Authorities and Mechanisms for Purchased Care at the Department of Veterans Affairs

doi:10.7249/RR1165z3

GSTDTAP > 资源环境科学

DOI	10.7249/RR1165z3
报告编号	RR-1165/3-VA
	Authorities and Mechanisms for Purchased Care at the Department of Veterans Affairs
	Michael D. Greenberg; Caroline Batka; Christine Buttorff; Molly Dunigan; Susan L. Lovejoy; Geoffrey McGovern; Nicholas M. Pace; Francesca Pillemer; Kayla M. Williams; Eric Apaydin; et al.
	2015
出版年	2015
页数	226
语种	英语
国家	美国
出版者	RAND Corporation
领域	资源环境
英文摘要	The Veterans Access, Choice, and Accountability Act of 2014 addressed the need for access to timely, high-quality health care for veterans. Section 201 of the legislation called for an independent assessment of various aspects of veterans' health care. The RAND Corporation was tasked with an assessment of the authorities and mechanisms by which the Department of Veterans Affairs (VA) pays for health care services from non-VA providers. Purchased care accounted for 10 percent, or around $5.6 billion, of VA's health care budget in fiscal year 2014, and the amount of care purchased from outside VA is growing rapidly. VA purchases non-VA care through an array of programs, each with different payment processes and eligibility requirements for veterans and outside providers. A review and analysis of statutes, regulations, legislation, and literature on VA purchased care, along with interviews with expert stakeholders, a survey of VA medical facilities, and an evaluation of local-level policy documents revealed that VA's purchased care system is complex and decentralized. Inconsistencies in procedures, unclear goals, and a lack of cohesive strategy for purchased care could have ramifications for veterans' access to care. Adding to the complexity of VA's purchased care system is a lack of systematic data collection on access to and quality of care provided through VA's purchased care programs. The analysis also explored concepts of "episodes of care" and their implications for purchased care by the VA.
英文关键词	Health Care Financing Health Care Delivery Approaches Health Care Costs Health Legislation Veteran Health Care
URL	查看原文
来源平台	Rand Corporation
引用统计
文献类型	科技报告
条目标识符	http://119.78.100.173/C666/handle/2XK7JSWQ/4046
专题	资源环境科学
推荐引用方式 GB/T 7714	Michael D. Greenberg,Caroline Batka,Christine Buttorff,et al. Authorities and Mechanisms for Purchased Care at the Department of Veterans Affairs:RAND Corporation,2015.