Transforming the Future of

Transforming the Future of Transforming the Future of - Start

Added : 2018-09-25 Views :4K

Download Presentation

Transforming the Future of




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.



Presentations text content in Transforming the Future of

Slide1

Transforming the Future of VA Community Care

American Legion Briefing

February 22, 2016

Slide2

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 approaches

Slide3

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

staff

Slide4

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

Provider

Slide6

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 Provider

Slide7

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 Information

Slide8

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 care

Slide9

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 time

Slide12

Closing Remarks Thank you for your dedicated support. We look forward to continued collaboration in the future.

12


About DocSlides
DocSlides allows users to easily upload and share presentations, PDF documents, and images.Share your documents with the world , watch,share and upload any time you want. How can you benefit from using DocSlides? DocSlides consists documents from individuals and organizations on topics ranging from technology and business to travel, health, and education. Find and search for what interests you, and learn from people and more. You can also download DocSlides to read or reference later.
Youtube