Case Study: Warrior Reimbursement

The Veterans Access, Choice, and Accountability Act of 2014 (H.R. 3230) have been put in place to provide funding as well as other services to veterans in any form of VA medical facilities. With this legislation, various programs have been established to provide funding and ensure care (Veterans Access, Choice, and Accountability Act of 2014, 2014).

Each of these administrations have discrete goals that influence how they approach and work with veterans. As a student veteran it is important you know that education benefits are a VBA service, like compensation and pension, or a VA Home Loan Guarantee. If you are eligible to apply for VHA (VA Form 10-10EZ), you may gain access to health care at the VA Hospital in White River Junction,

Since there is no reported data or analyses to help the nation or specific regions and communities assess veterans’ needs for services by geographic area, and to plan for and coordinate service delivery across community-based, TRICARE, and VHA resources; we purpose several general directions for moving forward (Burnam et. al, 2009). The general directions for moving forward include a need for confidentiality, consumer education, treatment choices, workforce policy, training and certification, QI needs, and technical assistance to the

The U.S Department Veteran’s Affairs (VA) provides a wide range of benefits for our service members, veterans and their families. Some of these benefits include but are not limited to include compensation, disability, education, and home loans. Throughout this paper I will discuss these benefits and the eligibility required to receive them. Eligibility for most VA benefits is based on type of discharge received through the military which is normally all discharges under other than dishonorable conditions.

All elements in this domain scored a five. The VHA focuses on diversity and disparities among Veterans. The comprehensive electronic health record captures demographic information, such as race, ethnicity, language on the initial visit to the facility. This information can then be viewed in the first pane of the patient chart. Although English is the primary language, an interpreter can be made available if necessary. Those patients who are hearing impaired are provided with an interpreter fluent in sign language. Multiple programs are available to Veterans who are underserved. A series of questions are reviewed with the patient annually, with the goal of identifying the Veteran’s needs. These questions focus on routine health care, as well

If you are pursuing coverage for an injury, you need to do all you can to fully recover. This means taking all prescription medication you are given and following your doctor's instructions. If you do not follow your doctor's instructions for your treatment and recovery, you could jeopardize your right to seek compensation from the VA.

One major trend in the healthcare environment is the shift from volume based reimbursement towards value based reimbursement. Many provider practices remain on a volume based or fee for service reimbursement plan. This system tends to reward high quantity of services with less regard for the quality or performance of the service. However, with a renewed focus on value, reimbursement plans

Approximately 2.8 million VA patients are affected by a service related injury with 1,027,000 or 36% of them coming from rural areas. Many of the vets living in rural areas do not get the help they need and are entitled to due to barriers to healthcare with the main barrier being the distance to the nearest VHA facility. This can cause vets to seek more expensive care at non VA

Elvin Rios, 34-year-old Afghanistan war veteran, explains his experience about the VA. “The first [doctor] I saw actually recommended acupuncture. She had no clue about what Veterans go through. (Radelat) Rios couldn’t afford private health care, so he was forced to stay with the VA in hopes of “better doctors, better treatments and better ways to schedule appointments.” (Radelat) This is sad, and often this the case. The therapy treatment is the most natural way, but it is all too often like Elvin Rios and Brady Oberg, where they

The VA may bill and accept reimbursement from High Deductible Health Plans (HDHPs) for medical

Texas 1115 Waiver 1115 -- payments that help hospitals with the costs of uncompensated care

Based on the political and economic environments of states and the federal government the methods of health care reimbursement have been required to evolve. With the introduction of the Patient Protection and Affordable Care Act (PPACA) new laws have been set into place that has caused a stringent review of spending on health care. All care provided is being examined for effectiveness, quality, and the actual need of the service. Unnecessary health care functions are being screened and eliminated. The government and other insurance providers have begun to place cost containment measures in place only paying for those procedures that are deemed medically necessary for the illness that the patient is currently afflicted with. This has a direct impact on the monies that the government and insurance providers will reimburse for services. The following paper will look at the major types of reimbursement activates currently in place. The writer of this paper will also speculate on the future of health care reimbursement and how it will affect his current organization.

Participating PCPs must register under the Veterans Choice Program (VCP). The non-VA provider must be a Medicare participant, has a non-constraint state license, drug enforcement administration licensed, have no penalties and furnish a type 1 or type 2 National Provider Identifier (Veteran Services, 2016). Establishing a legal authorization for outpatient care, which is the VA form 10-7079, request for outpatient services (Appendix A). This record is given to both the veteran and the Non-VA provider earlier to receipt of care (A Guide for Providers, 2014). Consent to care is the foundation for carrying out purchased care and the plan for financing a claim appropriately. The authorization allows the non-VA medical entity to give and provide medical care to the veteran patient, and gives a guarantee of reimbursement for the medical services provided. Sufficiently acknowledging the demands of veterans’ desires further than knowledge about rampant existing conditions and special programs structured for veterans (William & Jackson, 2015). Included in this intervention is a tri-fold brochure (Appendix B) that will be available in the primary care practices that will help in understanding peer support specialist services in the VHA. The objective of this peer support program tri-fold brochure is to present contingency for Veterans to take responsibility in their own rehabilitation, to make Veterans cognizant of the procurable services and opportunities, to help Veterans establish a sense of wellbeing and self-satisfaction and to carry out a unique attitude to the therapeutic teams on which they strive to work on (Ellison et al.

Veterans’ assistance can be traced far back into history. The first type of assistance recorded was back in 1636 when the Pilgrims were at war with the Pequot Indians. During this time the Pilgrims passed a law providing money to those who had been disabled during the colony’s defense against Indians. Soon after this many other colonies decided to

Veterans are no longer confined to only the Veterans Affairs hospital for treatment. Instead, Cohen Veterans Network (CVN), a private program for military veterans, will ensure that veterans do not have to pay for any of their treatments. Cohen Veterans Network relies on public donations and efforts to provide treatment to veterans and does not depend on the government for any excess funds.