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Differences in Risk Scores of Veterans Receiving Community Care Purchased by the Veterans Health Administration
- Source :
- Health services research. 53
- Publication Year :
- 2018
-
Abstract
- OBJECTIVE: To assess differences in risk (measured by expected costs associated with sociodemographic and clinical profiles) between Veterans receiving outpatient services through two community care (CC) programs: the Fee program (“Fee”) and the Veterans Choice Program (“Choice”). DATA SOURCES/STUDY SETTING: Administrative data from VHA's Corporate Data Warehouse in fiscal years (FY) 2014–2015. STUDY DESIGN: We compared the clinical characteristics of Veterans across three groups (Fee only, Choice only, and Fee & Choice). We classified Veterans into risk groups based on Nosos risk scores and examined the relationship between type of outpatient utilization and risk within each CC group. We also examined changes in utilization of VHA and CC in FY14–FY15. We used chi‐square tests, t tests, and ANOVAs to identify significant differences between CC groups. PRINCIPAL FINDINGS: Of the 1,400,977 Veterans using CC in FY15, 91.4 percent were Fee‐only users, 4.4 percent Choice‐only users, and 4.2 percent Fee & Choice users. Mean concurrent risk scores were higher for Fee only and Fee & Choice (1.9, SD = 2.7; 1.8, SD = 2.2) compared to Choice‐only users (1.0, SD = 1.2) (p
- Subjects :
- Male
medicine.medical_specialty
Health Status
Linking VA and Non‐VA Data to Address US Veteran Health Services Issues
03 medical and health sciences
0302 clinical medicine
Risk groups
medicine
Ambulatory Care
Humans
030212 general & internal medicine
Community Health Services
Care Transitions
health care economics and organizations
Aged
Framingham Risk Score
business.industry
030503 health policy & services
Health Policy
Consumer Behavior
Middle Aged
Veterans health
United States
United States Department of Veterans Affairs
Socioeconomic Factors
Family medicine
Female
0305 other medical science
business
Subjects
Details
- ISSN :
- 14756773
- Volume :
- 53
- Database :
- OpenAIRE
- Journal :
- Health services research
- Accession number :
- edsair.doi.dedup.....e455636a9eaec423199346f11672976e