An Analysis of the Veterans Equitable Resource Allocation by Jeffrey Wasserman, Jeanne Ringel, Barbara Wynn, Jack

By Jeffrey Wasserman, Jeanne Ringel, Barbara Wynn, Jack Zwanziger, Karen Ricci

This e-book is according to the new laws (H.R. 4635), the U.S. Congress requested the DVA to behavior a examine on no matter if VERA adquately meets the precise wishes of a few veterans. Rand was once requested to adopt this examine. The findings and proposals are documented during this file.

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Extra resources for An Analysis of the Veterans Equitable Resource Allocation (VERA) System

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Improved Access to Specialized Services. Affiliation agreements provide access to specialists on the medical school faculty. Several interviewees commented that their affiliation gave patients access to specialist services that the VHA facility could not afford to provide through its own staff because of budget and patient workload considerations. Others noted the benefits of agreements for shared services that provide access to a broader spectrum of services and stateof-the-art equipment than the VHA facility could maintain on its own.

1 The affiliations are considered mutually beneficial to the VHA and the medical schools. The affiliations facilitate VHA physician recruitment and retention and increase access to specialist services. For the medical schools, the VAMCs provide the faculty, patients, and facilities to support educational programs. About 70 percent of VHA physicians hold faculty appointments at medical schools (Office of the Inspector General, 1997). The VHA funds 8,700 full-time equivalent (FTE) residents or about 9 percent of the residency positions in the United States (JAMA, 2000).

Treatment for myocardial infarctions). , 1990). , 1990). The evidence supporting efficiency gains through consolidation is not limited to the literature on private-sector hospital systems. 4 Nearly 40 percent of those markets have multiple delivery locations, with nine having four or more locations that serve the same patient base (GAO, 1999). In many cases, the same services are provided at multiple locations. The GAO suggested that the multiple location markets provided great opportunities for cost savings through asset restructuring.

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