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FEDERALhearing transcript

Hearing on Consolidating Veteran Healthcare Provider Networks

Original title: CHOICE CONSOLIDATION: LEVERAGING PROVIDER NETWORKS TO INCREASE VETERAN ACCESS

January 1, 2017

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The Frame

What this does

The proposed consolidation plan determines how veterans access non-VA healthcare providers, potentially changing the standards and networks used for their medical services.

Who is mentioned in the record

Potentially affected actors named in the source documents. Mention is not a position.

Veterans

The consolidation plan dictates the network of providers available for their community-based healthcare.

Private-sector healthcare providers

Providers are subject to new performance and quality metrics to be categorized within the preferred or standard tiers.

Department of Veterans Affairs

The agency is responsible for managing the core network and overseeing the third-party contractors managing the external network.

What changed

Last recorded activity January 1, 2017.

What's next

Next step not available in the current record.

Summary

This hearing transcript documents a Congressional discussion regarding the Department of Veterans Affairs' (VA) plan to consolidate community care programs. The subcommittee reviewed a proposed tiered network structure that would organize healthcare providers into 'core' government-affiliated entities and 'external' private-sector contractors.

Key Facts

  • The VA proposes a tiered provider network consisting of a 'core' network and an 'external' network.
  • The 'core' network includes Department of Defense facilities, Indian Health Service, tribal health programs, federally qualified health centers, and academic affiliates.
  • The 'external' network is managed by third-party contractors across four regions.
  • The 'external' network is divided into a 'preferred' tier (meeting specific quality/performance metrics) and a 'standard' tier (meeting minimum criteria).
  • The hearing took place on March 22, 2016, in the Cannon House Office Building.
  • This was the third in a series of hearings regarding the VA's plan to consolidate community care programs.

Frequently Asked Questions

What is the difference between the 'core' and 'external' provider networks?
The consists of government-funded entities like the Department of Defense and tribal health programs, while the consists of private-sector commercial providers.
How are private-sector providers categorized in the proposed plan?
They are divided into a 'preferred' network based on quality and performance metrics, and a 'standard' network based on minimum criteria.

Why It Matters

The proposed consolidation plan determines how veterans access non-VA healthcare providers, potentially changing the standards and networks used for their medical services.

News Coverage

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Sponsors

Discoveries

Patterns POLISCOPE noticed across the record. These are observations to investigate, not conclusions.

policy shift90% confidence

Tiered Network Strategy

The VA moved toward a tiered system to differentiate providers based on quality metrics rather than just availability.

Connected Entities

personJulia BrownleyRanking Member of the Subcommittee on HealthMap →
personDan BenishekChairman of the Subcommittee on HealthMap →
personBaligh YehiaAssistant Deputy Under Secretary for Health for Community CareMap →
personBilly MaynardPresident of Health Net Federal ServicesMap →
personDavid J. McIntyre, Jr.President and CEO of TriWest Healthcare AllianceMap →
organizationDepartment of Veterans AffairsFederal agency overseeing veteran healthcareMap →

Sources

Open source document

www.govinfo.gov

Analysis Score

0–100
  • Significance65
    How much this matters to a regular citizen
  • Controversy40
    Intensity of disagreement among stakeholders
  • Entertainment10
    Compellingness for a non-policy-wonk reader
  • Buzz15
    Current news / social attention level

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