Forces in Mind Trust future insights workshop report
Forces in Mind Trust (FiMT) partnered with Patrick Harris and James Alexander from Future Agenda to deliver a workshop to explore the key societal challenges and opportunities most likely to affect the Armed Forces community in the future and the freedoms and constraints impacting the environment of their support. The workshop built on the Lifting Our Sights: Beyond 2030 foresight report, which examined the impact of future trends on Service personnel and their families as they transition out of the military over the next ten years and beyond. The purpose of the event was to enable participants, and the organisations they represent, to recognise and explore their role and required potential action, to better deliver support for the Armed Forces community in the future. The intended outcomes included: • To have explored and identified the needs of the Armed Forces community in 2030 and beyond • To understand other’s and alternative perspectives • To identify specific areas of opportunity, challenge and action • To identify the implications of this exploration for attendee’s organisations The event bought together representatives from a range of sectors including central government, the devolved administrations, the Armed Forces, academia and the charity sector. This report provides a summary of the key findings from the day.
Abstract: Background: Enactment of the Veterans Choice Act (VCA) in 2014 and expansion of Medicaid programs led to greater options for Veterans to receive health care outside of the U.S. Department of Veterans Affairs (VA). However, little is known about how much care women Veterans receive in VA or non-VA settings paid by VA or other insurance types. We explore trends in inpatient care received by women Veterans before and after implementation of the VCA, focusing on hospitalizations, as these patients are often higher risk. Methods: Data for women Veterans were linked to hospital discharge data for 2013-2017 from 11 diverse states. Patient and hospital characteristics by VA and non-VA payer and age group (less than 65 years and 65 years and older) were compared for acute hospitalizations in Pearson's chi-square and analysis of variance tests. We compared the odds of a hospitalization occurring before and after VCA implementation for each specific setting/payer using separate logistic regressions. Results: Our sample included 117,177 acute medical/surgical hospitalizations. For younger women, the most common hospital setting/payer was VA hospitals (36%); older women most frequently received hospital care in non-VA hospitals covered by Medicare (61%). After the VCA, the probability of receiving VA-purchased care increased significantly for older women only. Younger women saw a significant decrease in VA hospitalizations post-VCA. Conclusions: We found that after multiple expansions in non-VA health care options, women Veterans sought more VA-purchased community hospital care.