Universal HealthcareBy NextBestFit
Phase 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
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Task 4.4.3 of 6

Veterans: enroll all veterans in UHP while keeping VA eligibility; VA Community Care referrals become UHP care; VA keeps specialized services (spinal-cord injury, PTSD, prosthetics).

Who does it
VA / UHA
When
Year 1
Trade-off

Dual VA/UHP eligibility gives veterans choice but can erode VA volume and expertise.

Part of: Coordinate with continuing payers: workers' comp, auto, VA, TRICARE, IHS

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).

This step changes 6 existing laws, programs, or institutions. See the list.