Comparison of Accessibility, Cost, and Quality of Elective Coronary Revascularization Between Veterans Affairs and Community Care Hospitals

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Abstract
The US Department of Veterans Affairs (VA) supplements its hospitals and clinics with care purchased from community providers. This initiative, known as the Community Care Program (CC), cost $5.6 billion in 2014, representing 10% of the VA health care budget.1 The Veterans’ Access to Care through Choice, Accountability, and Transparency Act of 2014 expanded this program with a 3-year appropriation of $10 billion, with further expansions proposed.2-4 Currently, veterans are eligible to use CC services if the VA cannot provide necessary services due to a lack of available specialists, long wait times, or extraordinary distance from a veteran’s home.5

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