Indian Health Service: Actions Needed to Improve Oversight of Federal Facilities' Decision-Making About the Use of Funds, Report to Congressional Addressees [open pdf - 898KB]
From the Highlights: "IHS [Indian Health Service], an agency of the Department of Health and Human Services, provides care to AI/AN [American Indians and Alaska Natives] populations through a system of federally operated and tribally operated health care facilities. AI/AN have experienced long standing problems accessing needed health care services. GAO [Government Accountability Office] has previously reported that IHS has not been able to pay for all eligible health care services; however, the resources available to federally operated facilities have recently grown. This report assesses IHS oversight of federal health care facilities' decision-making about the use of funds. GAO reviewed IHS policies and documents; and interviewed IHS officials from headquarters, nine area offices, and three federally operated facilities (two hospitals and one health clinic)."
Government Accountability Office: http://www.gao.gov/