The VA is a looking glass into how
Obamacare would work! Lots of back-ups, frustrated patients, frustrated Physicians,
Frustrated healthcare workers, and Bureaucrats controlling everything (and I
mean everything)!
VA's Disability Claims Backlog Pushes
900,000
By Bob Brewin, Nextgov.com
The
Veterans Affairs Department faces a "staggering" backlog of 897,566
disability claims with more than 65 percent pending for more than 125 days, a
problem compounded by an error rate of 16 percent, representatives of veterans'
services organizations told lawmakers on the House Veterans Affairs Committee
on Wednesday.
The
department has seen a 48 percent increase in claims since 2008. Officials
expect the backlog will grow to 1.2 million claims this year and another 50,000
will accrue in 2013 as veterans of the Afghanistan and Iraq wars flood the
system, Veterans Affairs Secretary Eric Shinseki told the Senate Veterans affairs
Committee in March. He vowed to process all claims in fewer than 125 days with
a 98 percent accuracy standard by 2015.
Jeffrey
Hall, assistant national legislative director for Disabled American Veterans,
an advocacy group, told House lawmakers on Wednesday that "while the
elimination of the backlog will be a welcome milestone, we must remember that
eliminating the backlog is not necessarily the same goal as reforming the
claims processing system, nor does it guarantee that veterans are better
served."
James
Wear, assistant director for veteran’s benefits policy for the group Veterans
of Foreign Wars, testified that the high error rate and the poor quality of
VA's rating decisions, which determine the financial benefits veterans receive,
are a serious problem.
"Quality
of decision-making is problematic.... The national average [error rate] has
remained nearly stationary at 16 percent for months," Wear said, adding
that the Veterans Benefits Administration's Baltimore regional office has the
worst claims error rate in the country -- 29 percent, which is a slight
improvement over its error rate of 33 percent just a few months ago.
Randall
Fisher, the American Legion's service officer for Kentucky, told lawmakers that
in order to improve the claims process, VA must make training a priority and
hire more veterans whose experience would prove beneficial. Hall said due to
budget constraints, VA has cut back on training, conducting it locally rather
than using its national training academy.
"We
have concerns that this change was made strictly for short-term financial
considerations rather than to achieve the long-term goal of reforming the
claims processing system," he said.
Rep. Bob Filner, D-Calif., the ranking member on the committee,
said, "There's no shortcut of getting around the basics -- of having
well-trained employees who are empowered with the right tools and the right
systems to get the job done right the first time."
Shinseki
promised earlier this month that VA will roll out its paperless Veterans
Benefit Management System to 16 regional offices by September, with
installation in all 56 regional offices in 2013. Hall said he was concerned that
budget constraints could impede the national rollout of VBMS, and urged the
committee to provide full funding for the system. VA requested $92.3 million
for VBMS in 2013, and spent a total of $343.6 million on the system in 2011 and
2012.
Even as
it moves to a paperless claims system, Hall said VA still will face older paper
claims and it has yet to determine when or how those would be converted to
digital files. A majority of claims processed each year are for reopened or
appealed claims, which can remain active for decades. "Until all legacy
claims are converted to digital data files, VBA could be forced to continue
paper processing for decades," Hall said.
Paul
Sullivan, managing director for public affairs and veteran outreach at Bergmann
& Moore LLC, a law firm based in Bethesda, Md., said veterans service
organizations or lawyers representing veterans cannot gain access to VBMS,
something he urged the committee to change.
On
Monday, VA announced plans to streamline and speed up disability claims
processing by segmenting claims so those that can be more easily rated can be
moved quickly through the system; more complex claims would be handled by more
experienced and skilled employees.
Rep. Jeff Miller, R-Fla., chairman of the House Veterans Affairs
Committee, said VA's track record of making changes to its claims processing
system has been "substandard." He added that VA needs to ensure that
the much-touted VBMS system is set up correctly and used efficiently.
No comments:
Post a Comment