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Understanding Potential Changes to the Veterans Equitable Resource Allocation (VERA) System

A Regression-Based Approach

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

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The Veterans Health Administration asked the RAND National Defense Research Institute, a division of the RAND Corporation, to undertake a quantitative analysis of the Veterans Equitable Resource Allocation (VERA) system. VERA was instituted in 1997 and was designed to improve the allocation of the congressionally appropriated medical care budget to the regional service networks that compose the Department of Veterans Affairs health system. The study determines how particular patient and facility characteristics influence allocations to the regional service networks and simplifies and refines the models created in earlier RAND research to reflect policy changes and more recent data. Related documents: An Analysis of Potential Adjustments to the Veterans Equitable Resource Allocation (VERA) System, MR-1629-DVA, 2003; and An Analysis of the Veterans Equitable Resource Allocation (VERA) System, MR-1419-DVA, 2001.

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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 Center for Military Health Policy Research, a RAND Health program, and the Forces and Resources Policy Center, a RAND National Defense Research Institute program.

This report is part of the RAND Corporation Monograph series. RAND monographs present major research findings that address the challenges facing the public and private sectors. All RAND monographs undergo rigorous peer review to ensure high standards for research quality and objectivity.

The RAND Corporation is a nonprofit institution that helps improve policy and decisionmaking through research and analysis. RAND's publications do not necessarily reflect the opinions of its research clients and sponsors.