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HRD-81-38 1 (1981-02-02)

handle is hein.gao/gaobabbmn0001 and id is 1 raw text is: 


BY THE COMPTROLLER GENERAL



Report To The Congress


OF THE UNITED STATES


Performance Of CHAMPUS Fiscal

Intermediaries Needs Improvements


Several years ago the Department of Defense
converted its contracts with fiscal interme-
diaries under the Civilian Health and Medical
Program of the Uniformed Services from a
cost-reimbursable to a fixed-price basis, in
which a set fee is paid for each claim processed.
While administrative savingshave been achieved
under these competitively bid, fixed-price con-
tracts, performance has been less than satis-
tactory.

Fiscal intermediaries have made incorrect and
questionable payments and have generally not
met contract standards for providing services
to beneficiaries. Also, systems have not been
established to adequately monitor and enforce
these contracts.

This report evaluates the performances of
selected fiscal intermediaries under fixed-price
contracts and the administration of these con-
tracts; it also contains recommendations for
their improvement.


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      H R D-81-38
FEBRUARY 2, 1981


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