The Veterans Affairs health care system and the Medicare Advantage plan encompass about 1.2 million veterans. A study, published in the Journal of the American Medical Association (JAMA) has recently exposed that as these care programs are managed independently, the federal government spends a considerable and mounting amount of duplicated funds in caring for the same individuals.
Additional information provided by the articles holds that in the United States, some adults may be qualified to enroll concurrently in 2 federally funded managed care systems: the Medicare Advantage (MA) program managed by the Centers for Medicare Plans &Medicaid Services (CMS) and the Veterans Healthcare System (VA) managed by the Veterans Health Administration in the U.S. Department of Veterans Affairs. Dual enrollment in the VA and MA presents a troublesome policy problem.
The federal government’s expenses on private MA plans assume that these plans are accountable for providing comprehensive care for their enrollees and are exclusively in charge for paying the costs of Medicare-covered services. If enrollees in MA plans receive Medicare-covered services at the same time from another federally-funded hospital or other health care facility, and this facility cannot be paid back, then the government has made double payments for the same service.
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