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At the same time, weve had a large increase in care in the community, choice hasnt worked as intended. Here are some things were doing to fix it. On april 24th we changed the measure from Straight Line to driving distance. Using the fastest route. This roughly doubles the number of veterans eligible for the 40mile program under choice. Excuse me. But there is much more to do. A followon mailing to all eligible veterans is about to go out. Weve Just Launched a major change in internal processes to make choice the default option for care in the community. Additional staff training and communication extensive provider communications, improvement to the website and ramped up social networking. New mechanisms together, timely feedback. Directly from both veterans as well as from front line staff. These are all, already in place or about to launch. In the longer term, we must rationalize Community Care into a single channel. The different programs with different rules and reimbursement rates

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