VA C ommunity Care American Legion Briefing February 22 2016 2 VA Community Care Today Community Care today is complicated and consists of multiple programs that dont work well for Veterans community ID: 679846
Download Presentation The PPT/PDF document "Transforming the Future of" is the property of its rightful owner. Permission is granted to download and print the materials on this web site for personal, non-commercial use only, and to display it on your personal computer provided you do not modify the materials and that you retain all copyright notices contained in the materials. By downloading content from our website, you accept the terms of this agreement.
Slide1
Transforming the Future of VA Community Care
American Legion Briefing
February 22, 2016Slide2
2VA Community Care Today
Community Care
today is complicated
and consists of multiple programs that don’t work well for Veterans, community
providers and VA staffBecause of this problem, VA proposed a plan to Congress to consolidate Community Care
VA Community Care “Individual Arrangements”
PC3
Veterans Choice Program
Project ARCH
Emergency Care
Dialysis Contracts
Academic Affiliations
Federal Partnerships
Other Authorities
(e.g., Dependent Programs)
Multiple, disjointed approachesSlide3
3Simplify and Consolidate Community Care Programs
The
vision is to build a program that is easy to understand, simple to administer,
and
meets the needs of Veterans, community providers and VA
staffSlide4
4Stakeholder Feedback
VA Community Care Plan
VA Staff and Clinicians
Health Care Leaders
Veterans and
Veteran Service Organizations Slide5
Veterans We Serve (Eligibility)5
Provide timely, accurate, and
easy-to-understand eligibility information to Veterans, community providers, and VA
staff
VA Medical Centers
What we want to hear from Veterans
: “With the New VCP I understand when and where I am eligible for care.”
Emergency Treatment
Veterans
Community Care
ProviderSlide6
Access to Community Care (Referrals & Authorizations)
6
Deliver timely
access to care through appointment scheduling and health information
exchange
What we want to hear from Veterans
: “
I was easily and quickly referred to a community provider for my care.”
Veteran requests careVeteran receives care from Community ProviderSlide7
Care Coordination 7
Deliver personalized Veteran-centric care coordination supported by an industry standard health information exchange
What we want to hear from Veterans
:
“
I knew what to expect and I had everything
I
needed from my doctor.”
Community ProvidersVAProviders
Veterans
Clinical Information
Clinical InformationSlide8
Community Care Network 8
Implement a high performing network and management systems that provide access to seamless, high quality care options inside and outside the VA, to better meet the needs and preferences of the Veterans we
serve
What we want to hear from Veterans
: “I now have many options when seeking community care and I feel confident that there will always be a provider when and where I need one.”
Utilize VA’s network of VA and Non-VA
p
roviders
Provide
a
ccess to
high-quality careSlide9
Provider Payment (Claims) 9
Support accurate and timely payment of community providers
Provider
Claim
Auto Processing
Check
What we want to hear from Veterans
: “
I
am billed accurately within a reasonable time of my visit. I know my financial responsibility and understand how to pay my bills
.”Slide10
Congressional Partnership10
The proposed changes will improve the Veteran and community provider experience for
Community
C
are
. But VA cannot move to the future state of Community Care without Congressional action.
Proposed Legislative Changes
Immediate
Improvements to
the Veterans Choice Program Process and Organizational
Structure Improvements
Improving
VA’s Partnerships with Community Providers to Increase Access to Care (Provider Agreements
)
Improving Access to Community Care through Choice Fund
Flexibility
Increasing Accuracy of Funding by Recording Community Care Obligations at
Payment
1
2
3
Improving Veterans Access to Community Care by Establishing the New
VCP
Increasing Access and Transparency by Requesting Budget Authority for a Community Care
Account
Streamlining Community Care
Funding
Improving Veterans Experience by Consolidating Existing
Programs
Improving Veterans Access to Emergency Treatment and Urgent
Care
1
2
4
3
5
Improving Care Coordination for Veterans through Exchange of Certain Medical Records
Aligning with Best Practices on Collection of Health Insurance InformationFormalizing VA’s Prompt Payment Standard to Promote Timely Payments to Providers123 Establishing a Single Program for Community Care Immediate Improvements to the Veterans Choice Program Slide11
What Can American Legion Do to Help?11
Contact Congress
Provide support for the plan
Educate Veterans on the program
Support outreach
Provide actionable feedback
Understand things will
take timeSlide12
Closing Remarks Thank you for your dedicated support. We look forward to continued collaboration in the future.
12