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By Jeffrey Wasserman, Jeanne Ringel, Barbara Wynn, Jack Zwanziger, Karen Ricci

This booklet is according to the new laws (H.R. 4635), the U.S. Congress requested the DVA to behavior a learn on no matter if VERA adquately meets the detailed wishes of a few veterans. Rand used to be requested to adopt this research. The findings and proposals are documented during this record.

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Additional info for An Analysis of the Veterans Equitable Resource Allocation (VERA) System

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Costs Associated with Consolidations While consolidations can achieve cost savings in the long run, short-term costs are associated with such changes. These costs can be both pecuniary and nonpecuniary. The monetary costs incurred with consolidation include those resulting from the relocation of equipment and workload to new sites, the renovation of existing space, and the relocation of staff. Consolidations may also affect the breadth of services provided by a facility, which may result in an The Impact of Selected Patient and VISN Characteristics on Care Under VERA 27 increase in costs over the long term.

Further, the accuracy of predicted expenditures under a DCG risk adjustment is an empirical question and is currently being studied by the VA’s VERA Patient Classification Workgroup through the assistance of the Houston Center for Quality of Care and Utilization Studies and the Management Sciences Group (Management Sciences Group, 2000). The primary disadvantage of the DCG model that has been identified thus far is that it does not account for mental health and long-term care costs. As such, further adjustments to the DCG model are being considered.

Taken together, the results of these studies underscore the need to analyze the potential effects of teaching on per capita costs. A substantial body of literature indicates that inpatient facility costs are higher in major teaching facilities than in other facilities.

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