An Analysis of Potential Adjustments to the Veterans Equitable Resource Allocation (VERA) System

Jeffrey Wasserman, Jeanne S. Ringel, Karen A. Ricci, Jesse D. Malkin, Michael Schoenbaum, Barbara O. Wynn, Jack Zwanziger, Sydne J. Newberry, Marika Booth, Afshin Rastegar

ResearchPublished 2003

The Veterans Health Administration asked RAND's National Defense Research Institute to undertake a quantitative analysis of the Veterans Equitable Resource Allocation System (VERA). VERA was instituted in 1997 and was designed to improve the allocation of the congressionally appropriated medical care budget to the 22 regional service networks that composed the Veterans Administration (VA) health system. The modeling approach used in this analysis provides a tool that VA policymakers can use for making resource allocation decisions. This tool can also be used for a wide range of simulations as well as for facility-level allocations. The study concludes that the current VERA system for allocating resources to Veterans Integrated Service Networks (VISNs) does not account for a number of measurable factors that affect patient care costs, including patient and facility characteristics that vary systematically across VISNs and that are largely beyond VISN directors' control. Alternative methods for allocating resources to VISNs, based on the principles that guide VERA but that better account for these factors, may produce a more equitable allocation system.

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Document Details

  • Availability: Available
  • Year: 2003
  • Print Format: Paperback
  • Paperback Pages: 156
  • Paperback Price: $20.00
  • Paperback ISBN/EAN: 978-0-8330-3339-0
  • DOI: https://doi.org/10.7249/MR1629
  • Document Number: MR-1629-DVA

Citation

RAND Style Manual
Wasserman, Jeffrey, Jeanne S. Ringel, Karen A. Ricci, Jesse D. Malkin, Michael Schoenbaum, Barbara O. Wynn, Jack Zwanziger, Sydne J. Newberry, Marika Booth, and Afshin Rastegar, An Analysis of Potential Adjustments to the Veterans Equitable Resource Allocation (VERA) System, RAND Corporation, MR-1629-DVA, 2003. As of September 14, 2024: https://www.rand.org/pubs/monograph_reports/MR1629.html
Chicago Manual of Style
Wasserman, Jeffrey, Jeanne S. Ringel, Karen A. Ricci, Jesse D. Malkin, Michael Schoenbaum, Barbara O. Wynn, Jack Zwanziger, Sydne J. Newberry, Marika Booth, and Afshin Rastegar, An Analysis of Potential Adjustments to the Veterans Equitable Resource Allocation (VERA) System. Santa Monica, CA: RAND Corporation, 2003. https://www.rand.org/pubs/monograph_reports/MR1629.html. Also available in print form.
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The research described in this report was sponsored by the Department of Veterans Affairs (DVA). The research was conducted jointly by the RAND Health Center for Military Health Policy Research and the Forces and Resources Policy Center of RAND's National Defense Research Institute, a federally funded research and development center.

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