Coordinating Care for Senior Veterans and Wounded Warriors Act
Sponsored By: Senator Jerry Moran
Introduced
Summary
Creates a pilot to deliver coordinated care for veterans enrolled in both the Medicare program and the VA health system. The pilot would try to improve access, quality, outcomes, and lower per-person costs by closing gaps and cutting duplicate services.
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- Covered veterans would be assigned a case manager who makes an individualized needs assessment and a care coordination plan with defined treatment goals to help them navigate VA and Medicare services.
- The pilot would operate in 3 to 5 Veterans Integrated Service Networks (VISNs), including rural, highly rural, and medically underserved locations, so participants reflect different geographies and access challenges.
- The VA would run the pilot through its Center for Innovation for Care and Payment and would, where practicable, contract with private-sector health programs to help design, implement, and manage care coordination.
- The pilot would run for three years and track metrics such as number of participants, use of VA and Medicare services, quality and patient outcomes, cost, access against VA standards, satisfaction, care coordination, service connection status, enrollment priority, types of care, and participant demographics.
- The Secretary would be required to report regularly to House and Senate VA committees, starting with design reports and continuing with annual results and a final recommendation at least 180 days before the pilot ends.
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Bill Overview
Analyzed Economic Effects
1 provisions identified: 1 benefits, 0 costs, 0 mixed.
Care coordinators for Medicare-enrolled veterans
If enacted, this bill would create a 3-year VA pilot to coordinate care for "covered veterans"—those enrolled in both Medicare and VA annual enrollment. If you are a covered veteran, you would be assigned a case manager who would make a needs assessment, a care plan with treatment goals, and help you use VA and Medicare services. The pilot would run in 3 to 5 VA regions (VISNs) and must include rural and medically underserved areas. The VA could contract with private health companies to design and run the pilot. The VA would track use of VA vs Medicare care, quality and costs, access, satisfaction, care coordination, and whether care is for a service-connected disability. The VA must report to House and Senate Veterans' Affairs committees regularly during design and the pilot and give a final report at least 180 days before the pilot ends.
Sponsors & CoSponsors
Sponsor
Jerry Moran
KS • R
Cosponsors
Angus King
ME • I
Sponsored 2/11/2025
Roll Call Votes
No roll call votes available for this bill.
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