By Sandra Basu
WASHINGTON—VA has told legislators that the agency is on track with a new law that will give veterans more options to have their claims appeals reviewed.
“We are working against the clock. Time is of the essence,” VA Deputy Secretary Thomas Bowman told lawmakers last month. Implementation has a February 2019 deadline.
Bowman made his comments at a House Committee on Veterans’ Affairs hearing where lawmakers had a lot of questions about how VA is preparing for the implementation of the appeal reforms plan. The bill mandating the plan was signed into law last year after VA and advocacy groups sought modernization of the current appeals system.
House Committee on Veterans’ Affairs Chairman Rep. Phil Roe, MD, (R-TN) pointed out during the hearing that VA has a backlog of more than 470,000 appeals and that passing the bill “was only the first step.”
ADVANTAGES TO RAMP
- Early participation in the new, more efficient review process for VA benefit decisions
- Potentially faster decisions and early resolution of disagreements
- Multiple review options (supplemental claim, higher level review, or appeal to the Board after February 2019)
- The same potential effective date for benefits regardless of the review option chosen
- The option to ask for a quick, fresh look at a VA decision by an experienced claims reviewer
- A new requirement that we must have clear and convincing evidence to change any findings favorable to you in a VA decision
“We intend to continue to work closely with VA and the stakeholders to ensure that veterans who file an appeal receive an accurate decision in a more timely manner,” Roe said.
The new law creates new “lanes,” among other changes, for appeals processing as a way to speed up the handling of claims.
“The new system is easier to understand. Veterans will be able to tailor reviews to their needs, and it will provide both faster decisions and greater transparency,” Bowman told lawmakers.
Testifying at the hearing on the Government Accountability Office’s review of the implementation was U.S. Comptroller General Gene Dodaro. He told lawmakers that the GAO had found that VA’s implementation plan for the new system was lacking.
Specifically, the oversight group found in a recent report that, while VA’s implementation plan addresses 17 of 22 required elements, it partially addressed four and did not address one of the required parts of the plan, at all.
“Without complete information on all 22 of the required elements, Congress does not have the information it needs to fully conduct oversight of VA’s appeals plan and the agency’s efforts to implement and administer the new process while addressing legacy appeals,” the report stated.
Dodaro told lawmakers that, despite evidence that “VA was using certain sound planning practices,” GAO “found also there were a number of other areas that could benefit from better planning practices.”
Bowman told lawmakers that the VA agrees with that assessment and that the agency will be “working closely with GAO every step of the way.”
Low Pilot Participation
Roe voiced concerns, meanwhile, that, so far, only 3% of invited eligible veterans with pending appeals with VBA have chosen to participate in the pilot program of the system known as Rapid Appeals Modernization Program (RAMP). The pilot began in November of 2017 and tests two of the five new processing options.
Participating in the pilot program is voluntary and designed to provide VA with data before the agency fully rolls out the program. In order to participate, veterans have to withdraw their pending legacy appeal but those opting to use the pilot system are getting decisions within 30 days.
David R. McClenachen, director of the VBA Appeals Management Office, told lawmakers that 15,500 invitations for the program had gone out at the time of the hearing.
“The obligation is for us to message to veterans that this new approach is worth their consideration,” Bowman said.
Dodaro suggested that veterans might be deterred from using RAMP because, under the pilot program, they have to wait until February 2019, when the new system is fully implemented, to be able to appeal a RAMP decision with which they disagree.
“I think VA needs to try to find out whether or not that’s deterring anybody from picking the RAMP option,” he said.
Veterans’ service organizations also weighed in on progress made with implementation of the system. Disabled American Veterans National Service Director Jim Marszalek said his organization believes that VBA and the board are “off to a good start” in implementing the new appeals system.
On the other hand, Paralyzed Veterans of America Associate Legislative Director Steven Henry told lawmakers that the “speed at which VA is implementing RAMP is troubling.”
“Our greatest concern is that VA may be rushing its implementation as seen by the rapidly increasing number of veterans contacted for the pilot without VA considering the metrics of the pilot,” he said.
With a long history of point of care testing at both of its predecessor organizations, the Walter Reed National Military Medical Center (WRNMMC) laboratory services staff were keenly aware of the advantages of using portable testing devices to obtain rapid patient assessments.
Legislation that would streamline VA’s community care programs into one program and expand VA’s caregiver program to veterans of all eras was signed into law earlier this month..