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CSPAN2 Key Capitol Hill Hearings May 13, 2015

We have a vote on the floor which should be over in the next ten minutes. I will talk a little bit and tell you what i want you to know. I will start with testimony from sloan gibson. Make the note that his staff said that was okay. I want to take extra time because this is an important hearing. Last year culminating with the passage of the veterans choice bill problems in raleigh, denver come orlando and answers that were in completed for understandable reasons. Just left about a year early. Gone as well. There was a transition. There is no excuse for the plethora of problems, and the transition should have been much better, but was not. Va demonstrated that they were finally listening. All i was hearing was nothing but stonewall until finally sloan walked into the hearing, pulled out a new rule to make the number of miles driven which i think everyone in this committee appreciates and agrees with. I believe we are satisfactorily working toward the care you need. It will happen in the ....

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CSPAN2 Key Capitol Hill Hearings May 13, 2015

Thought. So explain your logic in terms of not allowing them to make that choice than elves. We have spent a great deal of time talking about this. One of the things for us to keep in mind is that 81 of the veterans we provide care for have Medicare Medicaid or some form of private Health Insurance. Oftentimes what you see today, you mention this fact earlier that the veterans have given the option for toys and somewhat elect to stay in and that is precisely what happens today. Roughly half of 40 to 50 depending on whos the survey you are listening to. I would tell you my perspective part of those are deciding to stay because they are getting great care and they enjoy the camaraderie with other veterans, they have continuity of care because they have been receiving care for a long time and others come there because they have an economic and others come there. So they hav ....

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CSPAN3 Politics Public Policy Today May 12, 2015

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 rationa ....

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CSPAN3 Politics Public Policy Today May 15, 2015

The form of non v. A. Care and choice care to get this right. If i can make two quick observations. Youre absolutely spot on. First of all we have to force ourselves to make certain decisions about what care can be most efficiently delivered in the community. So weve talked before my example the chairman remembers optometry. Why would we send a veteran 100 miles to get his eyes checked and get some glasses . We can do that anywhere. We wouldnt we routinely be referring that out to the community unless a veteran really wants to come to va. We are learning right now, again working to manage towards requirements rather than just a budget number, every time we improve access to care with a new facility, with additional staff, demand changes. Part of what were trying to understand are what are the dynamics. For example, you look in phoenix where we know were under penetrated in the veteran market. We improve access to care and we get a disproportionate response back. Weve got to understand ....

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CSPAN3 Hearing On Veterans Choice Program Implementation And Future May 29, 2015

Captioning performed by vitac forward to hearing first from sloan gibson. Thank you, mr. Chairman. Chairman isakson Ranking Member blumenthal and the committee, were committed to making the Choice Program work and to providing veterans timely and geographically accessible care, using care in the community whenever necessary. Ill talk shortly about what were doing and the help that we need from congress to make all of that happen. First, i want to talk very briefly about access to care. Most mornings at 9 00 a. M. , for the last year, Senior Leaders from across the department gathered to focus on improving veterans access to care. Weve concentrated on key drivers of access, including increasing Medical Center staffing by 11,000, adding space, boosting care during ext ....

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