Some vets can go to CVS 'MinuteClinics' for minor illnesses


Some ailing veterans can now use their federal health care benefits at CVS "MinuteClinics" to treat minor illnesses and injuries, under a pilot program announced Tuesday by the Department of Veterans Affairs.

The new program, currently limited to the Phoenix area, comes three years after the VA faced allegations of chronically long wait times at its centers, including its Phoenix facility, which treats about 120,000 veterans.

The Phoenix pilot program is a test-run by VA Secretary David Shulkin who is working on a nationwide plan to reduce veterans' wait times.

Veterans would not be bound by current restrictions under the VA's Choice program, which limits outside care to those who have been waiting more than 30 days for an appointment or have to drive more than 40 miles to a facility. Instead, Phoenix VA nurses staffing the medical center's help line will be able to refer veterans to MinuteClinics for government-paid care when "clinically appropriate."

Shulkin has made clear he'd like a broader collaboration of "integrated care" nationwide between the VA and private sector in which veterans have wider access to private doctors. But, he wants the VA to handle all scheduling and "customer service" — something that veterans groups generally support but government auditors caution could prove unwieldy and expensive.

On Wednesday, President Donald Trump plans to sign legislation to temporarily extend the $10 billion Choice program until its money runs out, pending the administration's plan due out by fall. That broader plan would have to be approved by Congress.

"Our number one priority is getting veterans' access to care when and where they need it," said Baligh Yehia, the VA's deputy undersecretary for health for community care. "The launch of this partnership will enable VA to provide more care for veterans in their neighborhoods."

Sen. John McCain, R-Ariz., a long-time advocate of veterans' expanded access to private care, lauded the new initiative as an "important step forward."

"Veterans in need of routine health care services should not have to wait in line for weeks to get an appointment when they can visit community health centers like MinuteClinic to receive timely and convenient care," he said.

The Veterans Health Administration said it opted to go with a CVS partnership in Phoenix after VA officials there specifically pushed for the additional option. They cited the feedback of local veterans and the success of a smaller test run with CVS last year in Palo Alto, Calif.

Shulkin has said he wants to expand private-sector partnerships in part by looking at wait times and the particular medical needs of veterans in different communities. Successful implementation of his broader plan will depend on the support of key members of Congress such as McCain, who chairs the Armed Services Committee.

The VA did not indicate whether it received requests from other VA medical centers or how quickly it might expand the program elsewhere.

The current Choice program was developed after the 2014 scandal in Phoenix in which some veterans died, yet the program has often encountered long waits of its own. The bill being signed by Trump seeks to alleviate some of the problems by helping speed up VA payments and promote greater sharing of medical records. Shulkin also has said he wants to eliminate Choice's 30-day, 40 mile restrictions, allowing the VA instead to determine when outside care is "clinically needed."

Despite a heavy spotlight on its problems, the Phoenix facility still grapples with delays. Only 61 percent of veterans surveyed said they got an appointment for urgent primary care when they needed it, according to VA data.

Maureen McCarthy, the Phoenix VA's chief of staff, welcomed the new CVS partnership but acknowledged a potential challenge in providing seamless coordination to avoid gaps in care. She said a veteran's medical record will be shared electronically, with MinuteClinic providing visit summaries to the veteran's VA primary care physician so that the VA can provide follow-up services if needed.

The VA previously experimented with a similar program last year in the smaller market of Palo Alto, a $330,000 pilot to provide urgent care at 14 MinuteClinics. CVS says it's pleased the VA has opted to test out a larger market and says it's ready to roll the program out nationally if successful.

CVS, the biggest player in pharmacy retail clinics, operates more than 1,100 of them in 33 states and the District of Columbia.

"We believe in the MinuteClinic model of care and are excited to offer our health care services as one potential solution for the Phoenix VA Health Care System and its patients," said Tobias Barker, chief medical officer of CVS MinuteClinic.

___

Follow Hope Yen on Twitter at https://twitter.com/hopeyen1


Reader Comments ...


Next Up in Politics

President Trump in Palm Beach: Season 2 begins this week
President Trump in Palm Beach: Season 2 begins this week

President Donald Trump and his wife Melania outside Trump International Golf Club watching the Palm Beach Central band on Feb. 5 before a Super Bowl party. (Allen Eyestone / The Palm Beach Post) PALM BEACH — President Donald Trump is expected to return to Mar-a-Lago this week to kick off another season of golfing and...
NEW: Florida moped riders under 21 would need helmet under proposed law
NEW: Florida moped riders under 21 would need helmet under proposed law

The days of young adults in Florida under age 21 tooling around on mopeds and scooters without helmets may be numbered.  A bill filed in late September passed the state Senate’s transportation committee Tuesday and is on track for a vote on the Senate floor, the Gainesville Sun reports.  Under the current law, those 16 and older...
SWA accused of delaying minority study until after trash contracts set
SWA accused of delaying minority study until after trash contracts set

Firms owned by women and minorities may not be assured of getting a piece of garbage hauling contracts worth as much as $450 million from the Palm Beach County Solid Waste Authority because it has failed to respond promptly to a study that found women- and minority-owned firms have not had a fair shot at SWA contracts in recent years. That&rsquo...
Johnson says Senate tax bill would hurt small businesses (like his own)
Johnson says Senate tax bill would hurt small businesses (like his own)

Here's what Sen. Ron Johnson, R-Wis., the first Republican to oppose the Senate tax bill, doesn't like about the measure: It would slash tax rates for conventional corporations and give a much smaller tax cut to firms like the four in which he has millions of dollars in investments.  Johnson's office says he does not support the Senate bill because...
Touring photo booth puts a face on DACA repeal
Touring photo booth puts a face on DACA repeal

On Sunday, a day after anti-Trump protesters swarmed the streets of downtown, the Inside Out Project set up its photo booth truck on Flagler Shore for an art exhibit on the Deferred Action for Childhood Arrivals (DACA) program.  If you walk down Flagler Drive, you’ll see dozens of black-and-white pictures on the road. They&rsquo...
More Stories