36C10G24R0038 Attachment B - Sample Budget Impact.pdf
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- R408--Actuarial Support Services
- Solicitation number
- 36C10G24R0038
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Attachment B is a sample budget impact document from the Department of Veterans Affairs detailing projected expenditure impacts from fiscal year 20XX to fiscal year 20XX. The document provides a comprehensive breakdown of potential financial changes across multiple service categories, including COVID-19 recovery, community care adjustments, health care management, enrollment growth, and demographic mix changes.
The budget impact analysis covers various components such as deferred care impact, returning care impact, economic reliance behavior, pandemic response procurement activities, MISSION access standards, emergency room benefits, and long-term services and supports (LTSS) program adjustments. The analysis includes both modeled services excluding LTSS and modeled LTSS, presenting expenditure changes in millions of dollars and percentage changes across different fiscal year projections. Key areas of financial examination include utilization trends, inflation trends, enrollment growth, demographic shifts, and potential interactions between different healthcare service impacts.
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Text version
36C10G24R0038
ATTACHMENT B: SAMPLE BUDGET IMPACT
Department of Veterans Affairs 20XX Model (BYXX) Scenario XXXX
ANNUAL Expenditure Impacts from FY 20XX to FY 20XX (millions)
BYXX Scenario XXXX Projected Expenditure Impacts
FY 20XX to FY 20XX Change
Expenditures ($millions) % Change
Modeled Services
Excluding
LTSS
Modeled
LTSS
All Modeled Services
Modeled Services
Excluding
LTSS
Modeled
LTSS
All Modeled
FY 20XX Projection
XX,XXX
X,XXX XX,XXX
COVID-19 Recovery
Deferred Care Impact XXX
XXX XXX X.XX% X.XX% X.XX%
Returning Care Impact
XXX
XXX X.XX% X.XX% X.XX%
Economic Impact on Reliance Behavior
Pandemic Response Procurement Activities
COVID-Related Workload Impact
Other COVID-19 Impacts
COVID-19 Recovery Total
Community Care Adjustments
MISSION Access Standards Impact XXX
Emergency Room Benefit
Emergency Room Pre-Authorization Impact
14-Day Urgent/Emergent Community Care Prescriptions Impact
Increased Drug Cost for Prescriptions Written by CC Providers and Filled by VA
Eye Glasses Services Inclusion in CCN Contract XXX
Changes in Community Care Payment Speed
Community Care Adjustments Total
COVID-19 and Community Care Interaction Impact
FY 20XX Calibration Impact
36C10G24R0038
ATTACHMENT B: SAMPLE BUDGET IMPACT
BYXX Scenario XXXX Projected Expenditure Impacts
FY 20XX to FY 20XX Change
Expenditures ($millions) % Change
Modeled
Excluding
LTSS
Modeled
LTSS
All Modeled Services
Modeled Services
Excluding
LTSS
Modeled
LTSS
All Modeled Services
LTSS Home and Community Based Care Program Adjustment XXX
LTSS Long Stay Facility Based Transition Program Adjustment
LTSS Short Stay Facility Based Acute Transition XXX
Mental Health Program Adjustment
PACT Emergency Room Program Adjustment XXX
Dialysis Reliance Behavior
Facility Adjustments
Health Care Management Total
Enrollment Growth & Demographic Mix Changes
Net Enrollment Growth w/ Duration XXX
Priority Level & Morbidity Transitions XXX
Geographic Migration
Aging Impact XXX
Net Enrollment Growth & Demographic Mix Changes XXX
Utilization Trend Detail
Base Trend (Before Inpatient Substance Use Disorder Impact)
Inpatient Substance Use Disorder Impact
Utilization Trend
Inflation Trend Detail
Base Trend (Before Wage Increase &
FERS) XXX
Total FERS Trend
Civilian Wage Increase
XXX X.XX% X.XX%
Inflation Trend XXX
Intensity Trend XXX
Pharmacy Cost Sharing Changes XXX
Interaction Impact
Total Change
X,XXX
XXX X,XXX X.XX% X.XX% X.XX%
FY 20XX Projection
XX,XXX
XX,XXX XX,XXX
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