Fee-for-Service Medicare-Enrolled Elderly Veterans Are Increasingly Voting with Their Feet to Use More VA and Less Medicare, 2003-2014

Health Services Research
Chuan-Fen LiuPaul L Hebert

Abstract

To examine the long-term reliance on outpatient care at the population (i.e., system) level among fee-for-service Medicare-enrolled elderly veterans in the Department of Veterans Affairs (VA) health care system and Medicare from 2003 to 2014. We analyzed a 5 percent random sample, stratified by facility, age, gender, and race, of Medicare-enrolled veterans enrolled in a VA primary care panel using VA administrative data and Medicare claims. We performed a repeated cross-sectional analysis over 48 quarters. VA reliance was defined at the system level as the proportion of total visits (VA + Medicare) that occurred in VA. We examined four visit types and seven high-volume medical subspecialties. We applied direct standardization adjusting for age, gender, and race using the 2010 population distribution of Medicare-enrolled veterans. Over the 12-year period, VA provided the vast majority of mental health care. Conversely, veterans received slightly more than half of their primary care and most of their specialty care, surgical care, and seven high-volume medical subspecialties through Medicare. However, reliance on VA outpatient care steadily increased over time for all categories of care. Despite the controversies about VA access ...Continue Reading

References

Apr 30, 2005·The Journal of Rural Health : Official Journal of the American Rural Health Association and the National Rural Health Care Association·William B WeeksSteven M Wright
Feb 17, 2007·Medical Care·Denise M HynesLinda Kok
Aug 18, 2009·Journal of the American Geriatrics Society·Carolyn W ZhuMary Sano
Feb 20, 2010·Health Economics·James F BurgessChuan-Fen Liu
Jun 21, 2011·Medical Care·Chuan-Fen LiuMatthew L Maciejewski
Mar 7, 2012·BMC Health Services Research·Chuan-Fen LiuMatthew L Maciejewski
Jan 1, 2012·Medicare & Medicaid Research Review·Jennifer HumenskyDenise M Hynes
Jul 10, 2014·Health Affairs·Stephan D FihnGail L Graham
Jun 23, 2015·Journal of Pain & Palliative Care Pharmacotherapy· U S Department Of Health And Human Services
Feb 24, 2016·Journal of General Internal Medicine·Thomas R RadomskiWalid F Gellad
Jul 19, 2016·The Journal of Rural Health : Official Journal of the American Rural Health Association and the National Rural Health Care Association·Edwin S WongChuan-Fen Liu
Oct 6, 2016·Journal of General Internal Medicine·Paul L Hebert, Susan E Hernandez

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Citations

May 8, 2020·Health Services Research·Polly H NoëlDavid A Ganz
Jan 17, 2020·Health Services Research·Chuan-Fen LiuEdwin S Wong
Dec 29, 2020·Journal of the American Geriatrics Society·Risha GidwaniTodd H Wagner
May 8, 2021·Journal of General Internal Medicine·Charles LiuDebra Saliba
May 29, 2021·Journal of General Internal Medicine·Lianlian LeiDonovan T Maust
Jun 19, 2021·Contemporary Clinical Trials·Katherine D HoersterKarin Nelson

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