Since many veterans use the VA for prescription drugs, there is a duplication of patient visits (VA and private sector both charge for services). My suggestion is to #1 have a basic drug formulary that is consistent with all VAs (not so now) with individual contract additions allowed per region (VISN); #2 open the access for veterans to fill their prescriptions (mailed or dropped off at designated pharmacies) without a VA provider visit. This will avoid duplication of services, provide more access for veterans, decrease the budget for the VA and Medicare, and be a big win for all involved.
Idea No. 17010