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Transforming the Future of Transforming the Future of

Transforming the Future of - PowerPoint Presentation

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Transforming the Future of - PPT Presentation

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

community care provider veterans care community veterans provider access improving program understand providers hear provide information health choice veteran programs support timely

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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