The Veterans Health Administration (VHA) is the component of the United States Department of Veterans Affairs (VA) led by the Under Secretary of Veterans Affairs for Health[2] that implements the healthcare program of the VA through a nationalized healthcare service in the United States, providing healthcare and healthcare-adjacent services to veterans through the administration and operation of 146 VA Medical Centers (VAMC) with integrated outpatient clinics, 772 Community Based Outpatient Clinics (CBOC), and 134 VA Community Living Centers (VA Nursing Home) Programs. It is the largest division in the department, and second largest in the entire federal government, employing over 350,000 employees. All VA hospitals, clinics and medical centers are owned by and operated by the Department of Veterans Affairs (as opposed to private companies), and all of the staff employed in VA hospitals are federal employees .[3] Because of this, veterans that qualify for VHA healthcare do not pay premiums or deductibles for their healthcare but may have to make copayments depending on the medical procedure.[4][5] VHA is not a part of the US Department of DefenseMilitary Health System.
Many evaluations have found that by most measures VHA care is equal to, and sometimes better than, care provided in the private sector, when judged by standard evidence-based guidelines.[16] A 2009 Congressional Budget Office report on the VHA found that "the care provided to VHA patients compares favorably with that provided to non-VHA patients in terms of compliance with widely recognized clinical guidelines — particularly those that VHA has emphasized in its internal performance measurement system. Such research is complicated by the fact that most users of VHA's services receive at least part of their care from outside providers."[17]
^"VA History". VA.gov. Veterans Health Administration, US Department of Veterans Affairs. Archived from the original on April 24, 2020. Retrieved July 9, 2017.
^ abc"Office of Budget". VA.gov. Department of Veterans Affairs. February 2022. Retrieved April 30, 2022.
^Asch, Steven M.; McGlynn, Elizabeth A.; Hogan, Mary M.; Hayward, Rodney A.; Shekelle, Paul; Rubenstein, Lisa; Keesey, Joan; Adams, John; Kerr, Eve A. (December 21, 2004). "Comparison of Quality of Care for Patients in the Veterans Health Administration and Patients in a National Sample". Annals of Internal Medicine. 141 (12): 938–45. doi:10.7326/0003-4819-141-12-200412210-00010. ISSN0003-4819. PMID15611491. S2CID35973709.
^Trivedi, Amal N.; Matula, Sierra; Miake-Lye, Isomi; Glassman, Peter A.; Shekelle, Paul; Asch, Steven (2011). "Systematic Review: Comparison of the Quality of Medical Care in Veterans Affairs and Non-Veterans Affairs Settings". Medical Care. 49 (1): 76–88. doi:10.1097/mlr.0b013e3181f53575. JSTOR25767038. PMID20966778. S2CID36506752.
^Keating, Nancy L.; Landrum, Mary Beth; Lamont, Elizabeth B.; Bozeman, Samuel R.; Krasnow, Steven H.; Shulman, Lawrence N.; Brown, Jennifer R.; Earle, Craig C.; Oh, William K. (June 7, 2011). "Quality of Care for Older Patients With Cancer in the Veterans Health Administration Versus the Private Sector". Annals of Internal Medicine. 154 (11): 727–36. doi:10.7326/0003-4819-154-11-201106070-00004. ISSN0003-4819. PMID21646556. S2CID207536127.
^Trivedi, Amal N; Grebla, Regina C (2011). "Quality and Equity of Care in the Veterans Affairs Health-Care System and in Medicare Advantage Health Plans". Medical Care. 49 (6): 560–8. doi:10.1097/MLR.0b013e31820fb0f6. PMID21422951. S2CID23926259.
^Lancaster, Robert T.; Tanabe, Kenneth K.; Schifftner, Tracy L.; Warshaw, Andrew L.; Henderson, William G.; Khuri, Shukri F.; Hutter, Matthew M. (June 1, 2007). "Liver Resection in Veterans Affairs and Selected University Medical Centers: Results of the Patient Safety in Surgery Study". Journal of the American College of Surgeons. 204 (6): 1242–51. doi:10.1016/j.jamcollsurg.2007.02.069. PMID17544082.
^Longman, Phillip. Best care anywhere. Berrett-Koehler Publishers, 2010.