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A HORRIFYING PREVIEW OF OBAMACARE: 6 in 10 Veterans Administration claim denials are in error

Home - by - December 14, 2012 - 22:45 America/New_York - 9 Comments

Doug Ross

So reports Army Times in a sobering report on the state of a typical, government-run health care system:

A new report on an old problem contains some sad statistics about veterans’ benefits claims:

• Thirty-one percent of claims filed with the Veterans Affairs Department are likely to be denied — and 60 percent of those denials will be erroneous.

• Sixty percent of claims will take longer than 125 days to be processed, more than 7 percent of claims will be misplaced, and 4 percent will be completely lost.

• A veteran calling VA’s benefits hotline has just a 49 percent chance of being connected to someone and receiving a correct answer.

 

…Based on a review of the 870,000 benefits claims pending before VA in 2011 — a number that has climbed to about 900,000 pending claims today… Even faster claims processing might be possible by contracting out administrative services or transferring claims processing from the federal government to states, the report says. It recommends expanded pilot programs to test those ideas.

The nonpartisan National Center for Policy Analysis, which specializes in retirement and health care programs, is skeptical about VA’s stated goal of eliminating the claims backlog by the end of 2015.

VA “is barely able to process current claims,” the report says, “and has exhibited little to no progress toward their stated goal of 125 days and 98 percent accuracy for processed claims by 2015.”

The federal government, in general, does a poor job of administering disability benefits and services, the report says, “as evidenced by the state of Social Security Disability.”

“But the Veterans Benefits Administration appears to be far worse.”

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» 9 Comments

  1. Ten Megaton

    December 14th, 2012

    The federal government, in general, does a shitty job,period.

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  2. Mary Jane Anklestraps

    December 14th, 2012

    They can’t keep their own books and handle their own private lives, yet somehow they’re trying to get into your business in every way they can. The VA has been ’0bamacare’ for a very long time. Now these losers want the rest of us to suffer under it, too.

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  3. Moe tom

    December 14th, 2012

    I am a veteran with a 30% service connected disability.
    I have been treated by the VA for prostrate cancer.
    I have had vascular surgery on both legs. Both treatments were successful.
    I have nothing but the utmost admiration and respect for the Doctors, Nurses, and staff at the VA Hospital at Kingsbridge Road in the Bronx, Castle Point Military Hospital, and The VA Clinic in ClarksTown, NY.
    I have no experience in what the Army Times and Doug Ross are speaking of.

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  4. Moe tom

    December 14th, 2012

    It may well depend on the regional OIC.

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  5. grayscape

    December 15th, 2012

    That’s nothing – 8 in 10 GI bill claims are denied. Fuck the VA.

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  6. Boobie the Rocket Dog

    December 15th, 2012

    Hah! They haven’t even settled all the Agent Orange claims from 40 years ago.

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  7. grayscape

    December 15th, 2012

    God bless you Moe – glad you were an exception.

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  8. Moe tom

    December 15th, 2012

    Greyscape. I hope I wasn’t the exception. I hope that millions of our people got the care I got. I really do. But it may be a regional thing, as I said before. Mount Sinai Hospital doctors and nurses staff the New York area. And they are top notch.

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  9. hi_desertgirl

    December 15th, 2012

    I have been a military “dependent” one way or another for 39 of my 45 years. I am very acquainted with military medical care and Tricare. I will say I have had some incredible and amazing physicians, nurses, and PAs during those years. However, the administrative side of military medical care is a nightmare. If sequestration does go into effect along with the proposed cuts in Medicare payments to physicians, I expect things to get worse. I’ve told people in the past that if they want to see what nationalized healthcare would be like go on Tricare for about two or three years and try to navigate that system. And move twice in one year from one region to another to add a little bit of a challenge.

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