Financing of VA Health Care Reform: Hearing Before the Committee on Veterans' Affairs, United States Senate, One Hundred Third Congress, Second Session, May 5, 1994

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Page 32 - In addition, VA would be authorized to sell its health care services to other health plans to provide services to veterans. To give VA additional flexibility in financing health plan operations and construction projects, VA health plan revenues, including premiums, copayments and coinsurance, deductibles, and amounts received as reimbursements from other health plans for services provided to its enrol Lees, would be deposited in a revolving fund. The funds would be available without fiscal year limitations...
Page 9 - What is a cynic? A man who knows the price of everything, and the value of nothing. And a sentimentalist is a man who sees an absurd value in everything, and doesn't know the market price of any single thing.
Page 31 - About 2.2 million veterans made more than 20 million outpatient visits to VA health care facilities and had more than 970,000 hospital stays in 1991. Of these veterans, about 1 million had disabilities incurred in or aggravated by military service (service-connected), and 1.2 million had no disabling conditions relating to military service (nonservice-connected).
Page 5 - At the present time, if it is all right with you, Mr. Chairman, I would like to refer to the slides and make my statement a part of the record.
Page 32 - Plans The proposed Health Security Act would make fundamental changes both in how VA operates and in the benefits to which veterans using VA are entitled. In this regard, the act would (1) transform VA facilities into a series of managed care plans to compete with private-sector plans and (2) expand entitlement to free comprehensive health care services for veterans choosing to enroll in a VA health plan. In addition...
Page 12 - COO of Massachusetts General Hospital. He was previously executive director, Truman Medical Center and dean. University of Missouri-Kansas City School of Medicine. Dr. Mongan served as assistant surgeon general in the Department of Health and Human Services...
Page 44 - Health Care: Alternative Health Insurance Reduces Demand for VA Care (GAO/HRD-92-79 , June 30, 1992).
Page 31 - ... insurance were virtually nonexistent. VA developed its system as a direct delivery system with the government owning and operating its own health care facilities. It became the nation's largest direct delivery system with 171 hospitals and more than 200 outpatient clinics.
Page 47 - Budget (OMB), whereas the two relevant congressional entities — the Congressional Budget Office (CBO) and the General Accounting Office (GAO) — have followed policies tending toward lower discount rates.
Page 31 - ... adequate cost and utilization data, will likely inhibit its efforts to establish competitive health plans. As a result, significant risks are associated with efforts to transform the VA direct delivery system into a series of managed care plans: — The expanded entitlement to free comprehensive care could add billions of dollars to VA appropriations if all veterans entitled to free care seek to enroll in VA health plans...

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