The Veterans Health Administration's medical-care dollars, traced to the source.

Veterans Health Administration · Department of Veterans Affairs

VHA runs the largest integrated health system in the country. Its money is four discretionary appropriations — Medical Care — funded a full year ahead by advance appropriation so care never lapses. This monitor keeps those accounts reconciled to the dollar against the VA Budget-in-Brief, and surfaces the one thing moving underneath a flat topline: private-sector community care is surging.

FY2027 Medical Care

four accounts

Community Care (FY2027)

purchased care

Medical Services (FY2027)

direct care

Funded a year ahead

FY2028 Medical Care — advance appropriation

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