Comment from University at Buffalo on VA-2026-VBA-0133-0001
AnonymousSupportIndividual
Summary: The commenter supports the proposed amendment to the Veteran Readiness and Employment (VR&E) Program, arguing that it reduces administrative barriers by eliminating the need for consultations with unfamiliar individuals. They contend that basing decisions on the recommendations of current treatment providers will lead to more timely, accurate, and patient-centered rehabilitation outcomes for veterans.
The proposed amendment to the Veteran Readiness and Employment (VR&E) Program represents an important step toward improving the efficiency and level of care for our veterans. This proposed change would ensure that veterans receive timely access to the care and services that they require. By eliminating the consultation requirement of a panel of individuals who are not personally and/or professionally acquainted with the individual, the VA can reduce unnecessary administrative barriers and delays in rehabilitation planning. Instead, decisions will be based on the recommendations of current treatment providers who possess firsthand knowledge of the individual's medical condition, functional limitations, and rehabilitation needs; overall improving patient care. This change promotes more accurate, patient-centered decision making while allowing veterans and eligible dependents to access educational, vocational, and rehabilitation benefits more quickly (Duan-Porter et al., 2020). Ultimately, the proposed rule aligns with the goals of improving care coordination, reducing bureaucratic inefficiencies, and better supporting veterans in achieving successful rehabilitation and employment outcomes.
Duan-Porter, W., Ullman, K., Majeski, B., Miake-Lye, I., Diem, S., & Wilt, T. J. (2020). Care coordination models and tools: A systematic review and key informant interviews. Journal of General Internal Medicine, 37(6), 1367–1379. https://doi.org/10.1007/s11606-021-07158-w