By NextBestFitPhase 4: Wave 4: everyone · Step 4.4
Coordinate with continuing payers: workers' comp, auto, VA, TRICARE, IHS
Years 1–4 · UHA; state workers' comp agencies & insurance regulators; VA; Defense Health Agency; IHS & tribesDiscuss this step
Several payment systems continue alongside UHP. UHP pays first for every resident and recovers costs from workers' compensation and auto/liability insurers. Workers' comp ($55.1B) and the medical portion of auto and property insurance ($55.3B) continue. The VA, military health system, and IHS remain delivery systems ($306.8B in federal programs).
Legal vehicle
Universal Health Act, Titles II & VIII; amendments to state workers' compensation and auto insurance laws through federal conditions; 38 U.S.C. (VA); 10 U.S.C. ch. 55 (TRICARE); Indian Health Care Improvement Act.
Who does it
UHA; state workers' comp agencies & insurance regulators; VA; Defense Health Agency; IHS & tribes
When
Years 1–4
In this step
Tasks
6 tasks
Costs & calculations
3 cost items, each with its calculation
Trade-offs
3 pros · 2 cons · 1 trade-offs
Risks
1 risks with mitigations
What changes in the system
6 existing laws, programs, or institutions changed
Other countries
3 comparisons
Cost items
- Workers' comp, worksite clinics, temporary disability$55.1B
- Medical portion of auto & property insurance$55.3B
- VA, DoD, CHIP (federal), IHS and other federal programs$306.8B
Steps that depend on this one
None.