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Health care spending and efficiency in the U.S. Department of Veterans Affairs

Author: David I Auerbach; William B Weeks; Ian Brantley; Rand Corporation.; RAND Health.
Publisher: [Santa Monica, CA] : Rand Corporation, 2013.
Series: Research report (Rand Corporation)
Edition/Format:   Print book : EnglishView all editions and formats
Database:WorldCat
Summary:
In its 2013 budget request, the Obama administration sought $140 billion for the U.S. Department of Veterans Affairs (VA), 54 percent of which would provide mandatory benefits, such as direct compensation and pensions, and 40 percent of which is discretionary spending, earmarked for medical benefits under the Veterans Health Administration (VHA). Unlike Medicare, which provides financing for care when its  Read more...
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Material Type: Internet resource
Document Type: Book, Internet Resource
All Authors / Contributors: David I Auerbach; William B Weeks; Ian Brantley; Rand Corporation.; RAND Health.
ISBN: 0833080296 9780833080295
OCLC Number: 852389071
Notes: Caption title.
"RR-285-MTF."--Page [16].
Description: 14, [2] pages : color illustrations ; 28 cm.
Series Title: Research report (Rand Corporation)
Other Titles: Health care spending and efficiency in the United States Department of Veterans Affairs
Responsibility: David I. Auerbach, William B. Weeks, and Ian Brantley.

Abstract:

In its 2013 budget request, the Obama administration sought $140 billion for the U.S. Department of Veterans Affairs (VA), 54 percent of which would provide mandatory benefits, such as direct compensation and pensions, and 40 percent of which is discretionary spending, earmarked for medical benefits under the Veterans Health Administration (VHA). Unlike Medicare, which provides financing for care when its beneficiaries use providers throughout the U.S. health care system, the VHA is a government-run, parallel system that is primarily intended for care provision of veterans. The VHA hires its own doctors and has its own hospital network infrastructure. Although the VHA provides quality services to veterans, it does not preclude veterans from utilizing other forms of care outside of the VHA network, in fact, the majority of veterans' care is received external to the VHA because of location and other system limitations. Veterans typically use other private and public health insurance coverage (for example, Medicare, Medicaid) for external care, and many use both systems in a given year (dual use). Overlapping system use creates the potential for duplicative, uncoordinated, and inefficient use. The authors find some suggestive evidence of such inefficient use, particularly in the area of inpatient care. Coordination management and quality of care received by veterans across both VHA and private sector systems can be optimized (for example, in the area of mental illness, which benefits from an integrated approach across multiple providers and sectors), capitalizing on the best that each system has to offer, without increasing costs.

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