Health Access for populations left behind have been in the news and actually have achieved legislation passed in Congress. Yes, theoretically the Veterans did get 16 billion. This does not mean that most Veterans will have improved access. 1. Insurance or coverage such as Veteran designation, means little because health care delivery is about teams and clinicians that deliver care and patients who can access that care 2. VA rules actually prevent access to teams and clinicians in locations that are accessible to veterans 3. Most veterans need family practice clinicians, because of where 50% are found, and because of their basic health needs not being met The bill did not change the rules, change the design, magically fill positions, force permanent family practice position result, Family practice clinicians are in major deficit. Family practice positions filled (filled not training) by MD, DO, NP, PA grads - the only 3 - 4 times multiplier of care where needed across rural, frontier, and urban locations with lower or lowest concentrations of clinicians where 40% of Americans, 45% of the elderly, over 50% of Veterans, and most of the population in most need of care are found. Paying generically more is not enough. The services and the pay have to go to the clinicians and teams delivering needed care. The Veterans Administration will be paying for more administration and more care where not needed - by design. The VA Community Based Outpatient Clinics CBOCs are often backlogged, have fewer hours, see fewer patients And the United States still has major deficits of primary care such that increased VA hiring (difficult) will steal existing primary care from other sources - usually those least supported and most needed for health access About the new bill from Medscape and NRHA: Brock Slabach, senior vice-president of the National Rural Health Association, a Leawood, Kan.-based trade group for rural healthcare providers, said his group was also generally pleased with the bill. Any effort to improve access to care to our vets in rural areas were particularly pleased about. However, he did express concern about the 40-mile rule, noting that most veterans -- including those in rural areas -- have a community-based outpatient clinic (CBOC) run by the VA accessible within that distance. If CBOCs are included in that language, there are not going to be that many vets outside of that 40-mile range. Is this going to have any impact in improving care for vets? Slabach said in a phone interview. The CBOCs do appear to be included in the compromise bill. The association also wanted to make sure that eligible veterans would be able to receive care from all types of providers, including federally qualified health clinics. Sometimes they sneak in language to have only certain providers [give] care to veterans; we want to make sure all providers are included, Slabach said. basichealthaccess.blogspot/2014/08/what-veterans-need-is-family-practice.html
Posted on: Sun, 10 Aug 2014 00:37:07 +0000
Trending Topics
Recently Viewed Topics
© 2015