• Cotton JL, Syed A, Abbitt D, Mecum A, Anigbogu C, Jones TS, Aftab M, Rove JY, Jones EL. Cost of Veteran Coronary Artery Bypass Grafting: Veterans Health Administration Versus Community Care. The Journal of surgical research. 2025 Oct 1; 315:145-150, DOI: 10.1016/j.jss.2025.09.001.
• Syed AS, Wikiel KJ, Cotton JL, Jones EL. Quality of bariatric surgery at Veterans Affairs versus community care hospitals. Surgical endoscopy. 2025 Sep 15 DOI: 10.1007/s00464-025-12148-8.
• Vanneman ME, Phibbs CS, Ong MK, Zhang Y, Chow A, Yoon J. Veterans' Behavioral Health Hospitalizations and Outcomes in VA Versus Non-VA Hospitals. Health services research. 2025 Jul 23; e70013, DOI: 10.1111/1475-6773.70013.
• Waldo SW, Glorioso TJ, Butala N, Varosy P, Duvernoy CS, Plomondon ME, Francis J. Management and Outcomes of Patients Undergoing Cardiovascular Evaluation Across Health Care Systems: Comparison of Community Care and Integrated Veterans Affairs Health Care. Journal of the American Heart Association. 2025 Aug 5; 14(15):e041930, DOI: 10.1161/JAHA.125.041930.
• Calvert C, Taylor SL, Olson J, Coggeshall SS, Frochen S, Zeliadt SB, Taylor BC, Burgess DJ. Complementary and Integrative Health Therapies and Pain: Delivery Through Veterans Affairs and Community Care. Global advances in integrative medicine and health. 2025 Jul 8; 14:27536130251358757, DOI: 10.1177/27536130251358757.

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• VHA Spending for VHA-Medicare Advantage Dual Enrollee Veterans More than Doubled from 2011–2020 to $12B as Dual Enrollment Grew
  VHA-Medicare Advantage (MA) dual enrollment may be a source of significant excess federal spending, as MA plans receive payments for comprehensive healthcare services, without having these payments reduced if Veterans receive care in VHA. Findings from this study showed that from 2011–2020, the number of VHA-MA dual enrollees who used VHA services increased by 63%, from 14% of all VHA-Medicare enr...
  
  Date: October 2, 2024
• Veterans with Diabetes Receiving Community Primary Care Had Worse Diabetes Care Quality and Higher Costs than Veterans Receiving VA Primary Care
  This study compared the quality, costs, and outcomes of community- and VA-provided primary care for Veterans with diabetes over 12 months during FY 2021–2022. Findings showed that Veterans who received community primary care had worse diabetes care quality and higher mean total costs (driven by higher inpatient and prescription drug costs) than Veterans who received VA primary care. There was no d...
  
  Date: August 5, 2024
• Post-MISSION Act Racial/Ethnic Disparities in Use and Wait Times for VA and Community Care Primary Care
  This study used VA and Community Care (CC) outpatient and consult data for FY2021–FY2022 to examine whether utilization of and wait times for primary care differed between Black and Hispanic Veterans compared to White Veterans in rural and urban areas post-MISSION. Findings showed that Black and Hispanic Veterans waited significantly longer for primary care in CC, but Hispanic Veterans in urban ar...
  
  Date: June 21, 2024
• QUERI Evaluation Identifies Barriers, Facilitators, Lessons Learned, and Strategies to Better Standardize Veteran Safety Practices Across VA and Community Care
  VA’s “Patient Safety Events in Community Care: Reporting, Investigation, and Improvement Guidebook” was designed to standardize safety practices across VA-delivered and VA-purchased care (i.e., community care). This project identified organizational barriers and facilitators related to Guidebook implementation, identified lessons learned during implementation, and developed strategies to improve f...
  
  Date: May 8, 2024
• VA’s Referral Coordination Initiative Does Not Measurably Affect VA or Community Care Wait Times or Community Care Referrals
  This study investigated whether the Referral Coordination Initiative (RCI) was associated with changes in the proportion of VA specialty referrals completed by community-based care (CC) providers and mean appointment waiting times for VA and CC providers. Findings showed that in the initial years of the RCI program, RCI implementation did not measurably affect CC referral rates or wait times at VA...
  
  Date: March 30, 2024

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• Learn more about the HSR-funded Access and Community Care Engagement Network Team.
• Visit the Health Economics Resource Center to access Community Care cost data.
• Visit the VA Office of Community Care’s publications page to access policy manuals and program guides.