U.S. Overpaying for Veterans' Healthcare
The study, by lead author Amal Trivedi, MD, of Brown University and others, recommends that policymakers attempt payment system change to rectify the double payment for these dually-enrolled veterans.
First, the VA could receive authorization to collect reimbursements from the Medicare Advantage plans for covered services, just as the VA collects payment from private health insurers for non-Medicare patients.
That practice is now prohibited by the Social Security Act, but that law was passed before managed care plans were brought into the Medicare program in 1982, Kizer says.
Second, officials at the Centers for Medicare & Medicaid Services might reduce payments to Medicare Advantage health plans whose veteran enrollees received most or all of their care at the VA.
- New G-Codes to Pay Doctors for Broad Array of Non-Face-to-Face Care
- CMS Sets 2014 Pay Rates for Hospital Outpatient and Physician Services
- MU Compliance Announcement Sparks Concern, Confusion
- Telehealth Improves Patient Care in ICUs
- Small Doesn't Mean Doomed
- Hospital M&A Volume Up, Value Down in 3Q
- Douglas Hawthorne—A Chance to Do Something Big
- The 5 Biggest Healthcare Finance Trouble Spots
- States Rejecting Medicaid Expansion Forgo Billions in Federal Funds
- Why You Should Involve Patients in Nursing Handoffs