VA Health Care: Estimates of Available Budget Resources Compared with Actual Amounts

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Correspondence issued by the Government Accountability Office with an abstract that begins "VA estimates the amount of collections and reimbursements it expects to receive each year by using a projection model and other methods. These estimates have varied when compared with actual amounts for various reasons. VA used a projection model to estimate its collections for fiscal years 2005 through 2012 based on data reflecting the amount of health care—known as workload—VA has provided in the past and the amounts VA has collected in the past. To estimate its collections in fiscal year 2013, VA began using a second projection ... continued below

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United States. Government Accountability Office. March 30, 2012.

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Description

Correspondence issued by the Government Accountability Office with an abstract that begins "VA estimates the amount of collections and reimbursements it expects to receive each year by using a projection model and other methods. These estimates have varied when compared with actual amounts for various reasons. VA used a projection model to estimate its collections for fiscal years 2005 through 2012 based on data reflecting the amount of health care—known as workload—VA has provided in the past and the amounts VA has collected in the past. To estimate its collections in fiscal year 2013, VA began using a second projection model, known as the Integrated Collections Forecasting Model (ICFM) to estimate collections. The ICFM relies on many of the same data sources as VA’s previous collections model, but it also incorporates forecasts related to future workload. For fiscal years 2005 through 2011, VA both overestimated and underestimated its collections. For example, for fiscal year 2011, VA overestimated the amount of its collections by about $582 million, or 17 percent. VA officials attribute this difference to several factors, such as overestimating the amount of collections VA would receive when it billed veterans’ third-party insurance plans. To estimate the amount of reimbursements it would likely receive in each of the fiscal years, VA used one of two methods depending on the year. For fiscal years 2005 through 2011, VA applied a growth rate to its most recent full year data on actual reimbursement amounts received to reflect anticipated increases in reimbursements, and for fiscal years 2012 and 2013, VA relied on individual reimbursement estimates provided by each of VA’s 21 Veterans Integrated Service Networks. While VA’s estimates of reimbursements were relatively consistent with actual amounts in fiscal years 2005 through 2007, in fiscal years 2008 through 2011, VA underestimated reimbursements by an average of $74 million, or 26 percent annually."

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Government Accountability Office Reports

The U.S. Government Accountability Office (GAO) is an independent, nonpartisan agency that works for the U.S. Congress investigating how the federal government spends taxpayers' money. Its goal is to increase accountability and improve the performance of the federal government. The Government Accountability Office Reports Collection consists of over 13,000 documents on a variety of topics ranging from fiscal issues to international affairs.

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  • March 30, 2012

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  • June 12, 2014, 7:50 p.m.

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United States. Government Accountability Office. VA Health Care: Estimates of Available Budget Resources Compared with Actual Amounts, text, March 30, 2012; Washington D.C.. (digital.library.unt.edu/ark:/67531/metadc301323/: accessed October 18, 2018), University of North Texas Libraries, Digital Library, digital.library.unt.edu; crediting UNT Libraries Government Documents Department.