14: VA and DoD Programs and Systems

Coordination of Department of Veterans Affairs (VA) and Department of Defense (DoD) Programs and Systems

Other Information:

THE PROBLEM The Department of Veterans Affairs (VA) and the Department of Defense (DoD) operate comprehensive medical care systems for a combined cost of $40 billion a year. While the missions differ, there is overlap. It is estimated that 600,000 military retirees eligible for DoD TRICARE are also enrolled in VA Medical Care. In addition, many DoD and VA facilities are located close to each other. — DoD’s health care system, originally designed to treat primarily younger active-duty personnel plus some under-65 retirees, has evolved to cover more beneficiaries over 65. DoD’s patient demographics are thus becoming increasingly similar to those of VA, which has been treating the over 65 population for many years. These emerging similarities present opportunities for cooperation between the two health systems, including buying and selling services, shared staffing, advanced technology, education and training, consolidated procurement, TRICARE, pharmaceuticals and medical/surgical supplies, and joint facility agreements. So far, few of these opportunities have been put to use. The Expected Results • A seamless transition from active duty to veteran status, allowing both the veteran and VA to save time and money. • Continuity of care for each patient by a single agency’s health care system. • Greater accuracy in forecasting the patient population and budget for both the DoD and VA health programs. • Increased sharing of services that will lead to reduced cost and increased quality of care.

Objective(s):

14.1: Veterans Benefits and Services

14.2: Annual Enrollment

14.3: Enrollment Data

14.4: Data Sharing

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