by
Thomas Dworetzky, Contributing Reporter | July 15, 2015
In the midst of defending itself over its budget shortfall, the agency also had to mount a damage control effort this week over its pending-care list problems, which came to light thanks to Davis' leak of the VA Health Eligibility Center and the VA Office of Analytics report.
The report highlights the ongoing management problems at the troubled agency. The VA pushed back against the latest revelations, however, claiming the numbers may not tell the whole story. The agency has no way to purge those who have died from its backlog list, according to VA spokesperson Walinda West. Some may not have finished filling out the form, or used other insurance, or the health record system dates from 1985, she claimed, and the data itself may be decades old.

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West stated that roughly 81 percent of vets coming to the agency "have either Medicare, Medicaid, Tricare or some other private insurance. This means," she went on, that "some in pending status may have decided to use other options instead of completing their eligibility application."
But whistleblower Davis took issue, based on his deep knowledge of the system. Unfinished applications would never wind up on the pending list and the old data system West referred to was a general health record system and had nothing to do with pending applications for enrollment in health care, he stressed, telling the Huffington Post that the formal application process only began in 1998.
Davis went on to add that at the very least, the number of dead on the pending list shows a terrible bookkeeping effort by the agency. He also told the news site that the number of living vet applications should be closer to 610,000.
Moreover, Davis explained, there is a way for the White House to immediately end the pending application logjam – just instruct the VA to let veterans upload their military record, a form known as a DD-214, when they apply for care. That would let the VA assign staff to review all of those in the logjam and clear it. Davis told the news site, "that would get rid of the pending eligibility issue."
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Brian Parker
This story seems to have several ambiguities
July 16, 2015 02:35
The reasons for the shortfall seems to only focus on the hepatitis C treatment program and the VA's Care in the Community program. Both are funded under the CHOICE funds.
Is the source whistle-blower Scott Davis even credible?
So where is the shortfall?
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Thomas Dworetzky
re: This story seems to have several ambiguities
July 17, 2015 10:59
Thanks Brian,
When Congress allocated $10 billion last year to cover the Choice Card service over three years there were stipulations preventing those funds from being used for the Hep C and Care in the Community deficits in
question.
As the VA puts it, "VA is requesting an amendment to the Veterans Access, Choice and Accountability Act, Section 802, to provide resources that Congress provided for private-sector care to fund VA’s Care in the
Community."
There are some documents here that give the full VA side of the story:
http://www.va.gov/opa/pressrel/pressrelease.cfm?id=2718
As for the credibility of whistleblower Davis, your guess is as good as ours and maybe only time will tell.
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Brian Parker
re: re: This story seems to have several ambiguities
July 20, 2015 08:17
Thanks Thomas for the additional information. After reading the documents I would side with the VA for the funds requested to treat Hepatitis C if the Choice program does require a re-authorization every 60 days for a 12-24 week treatment program. TriWest Healthcare Alliance manages the Choice and the VAPC3 Program. See the following link.
https://www.triwest.com/en/
The burn rate for the Choice program looks low and as the VA claims they do not want the funds to go unused. One has to question why the Choice funds are not being used at a higher spend rate. Is the Choice program too restrictive and difficult to use?
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