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来源类型 | Report |
规范类型 | 报告 |
DOI | https://doi.org/10.7249/RR2762 |
来源ID | RR-2762-DHA/VHA |
Integrating Department of Defense and Department of Veterans Affairs Purchased Care: Preliminary Feasibility Assessment | |
Carrie M. Farmer; Terri Tanielian; Christine Buttorff; Phillip Carter; Samantha Cherney; Erin Lindsey Duffy; Susan D. Hosek; Lisa H. Jaycox; Ammarah Mahmud; Nicholas M. Pace; et al. | |
发表日期 | 2018-11-26 |
出版年 | 2018 |
语种 | 英语 |
结论 | An integrated purchased care approach is feasible, but it may not be practical
The evolving policy landscape will have implications for an integrated approach to purchased care
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摘要 | The U.S. Department of Defense (DoD) and U.S. Department of Veterans Affairs (VA) health systems provide services through a mix of direct care, delivered at government facilities, and purchased care, provided through the private sector, mainly by community-based providers who have entered into contracts with third-party administrators (TPAs). In the interest of expanding DoD-VA resource sharing that may lead to greater efficiencies and cost savings, the DoD/VA Joint Executive Committee is exploring options to integrate DoD and VA's purchased care programs. This preliminary feasibility assessment examined how an integrated approach to purchasing care could affect access, quality, and costs for beneficiaries, DoD, and VA and identified general legislative, policy, and contractual challenges to implementing an integrated purchased care program. ,An integrated approach to purchasing care is feasible under current legal and regulatory authorities, but policy changes may be needed — and the practicality of such an approach depends on the contract and network design. For example, legal/regulatory changes in how contracts are established would be required to achieve any real savings to the government. There are also differences in the populations served by TRICARE (DoD health care) and VA, particularly in terms of age and geographic location. Implementation would be further complicated by contractual differences in the TPA contracts for VA and DoD as they relate to network standards, provider payments, network participation requirements, and reporting requirements and incentive structures. As a result, there are significant uncertainties with respect to increased efficiency or cost savings for the government. |
目录 |
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主题 | Community-Based Health Care ; Health Care Delivery Approaches ; Health Care Payment Approaches ; Health Legislation ; Military Health and Health Care ; United States Department of Defense ; Veterans Health Care |
URL | https://www.rand.org/pubs/research_reports/RR2762.html |
来源智库 | RAND Corporation (United States) |
引用统计 | |
资源类型 | 智库出版物 |
条目标识符 | http://119.78.100.153/handle/2XGU8XDN/523684 |
推荐引用方式 GB/T 7714 | Carrie M. Farmer,Terri Tanielian,Christine Buttorff,et al. Integrating Department of Defense and Department of Veterans Affairs Purchased Care: Preliminary Feasibility Assessment. 2018. |
条目包含的文件 | ||||||
文件名称/大小 | 资源类型 | 版本类型 | 开放类型 | 使用许可 | ||
RAND_RR2762.pdf(2018KB) | 智库出版物 | 限制开放 | CC BY-NC-SA | 浏览 | ||
1543238338506.jpg(11KB) | 智库出版物 | 限制开放 | CC BY-NC-SA | ![]() 浏览 |
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