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<classification authority="sudocs">GA 1.13:HEHS-96-121</classification>
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 <subject>Health care cost control</subject>
 <subject>Cost effectiveness analysis</subject>
 <subject>Federal agency reorganization</subject>
 <subject>Veterans hospitals</subject>
 <subject>Future budget projections</subject>
 <subject>Health services administration</subject>
 <subject>Hospital care services</subject>
 <subject>Health resources utilization</subject>
 <subject>Veterans benefits</subject>
 <subject>Patient care services</subject>
 <identifier>VA Veterans Integrated Service Network</identifier>
 <identifier>Medicare Program</identifier>
 <identifier>VA Resource Planning and Management System</identifier>
 <identifier>Federal Employees Health Benefits Program</identifier>
 <identifier>VA Decision Support System</identifier>
 <identifier>VA Income Verification Program</identifier>
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<titleInfo>
 <title>VA Health Care: Opportunities for Service Delivery Efficiencies Within Existing Resources</title>
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<abstract>Pursuant to a congressional request, GAO provided information on the
Department of Veterans Affairs&apos; (VA) health care system, focusing on
ways that VA could: (1) operate more efficiently; (2) reduce the
resources needed to meet veterans&apos; health care needs; and (3) reorganize
its health care system and create efficiency incentives.&lt;p/&gt;GAO found that: (1) the VA health care system should be able to respond
to deficit reduction within the next 7 years; (2) VA has overstated the
level of resources that it would need to satisfy veterans health care
requirements in the next 7 to 10 years; (3) VA did not adequately
consider the impact of the declining veteran population on the future
demand for inpatient hospital care; (4) a significant portion of VA
resources is used to provide services to veterans in the discretionary
care category; (5) VA could reduce its operating costs by billions of
dollars in the next 7 years by completing actions on a wide range of
efficiency improvements; (6) the success of these efforts depends on how
VA health care facilities spend appropriated funds; (7) VA managers
often find ways to operate more efficiently when they need resources to
implement new services or expand existing services; (8) VA is holding
network directors accountable for the Veterans Integrated Service
Network&apos;s (VISN) performance; (9) the Under Secretary for Health
distributed criteria to help VISN directors develop efficiency
initiatives and gave VISN and facility directors authority to realign VA
medical centers to achieve efficiencies; (10) VA plans to develop a
capitation funding process that provides greater efficiency incentives
for VA facilities; and (11) VA must implement clear mechanisms and
verify management data to achieve its workload, efficiency, and other
performance targets.</abstract>
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<identifier type="preferred citation">GAO/HEHS-96-121</identifier>
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<note>Letter Report</note>
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<subject>
 <topic>Health care cost control</topic>
 <topic>Cost effectiveness analysis</topic>
 <topic>Federal agency reorganization</topic>
 <topic>Veterans hospitals</topic>
 <topic>Future budget projections</topic>
 <topic>Health services administration</topic>
 <topic>Hospital care services</topic>
 <topic>Health resources utilization</topic>
 <topic>Veterans benefits</topic>
 <topic>Patient care services</topic>
 <topic>VA Veterans Integrated Service Network</topic>
 <topic>Medicare Program</topic>
 <topic>VA Resource Planning and Management System</topic>
 <topic>Federal Employees Health Benefits Program</topic>
 <topic>VA Decision Support System</topic>
 <topic>VA Income Verification Program</topic>
</subject>
<relatedItem type="isReferencedBy">
 <titleInfo>
  <title>United States Public Law 272 (99th Congress)</title>
</titleInfo>
 <identifier type="public law citation">Public Law 99-272</identifier>
</relatedItem>
<relatedItem type="isReferencedBy">
 <titleInfo>
  <title>United States Public Law 322 (100th Congress)</title>
</titleInfo>
 <identifier type="public law citation">Public Law 100-322</identifier>
</relatedItem>
<relatedItem type="isReferencedBy">
 <titleInfo>
  <title>United States Public Law 585 (102nd Congress)</title>
</titleInfo>
 <identifier type="public law citation">Public Law 102-585</identifier>
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