Veterans Community Care Program: VA should strengthen its ability to identify ineligible health care providers : before the Subcommittee on Oversight and Investigations, Committee on Veterans’ Affairs, House of Representatives

Veterans Community Care Program: VA should strengthen its ability to identify ineligible health care providers : before the Subcommittee on Oversight and Investigations, Committee on Veterans’ Affairs, House of Representatives

Collection:
Health Policy and Services Research
Alternate Title(s):
VA should strengthen its ability to identify ineligible health care providers
Contributor(s):
United States. Government Accountability Office, issuing body.
United States. Congress. House. Committee on Veterans' Affairs. Subcommittee on Oversight and Investigations, issuing body.
Publication:
Washington, DC : United States Government Accountability Office, March 30, 2022
Language(s):
English
Format:
Text
Subject(s):
Clinical Competence -- legislation & jurisprudence
Credentialing -- standards
Government Regulation
Quality of Health Care -- legislation & jurisprudence
United States
United States. Department of Veterans Affairs
Genre(s):
Technical Report
Abstract:
Why GAO did this study. Eligible veterans may receive care from community providers through Department of Veterans Affairs’ (VA) VCCP when veterans face challenges accessing care at VA medical facilities. VA is responsible for ensuring VCCP providers are qualified and competent to provide safe care to veterans based on the eligibility requirements and restrictions. This testimony summarizes GAO’s December 2021 report on VCCP provider eligibility controls. For that report, GAO interviewed knowledgeable officials and reviewed VHA and contractor standard operating procedures, policies, and guidance. To identify potentially ineligible providers, GAO compared data from VHA’s Office of Community Care to data sources related to actions that may exclude providers from participating in the VCCP. What GAO Recommends. In December 2021, GAO made ten recommendations to VA, including that VA enhance existing controls, consistently implement controls as described in standard operating procedures, and assess the fraud risk of invalid provider address data. While VA reported taking initial steps toward addressing some of these recommendations, the recommendations are not yet implemented. GAO maintains that all ten recommendations should be implemented to help ensure that veterans receive care from qualified providers through this program.
Copyright:
The National Library of Medicine believes this item to be in the public domain. (More information)
Extent:
1 online resource (1 PDF file (18 pages))
Illustrations:
Illustrations
NLM Unique ID:
9918434585306676 (See catalog record)
Permanent Link:
http://resource.nlm.nih.gov/9918434585306676