Early Impact of VA MISSION Act Implementation on Primary Care Appointment Wait Time.

ABSTRACT:

Background

Through Community Care Networks (CCNs) implemented with the VA MISSION Act, VA expanded provider contracting and instituted network adequacy standards for Veterans' community care.

Objective

To determine whether early CCN implementation impacted community primary care (PC) appointment wait times overall, and by rural/urban and PC shortage area (HPSA) status.

Design

Using VA administrative data from February 2019 through February 2020 and a difference-in-differences approach, we compared wait times before and after CCN implementation for appointments scheduled by VA facilities that did (CCN appointments) and did not (comparison appointments) implement CCNs. We ran regression models with all appointments, and stratified by rural/urban and PC HPSA status. All

SUBMITTER: Govier DJ 

PROVIDER: S-EPMC9616400 | biostudies-literature | 2023 Mar

REPOSITORIES: biostudies-literature