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                            Reports & Testimonies
                            2018 Annual Report: Additional Opportunities To Reduce Fragmentation, Overlap, and Duplication and Achieve Other Financial Benefits
    2018 Annual Report:
                          Additional Opportunities to Reduce Fragmentation, Overlap, and Duplication and Achieve Other Financial Benefits **GAO-18-371SP**
        Published: Apr 26, 2018. Publicly Released: Apr 26, 2018.Jump To:
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                    Fast Facts
              Every year, we identify and report on federal agencies, programs, and initiatives with fragmented, overlapping, or duplicative goals or activities; and ways to reduce costs or enhance revenue. The government saves money when it takes the actions we've proposed—saving an estimated $178 billion so far by fully or partially addressing 76% of our recommendations.
In our 8th annual report, we identified 68 new actions that Congress and executive branch agencies could take to improve operations across government.
Fully addressing these and remaining actions from our prior reports could lead to tens of billions of dollars of additional savings.

A summary figure highlighting numbers of new recommended actions and the status of prior actions.
A summary figure highlighting numbers of new recommended actions and the status of prior actions.
Skip to Highlights
Highlights
  What GAO Found
GAO’s 2018 annual report identifies 68 new actions that Congress or executive branch agencies can take to improve the efficiency and effectiveness of government in 23 new program areas. For example:
The Department of Defense (DOD) could potentially save approximately **$527 million over 5 years** by minimizing unnecessary overlap and duplication in its U.S. distribution centers for troop support goods.
	The Department of Energy may be able to reduce certain risks and save **tens of billions of dollars** by adopting alternative approaches to treat a portion of its low-activity radioactive waste at its Hanford Site.
	The Department of Veterans Affairs could potentially save**tens of millions of dollars** when acquiring medical and surgical supplies by better adhering to supply chain practices of leading hospitals.
	The Coast Guard should close its boat stations that provide unnecessarily duplicative search and rescue coverage to improve operations and potentially save **millions of dollars**.Significant progress has been made in addressing many of the 724 actions that GAO identified from 2011 to 2017. As of March 2018, Congress and executive branch agencies have fully or partially addressed 551 (76 percent) of these actions. This has resulted in about $178 billion in financial benefits, of which $125 billion has been realized and at least an additional $53 billion is estimated to accrue. These estimates are based on a variety of sources that considered different time periods, assumptions, and methodologies. GAO estimates that tens of billions of additional dollars could be saved should Congress and executive branch agencies fully address the remaining 365 open actions, including the 68 new ones identified in 2018.
	Further steps are needed to fully address these remaining actions. For example:
Congress and the Internal Revenue Service could realize **hundreds of millions of dollars** in savings and increased revenues by enhancing online services and improving efforts to prevent identity theft refund fraud.
	Medicare could save **$1 to 2 billion annually** if Congress equalized the rates paid for certain health care services, which often vary depending on where the service is performed.
	DOD could achieve **billions of dollars** in savings over the next several years by continuing to employ best management practices on its weapon systems acquisition programs.
	Congress could consider modifying how Medicare pays certain cancer hospitals to achieve almost **$500 million annually**in program savings.
	The Social Security Administration could help prevent the loss of billions of dollars by preventing overpayments to beneficiaries of the Disability Insurance program and improper waivers of beneficiaries’ overpayment debt.
	Congress could consider modifying tobacco tax rates to eliminate significant tax differentials between similar products to address future revenue losses caused by manufacturers and consumers substituting tobacco products.  Federal losses ranged from $2.6 to 3.7 billion between April 2009 and February 2014.Why GAO Did This Study
The federal government faces a long-term, unsustainable fiscal path based on an imbalance between federal revenues and spending. While addressing this imbalance will require fiscal policy changes, in the near term opportunities exist in a number of areas to improve this situation, including where federal programs or activities are fragmented, overlapping, or duplicative.
To call attention to these opportunities, Congress included a provision in statute for GAO to identify and report on federal programs, agencies, offices, and initiatives—either within departments or government-wide—that have duplicative goals or activities. GAO also identifies areas that are fragmented or overlapping and additional opportunities to achieve cost savings or enhance revenue collection. This report is its eighth in this series.
This report discusses
new areas identified in GAO's 2018 annual report;
	the progress made in addressing actions GAO identified in its 2011 to 2017 reports; and
	examples of open actions directed to Congress or executive branch agencies.To identify what actions exist to address these issues, GAO reviewed and updated prior work, including recommendations for executive action and matters for congressional consideration.
For more information, contact Jessica Lucas-Judy at (202) 512-9110 or lucasjudyj@gao.gov or J. Christopher Mihm at (202) 512-6806 or mihmj@gao.gov.

Full Report
    Full Report (120 pages)
              Accessible PDF (123 pages)
GAO Contacts
    
      Jessica Lucas-Judy
            
            Director
      
            lucasjudyj@gao.gov
      
            (202) 512-6806
    J. Christopher Mihm
            
            Managing Director
      
            mihmj@gao.gov
      
            (202) 512-6806
Office of Public Affairs
    
      Chuck Young
            
            Managing Director
      
            youngc1@gao.gov
      
            (202) 512-4800
Topics
    
      Government OperationsHealth careCompliance oversightCost savingsFederal agenciesWeapon systemsGlobal positioning systemMilitary forcesTaxesVeterans affairsMedicareMedicaidFederal spendingFinancial analysis
                                                      MultimediaVideo
    
      Comptroller General Testifies to U.S. Senate on GAO's 2018 Duplication Report
      
        
        Comptroller General Testifies to U.S. Senate on GAO's 2018 Duplication Report
          Wednesday, May 23, 2018Transcript
          Comptroller General Testifies to U.S. House of Representatives on GAO's 2018 Duplication Report
      
        
        Comptroller General Testifies to U.S. House of Representatives on GAO's 2018 Duplication Report
          Thursday, April 26, 2018Transcript
Podcasts
    
      2018 Duplication and Cost Savings Report
    Thursday, April 26, 2018
      
            Transcript
GAO Watchblog
          Blog Post
              Saving Dollar Bills: Reducing Fragmentation, Overlap, and Duplication in Federal Programs
            Thursday, April 26, 2018
      
            We released our latest report today on fragmentation, overlap, and duplication in the federal...
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