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Review of the President's Fiscal Year 2009 Budget Request for the Defense Health Program's Private Sector Care Budget Activity Group

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Congressional rept.

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The Conference Report accompanying the Fiscal Year 2008 Department of Defense Appropriations bill directed us to review the Presidents fiscal year 2009 budget request for the Defense Health Programs Private Sector Care BAG. To do this, we reviewed 1 DODs justification for the request for the Private Sector Care BAG, including the underlying estimates and the extent to which DOD considered historical information and 2 changes between this request and the request for fiscal year 2008 and factors causing these changes. To conduct our work, we analyzed the methodologies that DOD used to develop the budget requests for the Private Sector Care BAG in fiscal years 2008 and 2009. We also interviewed officials and analyzed documents from DODs Office of the Under Secretary of Defense Comptroller and TRICARE Management Activity, which were the offices responsible for developing budget requests for the Private Sector Care BAG. We also relied on prior GAO work, particularly past work in which we analyzed DODs projected savings from planned increases in beneficiary cost sharing. In addition, we reviewed budget and obligation data related to the Defense Health Program but we did not validate these data. We have raised concerns about the quality of DODs financial data in previous reports. However, we determined that these data were sufficiently reliable to understand DODs budget formulation process and the underlying assumptions used to develop the Presidents budget request.

Subject Categories:

  • Administration and Management
  • Medicine and Medical Research

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