Racial and Ethnic and Rural Variations in Access to Primary Care for Veterans Following the MISSION Act

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Abstract
After long delays in outpatient care were reported in the Veterans Health Administration (VA) 2014 access crisis, Congress passed the Veterans Access Choice and Accountability Act (Choice Act; public law No. 113-146) to improve access to timely, high-quality care for veterans across all care settings.1 The Choice Act substantially increased options for eligible veterans to receive care outside the VA through use of community clinicians paid for by the VA. Passage of the 2018 Maintaining Internal Systems and Strengthening Integrated Outside Networks Act (MISSION Act; public law No. 115-182) further expanded the opportunity for veterans to receive VA-purchased care in the community (community care [CC]) through contracts with Community Care Network (CCN) providers managed by third-party administrators. In fiscal year (FY) 2022 alone, approximately 45% of 6.2 million veteran enrollees utilized CC for care.

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