Estimating lost revenue from a free-care mandate in the U.S. Department of Veterans Affairs.
Identifieur interne : 001701 ( Main/Exploration ); précédent : 001700; suivant : 001702Estimating lost revenue from a free-care mandate in the U.S. Department of Veterans Affairs.
Auteurs : Mark W. Smith [États-Unis] ; Adam Chow ; Rachel KimerlingSource :
- Psychiatric services (Washington, D.C.) [ 1557-9700 ] ; 2010.
Descripteurs français
- KwdFr :
- Coûts hospitaliers (statistiques et données numériques), Department of Veterans Affairs (USA) (organisation et administration), Department of Veterans Affairs (USA) (économie), Femelle (MeSH), Harcèlement sexuel (psychologie), Harcèlement sexuel (statistiques et données numériques), Harcèlement sexuel (économie), Honoraires médicaux (statistiques et données numériques), Humains (MeSH), Hôpitaux des anciens combattants (organisation et administration), Hôpitaux des anciens combattants (économie), Mâle (MeSH), Programmes obligatoires (statistiques et données numériques), Programmes obligatoires (économie), Soins ambulatoires (statistiques et données numériques), Soins ambulatoires (économie), Viol (statistiques et données numériques), États-Unis (MeSH).
- MESH :
- organisation et administration : Department of Veterans Affairs (USA), Hôpitaux des anciens combattants.
- psychologie : Harcèlement sexuel.
- statistiques et données numériques : Coûts hospitaliers, Harcèlement sexuel, Honoraires médicaux, Programmes obligatoires, Soins ambulatoires, Viol.
- économie : Department of Veterans Affairs (USA), Harcèlement sexuel, Hôpitaux des anciens combattants, Programmes obligatoires, Soins ambulatoires.
- Femelle, Humains, Mâle, États-Unis.
- Wicri :
- geographic : États-Unis.
English descriptors
- KwdEn :
- Ambulatory Care (economics), Ambulatory Care (statistics & numerical data), Fees, Medical (statistics & numerical data), Female (MeSH), Hospital Costs (statistics & numerical data), Hospitals, Veterans (economics), Hospitals, Veterans (organization & administration), Humans (MeSH), Male (MeSH), Mandatory Programs (economics), Mandatory Programs (statistics & numerical data), Rape (statistics & numerical data), Sexual Harassment (economics), Sexual Harassment (psychology), Sexual Harassment (statistics & numerical data), United States (MeSH), United States Department of Veterans Affairs (economics), United States Department of Veterans Affairs (organization & administration).
- MESH :
- geographic : United States.
- economics : Ambulatory Care, Hospitals, Veterans, Mandatory Programs, Sexual Harassment, United States Department of Veterans Affairs.
- organization & administration : Hospitals, Veterans, United States Department of Veterans Affairs.
- psychology : Sexual Harassment.
- statistics & numerical data : Ambulatory Care, Fees, Medical, Hospital Costs, Mandatory Programs, Rape, Sexual Harassment.
- Female, Humans, Male.
Abstract
OBJECTIVE
This study estimated the loss in outpatient copayment revenue for the U.S. Department of Veterans Affairs (VA) health care system from a mandate for free care related to military sexual trauma. s
METHODS
A retrospective database analysis located all VA enrollees who screened positive for military sexual trauma and received related care in fiscal years 2006-2008. The analysis predicted which individuals would face copayments for care related to military sexual trauma with and without the mandate and the cost to the VA in lost copayments in the outpatient setting.
RESULTS
Over 97% of persons receiving outpatient care for military sexual trauma would face no copayment even in the absence of a free-care mandate. The net cost to the VA health care system is small, .01%-.04% of annual collections of outpatient copayments.
CONCLUSIONS
Administrative data are readily available to estimate the cost of a VA mandate for free care. The case of military sexual trauma shows that the forgone revenue may be small even when the number of free encounters is very large.
DOI: 10.1176/ps.2010.61.11.1150
PubMed: 21041357
Affiliations:
Links toward previous steps (curation, corpus...)
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(152 MPD), Menlo Park, CA 94025</wicri:regionArea><placeName><region type="state">Californie</region></placeName></affiliation></author><author><name sortKey="Chow, Adam" sort="Chow, Adam" uniqKey="Chow A" first="Adam" last="Chow">Adam Chow</name></author><author><name sortKey="Kimerling, Rachel" sort="Kimerling, Rachel" uniqKey="Kimerling R" first="Rachel" last="Kimerling">Rachel Kimerling</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2010">2010</date><idno type="RBID">pubmed:21041357</idno><idno type="pmid">21041357</idno><idno type="doi">10.1176/ps.2010.61.11.1150</idno><idno type="wicri:Area/Main/Corpus">001619</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Corpus" wicri:corpus="PubMed">001619</idno><idno type="wicri:Area/Main/Curation">001619</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Curation">001619</idno><idno type="wicri:Area/Main/Exploration">001619</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Estimating lost revenue from a free-care mandate in the U.S. Department of Veterans Affairs.</title><author><name sortKey="Smith, Mark W" sort="Smith, Mark W" uniqKey="Smith M" first="Mark W" last="Smith">Mark W. Smith</name><affiliation wicri:level="2"><nlm:affiliation>Health Economics Resource Center, VA Palo Alto Health Care System, 795 Willow Rd. (152 MPD), Menlo Park, CA 94025, USA. mark.smith9@va.gov</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Health Economics Resource Center, VA Palo Alto Health Care System, 795 Willow Rd. (152 MPD), Menlo Park, CA 94025</wicri:regionArea><placeName><region type="state">Californie</region></placeName></affiliation></author><author><name sortKey="Chow, Adam" sort="Chow, Adam" uniqKey="Chow A" first="Adam" last="Chow">Adam Chow</name></author><author><name sortKey="Kimerling, Rachel" sort="Kimerling, Rachel" uniqKey="Kimerling R" first="Rachel" last="Kimerling">Rachel Kimerling</name></author></analytic><series><title level="j">Psychiatric services (Washington, D.C.)</title><idno type="eISSN">1557-9700</idno><imprint><date when="2010" type="published">2010</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Ambulatory Care (economics)</term><term>Ambulatory Care (statistics & numerical data)</term><term>Fees, Medical (statistics & numerical data)</term><term>Female (MeSH)</term><term>Hospital Costs (statistics & numerical data)</term><term>Hospitals, Veterans (economics)</term><term>Hospitals, Veterans (organization & administration)</term><term>Humans (MeSH)</term><term>Male (MeSH)</term><term>Mandatory Programs (economics)</term><term>Mandatory Programs (statistics & numerical data)</term><term>Rape (statistics & numerical data)</term><term>Sexual Harassment (economics)</term><term>Sexual Harassment (psychology)</term><term>Sexual Harassment (statistics & numerical data)</term><term>United States (MeSH)</term><term>United States Department of Veterans Affairs (economics)</term><term>United States Department of Veterans Affairs (organization & administration)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Coûts hospitaliers (statistiques et données numériques)</term><term>Department of Veterans Affairs (USA) (organisation et administration)</term><term>Department of Veterans Affairs (USA) (économie)</term><term>Femelle (MeSH)</term><term>Harcèlement sexuel (psychologie)</term><term>Harcèlement sexuel (statistiques et données numériques)</term><term>Harcèlement sexuel (économie)</term><term>Honoraires médicaux (statistiques et données numériques)</term><term>Humains (MeSH)</term><term>Hôpitaux des anciens combattants (organisation et administration)</term><term>Hôpitaux des anciens combattants (économie)</term><term>Mâle (MeSH)</term><term>Programmes obligatoires (statistiques et données numériques)</term><term>Programmes obligatoires (économie)</term><term>Soins ambulatoires (statistiques et données numériques)</term><term>Soins ambulatoires (économie)</term><term>Viol (statistiques et données numériques)</term><term>États-Unis (MeSH)</term></keywords><keywords scheme="MESH" type="geographic" xml:lang="en"><term>United States</term></keywords><keywords scheme="MESH" qualifier="economics" xml:lang="en"><term>Ambulatory Care</term><term>Hospitals, Veterans</term><term>Mandatory Programs</term><term>Sexual Harassment</term><term>United States Department of Veterans Affairs</term></keywords><keywords scheme="MESH" qualifier="organisation et administration" xml:lang="fr"><term>Department of Veterans Affairs (USA)</term><term>Hôpitaux des anciens combattants</term></keywords><keywords scheme="MESH" qualifier="organization & administration" xml:lang="en"><term>Hospitals, Veterans</term><term>United States Department of Veterans Affairs</term></keywords><keywords scheme="MESH" qualifier="psychologie" xml:lang="fr"><term>Harcèlement sexuel</term></keywords><keywords scheme="MESH" qualifier="psychology" xml:lang="en"><term>Sexual Harassment</term></keywords><keywords scheme="MESH" qualifier="statistics & numerical data" xml:lang="en"><term>Ambulatory Care</term><term>Fees, Medical</term><term>Hospital Costs</term><term>Mandatory Programs</term><term>Rape</term><term>Sexual Harassment</term></keywords><keywords scheme="MESH" qualifier="statistiques et données numériques" xml:lang="fr"><term>Coûts hospitaliers</term><term>Harcèlement sexuel</term><term>Honoraires médicaux</term><term>Programmes obligatoires</term><term>Soins ambulatoires</term><term>Viol</term></keywords><keywords scheme="MESH" qualifier="économie" xml:lang="fr"><term>Department of Veterans Affairs (USA)</term><term>Harcèlement sexuel</term><term>Hôpitaux des anciens combattants</term><term>Programmes obligatoires</term><term>Soins ambulatoires</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Female</term><term>Humans</term><term>Male</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Femelle</term><term>Humains</term><term>Mâle</term><term>États-Unis</term></keywords><keywords scheme="Wicri" type="geographic" xml:lang="fr"><term>États-Unis</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>OBJECTIVE</b></p><p>This study estimated the loss in outpatient copayment revenue for the U.S. Department of Veterans Affairs (VA) health care system from a mandate for free care related to military sexual trauma. s</p></div><div type="abstract" xml:lang="en"><p><b>METHODS</b></p><p>A retrospective database analysis located all VA enrollees who screened positive for military sexual trauma and received related care in fiscal years 2006-2008. The analysis predicted which individuals would face copayments for care related to military sexual trauma with and without the mandate and the cost to the VA in lost copayments in the outpatient setting.</p></div><div type="abstract" xml:lang="en"><p><b>RESULTS</b></p><p>Over 97% of persons receiving outpatient care for military sexual trauma would face no copayment even in the absence of a free-care mandate. The net cost to the VA health care system is small, .01%-.04% of annual collections of outpatient copayments.</p></div><div type="abstract" xml:lang="en"><p><b>CONCLUSIONS</b></p><p>Administrative data are readily available to estimate the cost of a VA mandate for free care. The case of military sexual trauma shows that the forgone revenue may be small even when the number of free encounters is very large.</p></div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">21041357</PMID><DateCompleted><Year>2011</Year><Month>03</Month><Day>04</Day></DateCompleted><DateRevised><Year>2017</Year><Month>01</Month><Day>23</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Electronic">1557-9700</ISSN><JournalIssue CitedMedium="Internet"><Volume>61</Volume><Issue>11</Issue><PubDate><Year>2010</Year><Month>Nov</Month></PubDate></JournalIssue><Title>Psychiatric services (Washington, D.C.)</Title><ISOAbbreviation>Psychiatr Serv</ISOAbbreviation></Journal><ArticleTitle>Estimating lost revenue from a free-care mandate in the U.S. Department of Veterans Affairs.</ArticleTitle><Pagination><MedlinePgn>1150-2</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1176/ps.2010.61.11.1150</ELocationID><Abstract><AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">This study estimated the loss in outpatient copayment revenue for the U.S. Department of Veterans Affairs (VA) health care system from a mandate for free care related to military sexual trauma. s</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">A retrospective database analysis located all VA enrollees who screened positive for military sexual trauma and received related care in fiscal years 2006-2008. The analysis predicted which individuals would face copayments for care related to military sexual trauma with and without the mandate and the cost to the VA in lost copayments in the outpatient setting.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">Over 97% of persons receiving outpatient care for military sexual trauma would face no copayment even in the absence of a free-care mandate. The net cost to the VA health care system is small, .01%-.04% of annual collections of outpatient copayments.</AbstractText><AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Administrative data are readily available to estimate the cost of a VA mandate for free care. The case of military sexual trauma shows that the forgone revenue may be small even when the number of free encounters is very large.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Smith</LastName><ForeName>Mark W</ForeName><Initials>MW</Initials><AffiliationInfo><Affiliation>Health Economics Resource Center, VA Palo Alto Health Care System, 795 Willow Rd. (152 MPD), Menlo Park, CA 94025, USA. mark.smith9@va.gov</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Chow</LastName><ForeName>Adam</ForeName><Initials>A</Initials></Author><Author ValidYN="Y"><LastName>Kimerling</LastName><ForeName>Rachel</ForeName><Initials>R</Initials></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D013486">Research Support, U.S. Gov't, Non-P.H.S.</PublicationType></PublicationTypeList></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>Psychiatr Serv</MedlineTA><NlmUniqueID>9502838</NlmUniqueID><ISSNLinking>1075-2730</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000553" MajorTopicYN="N">Ambulatory Care</DescriptorName><QualifierName UI="Q000191" MajorTopicYN="N">economics</QualifierName><QualifierName UI="Q000706" MajorTopicYN="N">statistics & numerical data</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D005251" MajorTopicYN="N">Fees, Medical</DescriptorName><QualifierName UI="Q000706" MajorTopicYN="Y">statistics & numerical data</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D017721" MajorTopicYN="N">Hospital Costs</DescriptorName><QualifierName UI="Q000706" MajorTopicYN="N">statistics & numerical data</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D006787" MajorTopicYN="N">Hospitals, Veterans</DescriptorName><QualifierName UI="Q000191" MajorTopicYN="Y">economics</QualifierName><QualifierName UI="Q000458" MajorTopicYN="N">organization & administration</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D037141" MajorTopicYN="N">Mandatory Programs</DescriptorName><QualifierName UI="Q000191" MajorTopicYN="N">economics</QualifierName><QualifierName UI="Q000706" MajorTopicYN="N">statistics & numerical data</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D011902" MajorTopicYN="N">Rape</DescriptorName><QualifierName UI="Q000706" MajorTopicYN="N">statistics & numerical data</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D017406" MajorTopicYN="N">Sexual Harassment</DescriptorName><QualifierName UI="Q000191" MajorTopicYN="Y">economics</QualifierName><QualifierName UI="Q000523" MajorTopicYN="N">psychology</QualifierName><QualifierName UI="Q000706" MajorTopicYN="N">statistics & numerical data</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D014481" MajorTopicYN="N" Type="Geographic">United States</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D014493" MajorTopicYN="Y">United States Department of Veterans Affairs</DescriptorName><QualifierName UI="Q000191" MajorTopicYN="N">economics</QualifierName><QualifierName UI="Q000458" MajorTopicYN="N">organization & administration</QualifierName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="entrez"><Year>2010</Year><Month>11</Month><Day>3</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2010</Year><Month>11</Month><Day>3</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2011</Year><Month>3</Month><Day>5</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">21041357</ArticleId><ArticleId IdType="pii">61/11/1150</ArticleId><ArticleId IdType="doi">10.1176/ps.2010.61.11.1150</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>États-Unis</li></country><region><li>Californie</li></region></list><tree><noCountry><name sortKey="Chow, Adam" sort="Chow, Adam" uniqKey="Chow A" first="Adam" last="Chow">Adam Chow</name><name sortKey="Kimerling, Rachel" sort="Kimerling, Rachel" uniqKey="Kimerling R" first="Rachel" last="Kimerling">Rachel Kimerling</name></noCountry><country name="États-Unis"><region name="Californie"><name sortKey="Smith, Mark W" sort="Smith, Mark W" uniqKey="Smith M" first="Mark W" last="Smith">Mark W. 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