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Jul 15, 2014
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mr. bertoni you are recognized for five minutes. >> mr. chairman ranking member and members of the committee good evening. i'm pleased to discuss the department of up veterans affairs goals. last year they paid $51 million in 3.6 mayanne veterans. given the sums the number of veterans served as important a department have a robust credible quality assurance framework to ensure all that was received accurate and consistent claims three and prior work we documented shortcomings and quality assurance activities. more recently cancer seminars about the lack of transparency related to changes in agency's national accuracy rate for disability claims which is based on a systematic technical accuracy review or star. my remarks are based on the ongoing work before this committee and to the extent to which bp measures and reports accuracy of disability claims and the extent to which other quality assurance activities are complementary and coordinated. in summary the agency now measures and reports accuracy in two ways. by claman by issue. but its ap
mr. bertoni you are recognized for five minutes. >> mr. chairman ranking member and members of the committee good evening. i'm pleased to discuss the department of up veterans affairs goals. last year they paid $51 million in 3.6 mayanne veterans. given the sums the number of veterans served as important a department have a robust credible quality assurance framework to ensure all that was received accurate and consistent claims three and prior work we documented shortcomings and quality...
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Jul 18, 2014
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mr. bertoni, you can also comment as well. >> i can't speak to that issue. we haven't done any work in that area. that was outside the scope of what we did. >> okay. >> i'm not a hundred percent sure what you are asking but we get a lot of complaints through the oig hotline. and we are looking at those complaints as to whether they are systemic problems or isolated problems within vba. is that what you are asking? because i think the congressional offices get many of the same calls. >> i was just listening to the testimony of the previous panel. and one of the complaints was that congressional offices often get attended. and they have to neglect what they were doing on other claims. >> i can speak to that a little bit. i just think it is one of many competing workloads. and there is a lot of lines of work and activity that has to be done. congressionals get attention. i know i get the calls from the public. i push it forward to the various committees. so it certainly gets attention from us and i'm sure it gets attention from vba when they get the calls. so i
mr. bertoni, you can also comment as well. >> i can't speak to that issue. we haven't done any work in that area. that was outside the scope of what we did. >> okay. >> i'm not a hundred percent sure what you are asking but we get a lot of complaints through the oig hotline. and we are looking at those complaints as to whether they are systemic problems or isolated problems within vba. is that what you are asking? because i think the congressional offices get many of the same...
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Jul 20, 2014
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mr. bertoni? as far as the use of federal performance? >> i can't speak to the history. i would say it's consistent across the executive agencies that performance bonuses are there and they should be performance-based and they should be results based but certainly when you combine the allure of performance bonuses with metrics that drive in a certain way and drive certain behaviors that is when it gets perverse and that is where executive agencies and otherwise have to be careful about the metrics they put in place and a performance bonus associated with that. >> ms. halliday in the scenario of looking at the vba aside from the scheduling issues we have had in phoenix is there any indication to you that they performance bonus and the metrics have combined in a similar way for motivation to game the system for financial gain? >> i can't speak to that. >> so nothing is revealed so f far? you say you are targeting in your investigation high-risk disability claims. can you say more about the high-risk disability claims you are looking at? tbi you said? >> during this round o
mr. bertoni? as far as the use of federal performance? >> i can't speak to the history. i would say it's consistent across the executive agencies that performance bonuses are there and they should be performance-based and they should be results based but certainly when you combine the allure of performance bonuses with metrics that drive in a certain way and drive certain behaviors that is when it gets perverse and that is where executive agencies and otherwise have to be careful about...
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Jul 20, 2014
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mr. bertoni you are recognized for five minutes. >> mr. chairman ranking member and members of the committee good evening. i'm pleased to discuss the department of up veterans affairs goals. last year they paid $51 million in 3.6 mayanne veterans. given the sums the number of veterans served as important a department have a robust credible quality assurance framework to ensure all that was received accurate and consistent claims three and prior work we documented shortcomings and quality assurance activities. more recently cancer seminars about the lack of transparency related to changes in agency's national accuracy rate for disability claims which is based on a systematic technical accuracy review or star. my remarks are based on the ongoing work before this committee and to the extent to which bp measures and reports accuracy of disability claims and the extent to which other quality assurance activities are complementary and coordinated. in summary the agency now measures and reports accuracy in two ways. by claman by issue. but its ap
mr. bertoni you are recognized for five minutes. >> mr. chairman ranking member and members of the committee good evening. i'm pleased to discuss the department of up veterans affairs goals. last year they paid $51 million in 3.6 mayanne veterans. given the sums the number of veterans served as important a department have a robust credible quality assurance framework to ensure all that was received accurate and consistent claims three and prior work we documented shortcomings and quality...
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Jul 15, 2014
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mr. bertoni? as far as the use of federal performance? >> i can't speak to the history. i would say it's consistent across the executive agencies that performance bonuses are there and they should be performance-based and they should be results based but certainly when you combine the allure of performance bonuses with metrics that drive in a certain way and drive certain behaviors that is when it gets perverse and that is where executive agencies and otherwise have to be careful about the metrics they put in place and a performance bonus associated with that. >> ms. halliday in the scenario of looking at the vba aside from the scheduling issues we have had in phoenix is there any indication to you that they performance bonus and the metrics have combined in a similar way for motivation to game the system for financial gain? >> i can't speak to that. >> so nothing is revealed so f far? you say you are targeting in your investigation high-risk disability claims. can you say more about the high-risk disability claims you are looking at? tbi you said? >> during this round o
mr. bertoni? as far as the use of federal performance? >> i can't speak to the history. i would say it's consistent across the executive agencies that performance bonuses are there and they should be performance-based and they should be results based but certainly when you combine the allure of performance bonuses with metrics that drive in a certain way and drive certain behaviors that is when it gets perverse and that is where executive agencies and otherwise have to be careful about...
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Jul 18, 2014
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mr. bertoni, we heard in el paso, that perhaps a consequence of this focus on first-time service connected disability claimtion is a rise in appeals. now, the secretary has told us that the appeals, the rate of appeals has not changed over the last 10 or 20 years. but you know, we heard anecdotally at our town hall meetings we hold every month, of veterans whose appeals, when they sign in the e-benefits haven't been touched. you can see when the last time the rating's officer, the appropriate title, has looked at one of those appeals. and veterans stood up at my town hall in april and said -- it's been two years since anyone has touched this claim. that's anecdote. but that's also how i started to understand that we had a problem within dha. anything that you can tell me that would either confirm we have a real problem or as the secretary states, you know, that's natural given the number of first-time claims that we're processing and are coming through at the same rate? and we're processing them on pace? >> our numbers, well, we had a key point of concern is the increased appeals inventory
mr. bertoni, we heard in el paso, that perhaps a consequence of this focus on first-time service connected disability claimtion is a rise in appeals. now, the secretary has told us that the appeals, the rate of appeals has not changed over the last 10 or 20 years. but you know, we heard anecdotally at our town hall meetings we hold every month, of veterans whose appeals, when they sign in the e-benefits haven't been touched. you can see when the last time the rating's officer, the appropriate...