PP204 – Impact of the Patient Protection and Affordable Care Act on Veterans Health Administration of Veterans’ 65 years old or younger Utilization, Access and Patient Satisfaction
The Veteran Health Administration (VHA) has been the forerunner and the undisputed sole uniformed healthcare program in America for 64 years, from 1946-2010. This presentation will provide the results of a study that examined 1. The impact of the convergence of the Personal Protection and Affordable Healthcare Act (PPACA) and VHA uniformed healthcare programs from the Implementation Theory framework of public policy, and 2. Specifically, this study researched the impact on utilization, access, and patient satisfaction on a cohort of military Veterans seeking care at VA Tennessee Valley Healthcare System between January 1, 2011 thru December 31, 2016, spanning a 3 year period prior to and a 3 year period following the implementation of PPACA 01/01/2014.
The VHA’s solitary reign of bureaucratic healthcare management was joined in March 23, 2010 by a second uniformed health care plan, The Personal Protection and Affordable Health care Act (PPACA), and subsequently enacted January 1, 2014. With the implementation of PPACA more opportunities for healthcare coverage were created for American citizens and military Veterans. However, it was initially predicted that 19 million of these American will remain uninsured after PPACA including 7.7% of Veterans, 1.8 million. This study will more specifically explore the 1. History of Veteran Health Administration and History of and emergence of PPACA, and provider 2. Quantitative research and, 3. Qualitative research exploring the impact on utilization, access, and patient satisfaction amongst recently discharged military Veterans and Veterans deployed to the War in Iraq and Afghanistan.
1. Provide overview implementation pathways of the Patient Protection and Affordable Care Act (PPACA), P.L. 111-148 and the Veterans Healthcare Administration.
2. Provide overview of results of the Impact of the Patient Protection and Affordable Care Act on Veterans Health Administration on Utilization, Access and Patient Satisfaction of Veterans 65 years old or younger research project conducted by Jacob Hathaway Principal Investigator, Tonia Hardyway Co-Principal Investigator and provide data to assist in improving timely and quality care for younger military Veterans that are not eligible for Medicare.
3. Highlight the impact of the convergence of two uniformed health care programs, Veterans Health Administration and PPACA, on Veterans’ utilization, access and patient satisfaction highlight trends in the successful and unsuccessful integration of these two systems in creating timely and quality care, and to recommend health care and policy and planning initiatives that will better address potential pitfalls of fragmented care improve care provided by case managers and healthcare providers.