The VA health care system: an unrecognized national safety net.

  title={The VA health care system: an unrecognized national safety net.},
  author={Nancy J. Wilson and Kenneth W. Kizer},
  journal={Health affairs},
  volume={16 4},
The dominance of local health care markets in conjunction with variable public funding results in a national patchwork of "safety nets" and beneficiaries in the United States rather than a uniform system. This DataWatch describes how the recently reorganized Department of Veterans Affairs serves as a coordinated, national safety-net provider and characterizes the veterans who are not supported by the market-based system. 

Can the Veterans Affairs Health Care System Continue to Care for the Poor and Vulnerable?

  • J. Hughes
  • Medicine
    The Journal of ambulatory care management
  • 2003
It may be that the best way to maintain the safety net for veterans is to continue to cast it more widely, thereby enhancing political clout and ensuring survivability.

Reengineering the Veterans Healthcare System

This chapter provides an overview of the veterans healthcare system, and it describes selected aspects of the system’s re-engineering.

Oncology management by the "new" Veterans Health Administration

The Veterans Health Administration (VHA) of the Department of Veterans Affairs (VA) manages the largest integrated health care system in the U.S. Cancer is second only to cardiovascular disease as a

Extreme makeover: Transformation of the veterans health care system.

Between 1995 and 1999, the VA health care system was reengineered, focusing especially on management accountability, care coordination, quality improvement, resource allocation, and information management, producing dramatically improved quality, service, and operational efficiency.

Experience of the Veterans Health Administration in Massachusetts after state health care reform.

The findings raise important questions about the continuing role of VHA in American health care as health insurance coverage is one of many factors that influence decisions on where to seek health care.

How far down the managed care road? A comparison of primary care outpatient services in a Veterans Affairs medical center and a capitated multispecialty group practice.

The Department of Veterans Affairs did not compare favorably with the efficiency or lower utilization of the capitated managed care practice, and this hampers future efforts to use managed care techniques to improve the operation of the VA.

Comparing measures of patient safety for inpatient care provided to veterans within and outside the VA system in New York

Using AHRQ’s PSI software, male veterans in New York who obtain their inpatient care within the VA received care that was comparable with or somewhat better than those who obtained their in patient care outside the VA, similar to reported comparisons between the VA and Medicare.

An Analysis of the Veterans Equitable Resource Allocation (Vera) System

This study examines the degree to which VERA accounts for differences in the age and geographic location of facilities, their patient case mixes, and other factors, and examines cost issues associated with affiliations between VA facilities and academic medical centers.