Community Care
The MISSION Act of 2018, which established the current model of Veterans’ community care, defines it as a program that "provides hospital care, medical services, and extended care services to eligible veterans through non-Veterans Administration (VA) health care providers."
HSR’s community care research aims to optimize the delivery, quality, and outcomes of care provided to Veterans outside of VA medical facilities. Research focus areas include eligibility and access, quality and safety, cost effectiveness, virtual care/telehealth in the community, and care coordination between VA facilities and community providers.
Each section below is populated by a search of the HSR website. Search results are generated based on the search term "Community Care" . Results are updated as new data are available.
VIEW: Citations | Publication Briefs | Studies | HSR Briefs, Reports, Newsletters | Cyberseminars | Videos | Podcasts | Other Resources
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Citations
(recent COMMUNITY CARE publications)
- Rosen AK, Beilstein-Wedel E, Gurewich D, Davila H, Shwartz M. Examining Differences in Wait Times for Primary Care in the Veterans Health Administration (VA) by Race and Ethnicity: What Role Do Within-facility and Between-facility Differences Play? Medical care. 2026 Jan 5 DOI: 10.1097/MLR.0000000000002279.
- Kistler CE, McCoy JL, Boudreaux-Kelly M, Kerper SA, Jump RLP, Kapadia P, Vaughn J, Handler SM. Clinical Performance of the Remote After-Hours Telemedicine Medical Officer of the Day (Tele-MOD) Program: A Cohort Study. Journal of The American Medical Directors Association. 2026 Feb 1; 27(2):106004, DOI: 10.1016/j.jamda.2025.106004.
- Hahn Z, Naiditch H, Talisa V, Tyler B, Hotchkiss JR, McVerry BJ, Yende S, Mayr FB. Intensive Care Unit Admissions Purchased or Delivered by Veterans in the VA Health Care System. JAMA health forum. 2025 Dec 5; 6(12):e255605, DOI: 10.1001/jamahealthforum.2025.5605.
- Sullivan JL, Miech EJ, Shin MH, Chan JA, Shwartz M, Borzecki A, Abdulkerim H, Yackel E, Yende S, Rosen AK. Explaining site-level fidelity within a national initiative to implement a VA patient safety guidebook: the difference-making role of networks & communications. Implementation science communications. 2025 Nov 27 DOI: 10.1186/s43058-025-00797-8.
- Kalvesmaki AF, Blok AC, Dodge JR. Integrating Families Into Veteran Care: A Call to Action for Holistic Support Systems. Military medicine. 2025 Nov 1; 190(Supplement_3):27-30, DOI: 10.1093/milmed/usaf395.
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Publication Briefs
(recent COMMUNITY CARE Publication Briefs )
- 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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Studies
(recent COMMUNITY CARE projects
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| Project No. |
Title |
PI |
Funding End |
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HSR5-009-24W
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Optimizing Multi-System Care Among Veterans with Chronic Pain |
Govier, Diana |
2030-12-31 |
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CDA 23-110
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Drive Home: Developing Strategies for Equitable Veteran Access to Home Dialysis |
Reddy, Yuvaram |
2029-09-30 |
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IIR 23-025
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Evaluating Veterans' Reproductive Healthcare Access, Quality and Outcomes in a Changing Landscape (EVOLVE) |
Callegari, Lisa |
2029-06-30 |
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IIR 22-193
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Lung Cancer Screening for Veterans Enrolled in Community Care: Modifiable Mechanisms to Improve Patient-Centered Outcomes |
Slatore, Christopher |
2028-06-30 |
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IIR 22-011
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Improving Value through Comprehensive Episodes of Emergency Care for Veterans |
Kocher, Keith |
2028-03-31 |
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HSR Briefs, Reports, Newsletters
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Cyberseminars
The most recent "Community Care" seminars are displayed.
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| Date |
Title |
Presenter(s) |
| 5/5/2026 |
Impact of VA-Purchased Community Care on Potentially Inappropriate Medication Use in Older Veterans
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Hwang, Catherine
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| 9/18/2024 |
Outcomes and Spending from VA vs. Community Care: Evidence from Ambulance Rides
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Chan, David
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| 6/11/2024 |
Unpacking MST Survivors’ Emotional Experiences with Accessing Community Care for Mental Health Concerns
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Boykin, Derrecka
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| 2/21/2024 |
Use and Cost of Low-Value Health Services by Veterans in VA and non-VA Settings
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Radomski, Thomas
Thorpe, Carolyn
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| 2/12/2024 |
Introducing the Access and Community Care Engagement Network Team (ACCENT)
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Mengeling, Michelle
Mattocks, Kristin
Hynes, Denise
Rosen, Amy
Vanneman, Megan
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Videos
There are currently no videos for this topic. |
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Podcasts
There are currently no podcasts for this topic. |
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