability 7

8 Importance of Recent Developments FIGURE 3: OMB TRANSPARENCY Treasury How much revenue did the government raise and how much is the government borrowing? Receipts/ Financing Congress Appropriation Budget Formulation How much money did Congress appropriate the government to spend and on what programs, projects and activities did Congress fund? Treasury, Agency What was the amount, payment date and who was the recipient of the payment? Disbursement Payment Budget Execution Apportionment Warrant OMB, Treasury and Agency Agency What goods and services did the government purchase, for what reason, and for whom? Obligation Commitment What grants and loans did the government make, for what reason, and for whom? Award Allotment (Allocation) How did the president, through the Executive Branch, allocate and monitor the funding to ensure that programs comply with spending limits and use funds only for the purposes authorized by Congress? 8 AGA EXECUTIVE SUMMARY

9 The Emergence of Nascent Performance Measures Similarly, there is emerging interest in both aggregated and disaggregated performance information. Overall measures of competitiveness how we stack up against other countries in health outcomes, education attainment and even measures of happiness illustrate that the base of a performance measurement pyramid is beginning to form. Legislative and administrative initiatives to embed performance measures in programs are also well underway, if not yet fully implemented. How nursing homes leverage staffing information, inspection results and other measures to create star ratings (from one to five) for use by senior citizens and their families while exploring long-term care options is one of many examples of programs spotlighting performance measures. Such a programs can lead to changes in reimbursement rates to providers under Medicare; this reflects a tangible link between performance and financial information getting underway. A focus on process, quality and quality assurance for performance measures somewhat predictably follows the increased attention to performance measures. Ranging from skepticism regarding self-reported performance measures to issues about how performance measures may ultimately be used, these concerns must be confronted, similar to how they were regarding financial information. Usage of the five-star rating system for nursing homes has been called into question when self-reported staffing information is used rather than census data extracted from payroll information. Reporting of wait times for veterans has been attacked in some cases when processes to gather and report the data were assessed. Calls for enhanced selfcertifications related to the processes used to develop and report performance information may eventually be followed by calls for selective external assurance from third parties. Indeed, it can be difficult to sustain an argument that actionable, detailed performance information for programs that may directly impact health and safety is less important, and therefore less worthy of audit attention than some of the financial-related information currently subjected to audit. Difficulty in developing high-quality processes could not be allowed to be a barrier to developing and externally reporting financial information; similarly, developing replicable processes, quality control systems and (where prudent) quality assurance models will likely follow for performance information. A focus on process, quality and assurance for performance measures somewhat predictably follows the increased attention to performance measures. What Has Changed? In response to the participant s query about why things will be different this time, we can report that much has changed. Over the last 20 years, financial reporting aspects of the Accountability Pyramid have been fine-tuned, with perhaps the last frontier web-based, near real-time access to financial information on the horizon. This information is being used to inform the debate on fiscal sustainability, to help pull-apart program expenses, to get to the root of trends in government spending and programs, and to report disaggregated information in unprecedented detail. With legislative and administrative criteria taking hold at the project/program level, the vision to align performance and financial information in a meaningful way is closer every day. Enough has changed that the movement to array financial and performance data may at last be sustained. Developing a Shared Vision for 21st Century Accountability 9

10 Recommendations Common themes emerged during discussions to shape a path forward. These themes which dealt with the importance of data to effective management, and the importance of increased transparency, data standardization, common definitions and collaboration included: Ensure data is meaningful. It is important that data posted on government websites is meaningful. One way to make data meaningful is to put it in context. Merril Oliver of Puerto Rico illustrated that little is revealed by publishing information on how much a doctor was paid under a government program. The data becomes meaningful when put in context. In this example, data on payments to doctors is put in context by comparing the amount other doctors received or when payment amounts are ranked. Oliver added that it is important to include both favorable and unfavorable data on websites, such as Maryland s StateStat, which is the state s official online performance measurement and management tool. Murrin cautioned, We don t want to send people on a wild goose chase. Surface information isn t good enough. Context should be taken into account. Don t Expect Immediate Returns. Leveraging financial and program data to inform decisions won t happen overnight. According to GAO s Robert Dacey, It will be evolutionary rather than revolutionary. There was consensus; if we are to rely on performance measures, success won t be immediate. We must prepare for a long-term undertaking and acknowledge what can t be done. This is a marathon, not a sprint. Seek Standardization and Commonality. Words like program, obligation and expenditure should be consistent, not just across the federal government, but across all governments, if communication is to be seamless and data is to be interoperable. Additionally, there should be broad standards and common processes for collecting data. Promote Data Quality. The more important data becomes, the more important data quality becomes. Dacey stressed the importance of data reliability and said management and external assurance on controls over data quality should be considered. Permit Experimentation. Initial efforts are not always successful. As Lebryk paraphrased, When you don t get it right the first time, you need to be able to try again. There was a sense that if we don t get standardization and performance measures right the first time, we should be able to try again. If data reveals the need for change to achieve goals, a mid-course correction should be possible. Celebrate Small Victories. Because it will take time to implement major changes on data reporting, it is important to take small, manageable steps and to celebrate small victories along the way. Reach Out to Award Recipients. As required by the DATA Act, there was a consensus that it is important to involve state and local governments in implementing data transparency, because they are involved in the entire life cycle of grants. Minimize Risk. There are risks associated with transparency. For example, on the Florida Has a Right to Know website, state employees salaries are posted. Melinda Miguel of Florida said posting this type of information online carries a risk and caution must be exercised to avoid revealing private information. It is also important to recognize that assuring privacy will be staff-intensive. The Executive Session was successful in bringing a broad cross-section of people together to reach agreement on basic steps that need to be taken in promoting 21st century accountability. The session demonstrated that we have a solid foundation upon which to build. The foundation has been formed by legislation enacted over the last 20 years as well as by lessons learned in implementing ARRA and other initiatives that demanded intergovernmental cooperation. 10 AGA EXECUTIVE SUMMARY

11 Endnote 1. Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Award; Final Rule Issued by the Office of Management and Budget, December 26, A special thank you to Ernst & Young for sponsoring the Executive Session. Developing a Shared Vision for 21st Century Accountability 11

12 800.AGA AGA EXECUTIVE REPORT

Proven Strategies for Creating a Financially Sustainable Health Insurance Exchange

Proven Strategies for Creating a Financially Sustainable Health Insurance Exchange Proven Strategies for Creating a Financially Sustainable Health Insurance Exchange Table of Contents Health Insurance Exchanges: Improving Care in Your State.... 3 Planning, Scoping and Outreach of an

More information

Webinar 1 - Financial Management

Webinar 1 - Financial Management Webinar 1 - Financial Management PRESENTER: Welcome to the webinar on the core principles of financial management, presented by the US Department of Housing and Urban Development. Many of the ideas we

More information

How the Federal Government Can Help States Address Rising Prescription Drug Costs

How the Federal Government Can Help States Address Rising Prescription Drug Costs A PUBLICATION OF THE NATIONAL ACADEMY FOR STATE HEALTH POLICY February 2018 How the Federal Government Can Help States Address Rising Prescription Drug Costs Supported by The Commonwealth Fund Introduction

More information

Performance Budgeting for Federal Agencies. A Framework. JOHN MERCER (link to John Mercer's Website) IN PARTNERSHIP WITH AMS MARCH 18, 2002

Performance Budgeting for Federal Agencies. A Framework. JOHN MERCER (link to John Mercer's Website) IN PARTNERSHIP WITH AMS MARCH 18, 2002 Performance Budgeting for Federal Agencies A Framework JOHN MERCER (link to John Mercer's Website) IN PARTNERSHIP WITH AMS MARCH 18, 2002 For additional information please contact us at: John Mercer: GPRA@john-mercer.com

More information

Data Transparency in Government Ann Ebberts, CEO AGA February 2017

Data Transparency in Government Ann Ebberts, CEO AGA February 2017 Data Transparency in Government Ann Ebberts, CEO AGA February 2017 1 www.agacgfm.org AGENDA Need for Transparency in Government State Transparency Improving Public Understanding of Government 2 3 PUBLIC

More information

A New Federal Performance Framework

A New Federal Performance Framework A New Federal Framework By John M. Kamensky Staff from the Office of Management and Budget (OMB) have been visiting agencies in recent weeks to explain a new performance framework they have developed for

More information

From Back Room to Board Room: Federal CFO Role in Managing the Cost of Government

From Back Room to Board Room: Federal CFO Role in Managing the Cost of Government Government Accountability From Back Room to Board Room: Federal CFO Role in Managing the Cost of Government by Jeffrey C. Steinhoff and Laura A. Price The landmark CFO Act of 1990 chartered a course for

More information

House Republican Policy Committee Public hearing on the Implementation of the Fiscal Year DPW Budget

House Republican Policy Committee Public hearing on the Implementation of the Fiscal Year DPW Budget House Republican Policy Committee Public hearing on the Implementation of the Fiscal Year 2011 2012 DPW Budget Tim Costa, Executive Deputy Secretary Department of Public Welfare October 26, 2011 Good morning

More information

SUBMISSION OF PUBLIC COMMENTS:

SUBMISSION OF PUBLIC COMMENTS: Request for Information: Performance Indicators for Medicaid and Children s Health Insurance Program (CHIP) Business Functions: Solicitation of Public Input This solicitation seeks public input to aid

More information

DATA Act Implementation

DATA Act Implementation DATA Act Implementation Federal Demonstration Partnership January 12, 2015 KAREN F. LEE OFFICE OF MANAGEMENT AND BUDGET RENATA MAZIARZ DEPARTMENT OF TREASURY 1 Objectives 1. Federal Financial Transparency:

More information

Global Insurance CFO Survey 2014

Global Insurance CFO Survey 2014 Global Insurance CFO Survey 2014 Survey results September 2014 Introduction Conducted during the first half of 2014, this survey of senior executives across 35 global insurers (13 non-life, 9 life, 9 multi-line,

More information

A New Paradigm DELIVERING RETIREMENT BENEFITS TO HEALTHCARE AND HIGHER EDUCATION EMPLOYEES

A New Paradigm DELIVERING RETIREMENT BENEFITS TO HEALTHCARE AND HIGHER EDUCATION EMPLOYEES Q&A PANEL January 2019 Retirement benefits insights to inform your decision-making. A New Paradigm DELIVERING RETIREMENT BENEFITS TO HEALTHCARE AND HIGHER EDUCATION EMPLOYEES The retirement benefits environment

More information

How Health Reform Saves Consumers and Taxpayers Money

How Health Reform Saves Consumers and Taxpayers Money How Health Reform Saves Consumers and Taxpayers Money The Affordable Care Act Lowers Costs and Improves Quality June Health reform s three major goals insurance reform, affordable coverage, and slower

More information

Financial and Operational Benchmarking Trends & Techniques

Financial and Operational Benchmarking Trends & Techniques Financial and Operational Benchmarking Trends & Techniques Susan Petrie Chief Operating Officer October 31, 2018 1 Capital Link - Overview Launched in 1995, nonprofit, HRSA national cooperative agreement

More information

Budget Execution and Performance Integration. ASMC PDI Prepare to Launch

Budget Execution and Performance Integration. ASMC PDI Prepare to Launch Budget Execution and Performance Integration ASMC PDI Prepare to Launch Presented by: Adrienne Ferguson Professors of Practice NDU/iCollege/CFO Academy June 2016 Course Topics 1. Federal Budget Process

More information

Putting America to Work The Essential Role of Federal Labor Market Statistics. Contents

Putting America to Work The Essential Role of Federal Labor Market Statistics. Contents Putting America to Work The Essential Role of Federal Labor Market Statistics Andrew Reamer, Fellow Metropolitan Policy Program The Brookings Institution The Brookings Institution Washington, DC September

More information

Value Based Contracting

Value Based Contracting Value Based Contracting CONCEPTS FOR THE MEDICAL PRACTICE dhgllp.com/healthcare 225 Peachtree Street NE, Suite 600 Atlanta, GA 30303 Bill Hannah PRINCIPAL Bill.Hannah@dhgllp.com 404.575.8921 Doral Davis-Jacobsen

More information

PRACTICE STRATEGIES. Tax Benefits for 2013 Equipment Purchases

PRACTICE STRATEGIES. Tax Benefits for 2013 Equipment Purchases PRACTICE STRATEGIES Tax Benefits for 2013 Equipment Purchases From cutting-edge diagnostic and therapeutic equipment to robust health information technology, there is no better time than now to invest

More information

Core Principles of Financial Management. Webinar 1

Core Principles of Financial Management. Webinar 1 Core Principles of Financial Management Webinar 1 1 Who Is Our Primary Audience? Our primary audience is grantees and subrecipients of five Multifamily Housing grant programs: Assisted Living Conversion

More information

The Critical First Year

The Critical First Year The Critical First Year What New Chief Diversity Officers Need to Succeed A Witt/Kieffer Survey Report in the Fields of Higher Education, Healthcare and Academic Medicine Authors Charlene Aguilar, Consultant

More information

Health Care Reform, Substance Abuse Prevention and Treatment. DAS Professional Advisory Committee Meeting June 18, 2010

Health Care Reform, Substance Abuse Prevention and Treatment. DAS Professional Advisory Committee Meeting June 18, 2010 Health Care Reform, Substance Abuse Prevention and Treatment DAS Professional Advisory Committee Meeting June 18, 2010 The Patient Protection and Affordable Care Act The Patient Protection and Affordable

More information

PARTNERING WITH MEDICAID LEADERS. Working Through the Challenges of Medicaid Budgeting and Transformation

PARTNERING WITH MEDICAID LEADERS. Working Through the Challenges of Medicaid Budgeting and Transformation PARTNERING WITH MEDICAID LEADERS Working Through the Challenges of Medicaid Budgeting and Transformation Medicaid has surpassed both employer-based programs and Medicare to become the largest health insurance

More information

The Government Management Reform Act of 1994:

The Government Management Reform Act of 1994: The Government Management Reform Act of 1994: A Retrospective of Achievements and Remaining Challenges and a Look to the Future By: Jeffrey C. Steinhoff, CGFM, CPA, CFE, and Robert F. Dacey, JD, CGFM,

More information

A Conversation with Gene Dodaro, Comptroller General, U.S. Government Accountability Office

A Conversation with Gene Dodaro, Comptroller General, U.S. Government Accountability Office A Conversation with Gene Dodaro, Comptroller General, U.S. Government Accountability Office Faced with seemingly intractable issues such as the evergrowing deficit, economic uncertainty, unemployment,

More information

Business Plan

Business Plan Business Plan 2017-2019 Contents Executive Summary 3 Introduction 4 1. Market trends 5 2. Member survey 6 3. Strategy 2017-2019 9 Key Priorities 2017-2019 1. Professional 11 2. Research 12 3. Market Information

More information

Sustainability Accounting Standards. Health care sector: health care delivery

Sustainability Accounting Standards. Health care sector: health care delivery Sustainability Accounting Standards Health care sector: health care delivery What you need to know about the Health Care Standards for the health care delivery industry by the Sustainability Accounting

More information

The Patient Protection and Affordable Care Act of Enacted March, 2010

The Patient Protection and Affordable Care Act of Enacted March, 2010 The Patient Protection and Affordable Care Act of 2010 An Overview of the New Health Care Law Enacted March, 2010 1 The Patient Protection and Affordable Care Act of 2010 March, 2010: President Obama Signed

More information

I. II. III. IV. V. VI. OBJECTIVES OF THE SERIES

I. II. III. IV. V. VI. OBJECTIVES OF THE SERIES I II III IV V VI OBJECTIVES OF THE SERIES We hope this CHRO Education Series will increase member awareness of the spectrum of potential future health care reforms that may be proposed over the next two

More information

UnitedHealth Group Fourth Quarter and Year End 2014 Results Teleconference Prepared Remarks January 21, Moderator:

UnitedHealth Group Fourth Quarter and Year End 2014 Results Teleconference Prepared Remarks January 21, Moderator: UnitedHealth Group Fourth Quarter and Year End 2014 Results Teleconference Prepared Remarks January 21, 2015 Moderator: Good morning, I will be your conference facilitator today. Welcome to the UnitedHealth

More information

slug here Moving Needle the

slug here Moving Needle the slug here Moving the Needle Tips for building financial wellness programs to reduce employee stress and boost productivity plus insights from our latest investor survey 12 The Participant Winter/Spring

More information

Cerner Corporation Third Quarter 2018 Earnings Conference Call October 25, 2018

Cerner Corporation Third Quarter 2018 Earnings Conference Call October 25, 2018 Moderator Cerner Corporation Third Quarter 2018 Earnings Conference Call October 25, 2018 Welcome to Cerner Corporation s third quarter 2018 conference call. Today s date is October 25, 2018, and this

More information

CLIENT BRIEFING AUGUST AUTHORS Jim Fields Partner. Martin Graf Partner

CLIENT BRIEFING AUGUST AUTHORS Jim Fields Partner. Martin Graf Partner CLIENT BRIEFING AUGUST 2013 GETTING READY FOR THE NEW CHALLENGES OF MEDICARE ADVANTAGE Medicare Advantage plans have been leaders in moving healthcare toward value and retail. But the bar is going up.

More information

2014 EY US life insuranceannuity

2014 EY US life insuranceannuity 2014 EY US life insuranceannuity outlook Market summary Evolving external forces and improved internal operating fundamentals confront the US life insurance-annuity market at the onset of 2014. Given the

More information

CAQH CORE Call on Prior Authorization

CAQH CORE Call on Prior Authorization CAQH CORE Call on Prior Authorization FOR CAQH CORE PARTICIPANTS ONLY July 27, 2017 2:00 3:00 PM ET Logistics Presentation Slides & How to Participate in Today s Session A copy of the slides and the webinar

More information

New rules call for new actions: Tax authority mandates drive disruptive change. Spotlight on Latin America. Tax

New rules call for new actions: Tax authority mandates drive disruptive change. Spotlight on Latin America. Tax New rules call for new actions: Tax authority mandates drive disruptive change Spotlight on Latin America Tax New rules call for new actions: Tax authority mandates drive disruptive change Introduction

More information

CHAPTER II-4 ROLE 4 PLANNING, DESIGNING, IMPROVING, OR ADVOCATING FOR PERFORMANCE MANAGEMENT SYSTEMS AND THEIR USE

CHAPTER II-4 ROLE 4 PLANNING, DESIGNING, IMPROVING, OR ADVOCATING FOR PERFORMANCE MANAGEMENT SYSTEMS AND THEIR USE Chapter II-4: Role 4 Planning, Designing, Improving, or Advocating Systems 85 CHAPTER II-4 ROLE 4 PLANNING, DESIGNING, IMPROVING, OR ADVOCATING FOR PERFORMANCE MANAGEMENT SYSTEMS AND THEIR USE In Role

More information

The Case For Value ACA to MACRA to MIPS

The Case For Value ACA to MACRA to MIPS The Case For Value ACA to MACRA to MIPS 2016-2019 Robert E Nesse M.D. Professor of Family Medicine Mayo Medical School Senior Director of Health Care Policy and Payment Reform nesse.robert@mayo.edu What

More information

National Family Office Forum: Adapt, innovate, and transform 2018 survey report

National Family Office Forum: Adapt, innovate, and transform 2018 survey report National Family Office Forum: Adapt, innovate, and transform 2018 survey report Introduction Although no two family offices are alike, many single family offices (SFOs) do have a great deal in common.

More information

Avalere Health 2015 Industry Outlook

Avalere Health 2015 Industry Outlook 2015 Industry Outlook 2 Introduction Industry Outlook 2015 Changes in healthcare financing, delivery, and organization are transforming the sector. Health plans and providers are revising their business

More information

The UK s new corporate criminal offense. How adopting a robust risk-based approach could open the pathway for future global compliance

The UK s new corporate criminal offense. How adopting a robust risk-based approach could open the pathway for future global compliance The UK s new corporate criminal offense How adopting a robust risk-based approach could open the pathway for future global compliance (CCO) of the failure to prevent the facilitation of tax evasion entered

More information

Optimizing the actuarial modeling environment

Optimizing the actuarial modeling environment Optimizing the actuarial modeling environment Actuarial IT architecture considerations around loose and tight coupling By Tim Pauza, William Cember and Sanjo Yogiaveedu Introduction Working with models

More information

Public Option vs. Co-ops: The Bottom Line for Consumers

Public Option vs. Co-ops: The Bottom Line for Consumers HEALTH POLICY REPORT SEPTEMBER 2009 Public Option vs. Co-ops: The Bottom Line for Consumers SUMMARY Two new health insurance options are being debated as part of national health reform: a public insurance

More information

Budget Analyst GS Career Path Guide

Budget Analyst GS Career Path Guide Budget Analyst GS-0560 Career Path Guide April, 2015 (This page intentionally left blank.) TABLE OF CONTENTS BUDGET ANALYSIS G-0560... 1 Career Path Guide... 1 Your Career as a Budget Analyst SNAP SHOT...

More information

Medicare Advantage for Rural America?

Medicare Advantage for Rural America? Medicare Advantage for Rural America? April 2007 National Rural Health Association This brief draws significantly from public deliberations of the National Advisory Committee on Rural Health and Human

More information

Medicare Program; Request for Information Regarding the Physician Self-Referral Law. AGENCY: Centers for Medicare & Medicaid Services (CMS), HHS.

Medicare Program; Request for Information Regarding the Physician Self-Referral Law. AGENCY: Centers for Medicare & Medicaid Services (CMS), HHS. This document is scheduled to be published in the Federal Register on 06/25/2018 and available online at https://federalregister.gov/d/2018-13529, and on FDsys.gov [Billing Code: 4120-01-P] DEPARTMENT

More information

Treasury Board of Canada Secretariat

Treasury Board of Canada Secretariat Treasury Board of Canada Secretariat 2007 08 A Report on Plans and Priorities The Honourable Vic Toews President of the Treasury Board Table of Contents Section I: Overview... 1 Minister s Message...

More information

HR 676: 35 Questions and Answers

HR 676: 35 Questions and Answers Prepared by Single Payer Now www.singlepayernow.net Updated Feb 9, 2009 HR 676: 35 Questions and Answers Q1: What is the name of this Act? {Section 1(a)} A1: This Act is called the United States National

More information

2016 Michigan NASCIO Award Nomination. Michigan Medicaid as a Service

2016 Michigan NASCIO Award Nomination. Michigan Medicaid as a Service 2016 Michigan NASCIO Award Nomination Michigan Medicaid as a Service Sponsors: David Behen, DTMB Director and Chief Information Officer Karen Parker, Senior Deputy Director Michigan Department of Health

More information

State of Michigan s Project SIGMA

State of Michigan s Project SIGMA State of Michigan s Project SIGMA Presented to State Association of Accountants, Auditors and Business Administrators (SAAABA) Ruth Schwartz, CPA, Project Director April 21, 2015 Topics for Today Project

More information

ARRA Medicare and Medicaid Incentive Payments: How will Tribal Health Programs fit in?

ARRA Medicare and Medicaid Incentive Payments: How will Tribal Health Programs fit in? NPAIHB POLICY BRIEF ARRA Medicare & Medicaid Incentive Payments PREPARED BY: NORTHWEST PORTLAND AREA INDIAN HEALTH BOARD Issue No.03, February 11, 2010 ARRA Medicare and Medicaid Incentive Payments: How

More information

Report of the Advisory Committee on Administrative and Budgetary Questions

Report of the Advisory Committee on Administrative and Budgetary Questions United Nations General Assembly Distr.: General 3 November 2000 Original: English A/55/543 Fifty-fifth session Agenda item 116 Review of the efficiency of the administrative and financial functioning of

More information

Introduction to Managing with Metrics. Presented by: Terry Glasscock, Senior Project Consultant, Capital Link

Introduction to Managing with Metrics. Presented by: Terry Glasscock, Senior Project Consultant, Capital Link Introduction to Managing with Metrics Presented by: Terry Glasscock, Senior Project Consultant, Capital Link Why Be So Concerned Now? Capital Link Number of Workers Per Retiree 5 4 5 4.5 4 3 3 2 2 1 0

More information

Assistant Deputy Minister, Financial and Corporate Services Division and Executive Financial Officer Ministry of Health.

Assistant Deputy Minister, Financial and Corporate Services Division and Executive Financial Officer Ministry of Health. We are currently accepting applications for consideration for the role of Assistant Deputy Minister of Financial and Corporate Services and (ADM FCS) with the. The ADM FCS plays a leadership role in corporate

More information

CHANGE AC TION PLAN A THOUSAND MILE JOURNEY

CHANGE AC TION PLAN A THOUSAND MILE JOURNEY C L I M AT E CHANGE AC TION PLAN A THOUSAND MILE JOURNEY AN INFLECTION POINT Climate change is one of the most significant risks we face today. Its effects are complex and wide-ranging, and will also play

More information

Our cultural values The three ADIA cultural values that we encourage employees to demonstrate are: Prudent Innovation. Mission. Disciplined Execution

Our cultural values The three ADIA cultural values that we encourage employees to demonstrate are: Prudent Innovation. Mission. Disciplined Execution Our cultural values The three ADIA cultural values that we encourage employees to demonstrate are: Prudent Innovation ADIA s Mission Disciplined Execution Effective Collaboration Overview Our Cultural

More information

Advantage Medicare Advantage: Delivering Healthcare s Triple Aim to America s Seniors

Advantage Medicare Advantage: Delivering Healthcare s Triple Aim to America s Seniors Advantage Medicare Advantage: Delivering Healthcare s Triple Aim to America s Seniors AUTHORS Dave Johnson Chief Executive Officer, 4sight Health Richard Jones Chief Executive Officer, Essence Healthcare

More information

Employee Benefit Risk Management from a Board s Perspective

Employee Benefit Risk Management from a Board s Perspective TH XCLLNT FIDUCIARY mployee Benefit Risk Management from a Board s Perspective Ronald. Hagan * Risk-taking is an integral part of business activities. The risk appetite defines how much risk an organization

More information

March 29, kpmg.com

March 29, kpmg.com U.S. tax reform Planning in uncertain times Forward-thinking life sciences companies may want to consider the impact of potential tax reform on their supply chain, R&D, and more March 29, 2017 In light

More information

o. "n August 5, the U.S. Senate cleared

o. n August 5, the U.S. Senate cleared economig COMMeNTORY Federal Reserve Bank of Cleveland October 15, 1993 The Budget Reconciliation Act of 1993: A Summary Report by David Altig and Jagadeesh Gokhale o. "n August 5, the U.S. Senate cleared

More information

Session 75 OF, Advantages & Challenges for Provider Led Health Plans. Moderator: LuCretia Leola Hydell, ASA, MAAA

Session 75 OF, Advantages & Challenges for Provider Led Health Plans. Moderator: LuCretia Leola Hydell, ASA, MAAA Session 75 OF, Advantages & Challenges for Provider Led Health Plans Moderator: LuCretia Leola Hydell, ASA, MAAA Presenters: Jerry Clark, MD, FACP Josh Martin Mark Rishell SOA Antitrust Disclaimer SOA

More information

the challenge of funding hospital employee retirement benefits

the challenge of funding hospital employee retirement benefits FEATURE STORY REPRINT DECEMBER 2012 Christina Román healthcare financial management association hfma.org the challenge of funding hospital employee retirement benefits Cost pressures are forcing healthcare

More information

Strategic Planning Session Fiscal Year 2018

Strategic Planning Session Fiscal Year 2018 1 P a g e Strategic Planning Session Fiscal Year 2018 Wednesday, March 8, 2017 This document is a comprehensive guide to the annual strategic planning process for the City of Ocala. It outlines how it

More information

Tax operations evolution Drivers, barriers, and building blocks

Tax operations evolution Drivers, barriers, and building blocks Tax operations evolution Drivers, barriers, and building blocks Continued globalization, growing demand for the effective use of resources, and an increasing emphasis on performance measurement are compelling

More information

All Payer Hospital System Modernization Payment Models Workgroup. Meeting Agenda

All Payer Hospital System Modernization Payment Models Workgroup. Meeting Agenda All Payer Hospital System Modernization Payment Models Workgroup Meeting Agenda September 5, 2018 9:00 am to 11:00 am Health Services Cost Review Commission Conference Room 100 4160 Patterson Avenue Baltimore,

More information

Developing a Community Health Center Capital Project Plan and Budget - Part Two

Developing a Community Health Center Capital Project Plan and Budget - Part Two Developing a Community Health Center Capital Project Plan and Budget - Part Two Jonathan Chapman Director, CHC Advisory Services June 27, 2018 1 Capital Link Launched in 1995, nonprofit, HRSA national

More information

OMB Update Enterprise Risk Management. April, 2018

OMB Update Enterprise Risk Management. April, 2018 OMB Update Enterprise Risk Management April, 2018 1 Current Risk Environment Facing Federal Government The Federal government is facing greater change than at any other point in time Current budget realities

More information

75-YEAR PAY-AS-YOU-GO PROPOSAL COULD ADVERSELY AFFECT SOCIAL SECURITY, MEDICARE, SSI, VETERANS DISABILITY, AND OTHER PROGRAMS

75-YEAR PAY-AS-YOU-GO PROPOSAL COULD ADVERSELY AFFECT SOCIAL SECURITY, MEDICARE, SSI, VETERANS DISABILITY, AND OTHER PROGRAMS 820 First Street, NE, Suite 510, Washington, DC 20002 Tel: 202-408-1080 Fax: 202-408-1056 center@cbpp.org www.cbpp.org June 11, 2004 75-YEAR PAY-AS-YOU-GO PROPOSAL COULD ADVERSELY AFFECT SOCIAL SECURITY,

More information

CITY PLANNING COMMISSION FISCAL YEAR 2016 BUDGET TESTIMONY APRIL 14, 2015 EXECUTIVE SUMMARY

CITY PLANNING COMMISSION FISCAL YEAR 2016 BUDGET TESTIMONY APRIL 14, 2015 EXECUTIVE SUMMARY CITY PLANNING COMMISSION FISCAL YEAR 2016 BUDGET TESTIMONY APRIL 14, 2015 EXECUTIVE SUMMARY DEPARTMENT MISSION AND FUNCTION Mission: To guide the orderly growth and development of the city through the

More information

Journal of Accountancy

Journal of Accountancy Why lease accounting laggards face serious risks - Journal of Accountancy of 6 http://www.journalofaccountancy.com/news/2017/aug/lease-accounting-s... Journal of Accountancy By Ken Tysiac August 3, 2017

More information

REPORT OF THE COUNCIL ON MEDICAL SERVICE. (J. Leonard Lichtenfeld, MD, Chair)

REPORT OF THE COUNCIL ON MEDICAL SERVICE. (J. Leonard Lichtenfeld, MD, Chair) REPORT OF THE COUNCIL ON MEDICAL SERVICE CMS Report -A-0 Subject: Presented by: Referred to: Appropriate Hospital Charges David O. Barbe, MD, Chair Reference Committee G (J. Leonard Lichtenfeld, MD, Chair)

More information

MACRAnomics. Patient-Level Economics and Strategic Implications for Providers. Presented to: NW Ohio HFMA October 20, 2016

MACRAnomics. Patient-Level Economics and Strategic Implications for Providers. Presented to: NW Ohio HFMA October 20, 2016 MACRAnomics Patient-Level Economics and Strategic Implications for Providers Presented to: NW Ohio HFMA October 20, 2016 Property of HealthScape Advisors Strictly Confidential 2 MACRAnomics: Objectives

More information

Health in the Post-2015 Development Agenda

Health in the Post-2015 Development Agenda September 2012 Health in the Post-2015 Development Agenda Outline of proposed process for global thematic consultation on health 1 BACKGROUND As the 2015 target date for achieving the Millennium Development

More information

The Challenge of Implementing Interoperable Electronic Medical Records

The Challenge of Implementing Interoperable Electronic Medical Records Annals of Health Law Volume 19 Issue 1 Special Edition 2010 Article 37 2010 The Challenge of Implementing Interoperable Electronic Medical Records James C. Dechene Follow this and additional works at:

More information

FRAUD RISK MANAGEMENT

FRAUD RISK MANAGEMENT United States Government Accountability Office Report to Congressional Requesters December 2018 FRAUD RISK MANAGEMENT OMB Should Improve Guidelines and Working-Group Efforts to Support Agencies Implementation

More information

DEPARTMENT OF LABOR. Funding Highlights:

DEPARTMENT OF LABOR. Funding Highlights: DEPARTMENT OF LABOR Funding Highlights: Supports reform of the Workforce Investment Act (WIA), which authorizes $10 billion for job training and employment services. Creates a Workforce Innovation Partnership

More information

STATUS OF ACA THE RASH THAT WON T GO AWAY

STATUS OF ACA THE RASH THAT WON T GO AWAY STATUS OF ACA THE RASH THAT WON T GO AWAY By Marc S. Wise, Esq. I. LATEST PROPOSALS IN CONGRESS The Republicans in Congress have been trying since the enactment of the Affordable Care Act to repeal the

More information

From Concerned to Confident. The Guardian Study of Financial and Emotional Confidence TM. Research Summary

From Concerned to Confident. The Guardian Study of Financial and Emotional Confidence TM. Research Summary From Concerned to Confident The Guardian Study of Financial and Emotional Confidence TM Research Summary Contents I. Research Overview............................................ 2 Gaps In Priorities &

More information

SMP AND SHIP DATA: LIES, DAMNED LIES, AND STATISTICS. I know you ve been waiting all year for this.

SMP AND SHIP DATA: LIES, DAMNED LIES, AND STATISTICS. I know you ve been waiting all year for this. SMP AND SHIP DATA: LIES, DAMNED LIES, AND STATISTICS I know you ve been waiting all year for this. 2 Who cares about numbers? 3 Who cares about numbers? Our Three Rules 4 1. If it isn t here, it didn t

More information

Analytic measures of credit capacity can help bankcard lenders build strategies that go beyond compliance to deliver business advantage

Analytic measures of credit capacity can help bankcard lenders build strategies that go beyond compliance to deliver business advantage How Much Credit Is Too Much? Analytic measures of credit capacity can help bankcard lenders build strategies that go beyond compliance to deliver business advantage Number 35 April 2010 On a portfolio

More information

S Restoring Accountability in the Indian Health Service Act of 2018

S Restoring Accountability in the Indian Health Service Act of 2018 CONGRESSIONAL BUDGET OFFICE COST ESTIMATE August 1, 2018 S. 1250 Restoring Accountability in the Indian Health Service Act of 2018 As ordered reported by the Senate Committee on Indian Affairs on April

More information

Understanding the Federal Budget 1

Understanding the Federal Budget 1 Understanding the Federal Budget 1 "For in the end, a budget is more than simply numbers on a page. It is a measure of how well we are living up to our obligations to ourselves and one another." --From

More information

Prior Authorization; Organizational Updates. WEDI Summer Forum July 31- August 1, 2019

Prior Authorization; Organizational Updates. WEDI Summer Forum July 31- August 1, 2019 Prior Authorization; Organizational Updates WEDI Summer Forum July 31- August 1, 2019 Disclaimer Conference presentations are intended for educational purposes only and do not replace independent professional

More information

Maintaining Cash Management Health

Maintaining Cash Management Health JUNE 2012 BANK OF AMERICA MERRILL LYNCH WHITE PAPER Maintaining Cash Management Health Unprecedented changes herald new challenges for healthcare providers. Table of Contents EXECUTIVE SUMMARY Affordable

More information

Health Reform that Works for Kids

Health Reform that Works for Kids Health Reform that Works for Kids Karen Davenport May 2009 Introduction Congress has set the stage for further steps toward providing affordable coverage for all Americans with the reauthorization of the

More information

MEASURING UP. Best practices in benchmarking 403(b) plans

MEASURING UP. Best practices in benchmarking 403(b) plans MEASURING UP Best practices in benchmarking 403(b) plans Retirement plan oversight is a challenging task for any plan sponsor. For 403(b) plan sponsors, many of whom use multiple vendors, the responsibility

More information

Am unfunded mandate is a requirement that is passed

Am unfunded mandate is a requirement that is passed Am unfunded mandate is a requirement that is passed down from another party often a governing body without full funding or support for its implementation. These can be mandates for accessibility, services,

More information

Learning Collaborative: Funding. Evaluating Financing Options and Fundraising Plans. Jonathan Chapman Director, CHC Advisory Services.

Learning Collaborative: Funding. Evaluating Financing Options and Fundraising Plans. Jonathan Chapman Director, CHC Advisory Services. Learning Collaborative: Funding Evaluating Financing Options and Fundraising Plans Jonathan Chapman Director, CHC Advisory Services July 12, 2018 1 Capital Link Launched in 1995, nonprofit, HRSA national

More information

RETURN ON RISK MANAGEMENT. Financial Services

RETURN ON RISK MANAGEMENT. Financial Services RETURN ON RISK MANAGEMENT Financial Services RETURN ON RISK MANAGEMENT The global financial crisis revealed major risk management deficiencies across the banking industry. Governments and regulators have

More information

All in the Family: Don t Be a Meathead When It Comes to Intercompany Transactions 1

All in the Family: Don t Be a Meathead When It Comes to Intercompany Transactions 1 All in the Family: Don t Be a Meathead When It Comes to Intercompany Transactions 1 Andrew Wagner Federal Express Memphis, TN Margaret Wilson Reeder Wilson LLP Somerville, NJ 908-642-3176 mwilson@reederwilson.com

More information

Four key capabilities for the future of underwriting. Findings from the EY-CPCU Society underwriting survey

Four key capabilities for the future of underwriting. Findings from the EY-CPCU Society underwriting survey Four key capabilities for the future of underwriting Findings from the EY-CPCU Society underwriting survey Executive summary An expanding value proposition for underwriting As the insurance industry continues

More information

Capital Finance. Changing Structures

Capital Finance. Changing Structures 2013 Capital Finance The first in a series of four Executive Insight Reports from Bank of America Merrill Lynch produced in collaboration with HealthLeaders Media Changing Structures Perspective: Capital

More information

Arent Fox Government Relations. Tax Policy A Record of Success GOVERNMENT RELATIONS TAX

Arent Fox Government Relations. Tax Policy A Record of Success GOVERNMENT RELATIONS TAX Arent Fox Government Relations Tax Policy A Record of Success GOVERNMENT RELATIONS TAX 2 Insight, Inspiration and Advocacy. When and Where You Need It. A former US Senator A former member of the US House

More information

A Trusted Technology Partner to Medical and Advanced Technology Equipment Manufacturers

A Trusted Technology Partner to Medical and Advanced Technology Equipment Manufacturers A Trusted Technology Partner to Medical and Advanced Technology Equipment Manufacturers Baird Healthcare Conference, September 2017 NASDAQ: NOVT 1 Safe Harbor Statement The statements in this presentation

More information

Statement of. Edward J. DeMarco Acting Director Federal Housing Finance Agency

Statement of. Edward J. DeMarco Acting Director Federal Housing Finance Agency Statement of Edward J. DeMarco Acting Director Federal Housing Finance Agency Before the U.S. House of Representatives Subcommittee on Capital Markets, Insurance, and Government-Sponsored Enterprises Legislative

More information

Improving the Target Date Fund Selection

Improving the Target Date Fund Selection Improving the Target Date Fund Selection INSIDE: By Chris Karam Executive Summary The target date selection process has dramatically changed over the last five years, aided by government regulations, an

More information

United States Senate Committee on the Judiciary Subcommittee on Antitrust, Competition Policy and Consumer Rights

United States Senate Committee on the Judiciary Subcommittee on Antitrust, Competition Policy and Consumer Rights Testimony United States Senate Committee on the Judiciary Hospital Group Purchasing: How to Maintain Innovation and Cost Savings September 14, 2004 Dr. Robert Betz President and CEO, Health Industry Group

More information

Citizen Centric and SEA Reporting in the City of Tallahassee. Association of Local Government Auditors May 7, 2013

Citizen Centric and SEA Reporting in the City of Tallahassee. Association of Local Government Auditors May 7, 2013 Citizen Centric and SEA Reporting in the City of Tallahassee Association of Local Government Auditors May 7, 2013 Sam M. McCall, PhD, CPA, CGFM, CIA, CGAP Chief Audit Officer Florida State University To

More information

a GAO GAO RESULTS-ORIENTED GOVERNMENT Improvements to DHS s Planning Process Would Enhance Usefulness and Accountability

a GAO GAO RESULTS-ORIENTED GOVERNMENT Improvements to DHS s Planning Process Would Enhance Usefulness and Accountability GAO March 2005 United States Government Accountability Office Report to the Chairman, Subcommittee on National Security, Emerging Threats and International Relations, Committee on Government Reform, House

More information

Evidence of Coverage:

Evidence of Coverage: January 1 December 31, 2018 Evidence of Coverage: Your Medicare Health Benefits and Services and Prescription Drug Coverage as a Member of the SunSaver Plan (HMO-POS) This booklet gives you the details

More information

Health Care Reform in the United States Past, Present and Future Challenges

Health Care Reform in the United States Past, Present and Future Challenges Health Care Reform in the United States Past, Present and Future Challenges Steven J. Stack, MD Immediate Past President of the American Medical Association The Case for Reform 2 An ailing health care

More information