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GAO-08-370R 1 (2008-02-08)

handle is hein.gao/gaocrptawhz0001 and id is 1 raw text is: i= i Accountability * Integrity * Reliability United States Government Accountability Office Washington, DC 20548 February 8, 2008 Congressional Committees Subject: Military Personnel: Guidance Needed for Any Future Conversions of Military Medical Positions to Civilian Positions Since September 11, 2001, the high pace of military operations has placed significant stress on U.S. operating forces. In late 2003, the Department of Defense (DOD) reported that several studies had found that tens of thousands of military personnel were performing tasks that were not military essential and that these tasks could be performed more cost effectively by civilian or private-sector contract employees. To address this matter, DOD, in fiscal year 2004, began a multiyear initiative to convert military positions, including military health care positions,' to federal civilian or contract positions.2 Within DOD, the Office of the Under Secretary of Defense, Personnel and Readiness (USD, P&R), has overall responsibility for issuing guidance on manpower management, which includes guidance related to determining the least costly mix of military, civilian, and contract personnel. Additionally, the Under Secretary of Defense (Comptroller) (USD (C)) and the Director, Program Analysis and Evaluation (PA&E) play key roles in determining the costs of military, civilian, and contract personnel. For example, the USD(C) is responsible for developing the composite pay rates used in developing military and civilian personnel budgets and PA&E provides leadership in developing and promoting tools, data, and methods for analyzing allocation of resources. USD, P&R also has responsibility for the Defense Health Program, which provides health care to over 9 million beneficiaries-including military servicemembers and retirees and their families and survivors. This program had estimated costs of $21 billion for fiscal year 2007 and DOD officials anticipate further significant growth in these health care costs. In fact, the costs associated with 'For the purposes of this report, military health care positions include medical, dental, and other personnel associated with the delivery of health care in the Defense Health Program. 2Hereafter, we will refer to federal civilian or contract positions as civilian positions. 3DOD Directive 1100.4, Guidance for Manpower Management (Feb. 12, 2005). GAO-08-370R DOD Medical Conversions

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