The Veterans Health Administration: A Preliminary Analysis of the Influence of <i>The Independent Budget</i> and Bureaucratic Performance on Funding Trends
Keywords: Veterans Health Administration, VHA, budget analysis, The Independent Budget, IB, Department of Veterans Affairs, VA, performance measurement, public budgeting
AbstractThe Veterans Health Administration (VHA) is the largest integrated health system in the U.S. with 7.9 million U.S. veterans enrolled. Both the number of veterans seeking VHA health services and the cost of delivering such services continue to rise as a result of myriad factors. Kidder examines VHA funding outcomes over the past 10 years in light of the participation of veterans' service organizations (VSOs) in committee hearings; the reliance of lawmakers upon The Independent Budget (IB); and the impact of new performance-based management initiatives on budget outcomes. Her article highlights the political nature of the VHA budget and the influential role of VSOs in funding outcomes.