More veterans are able to get more care outside the VA system, but improper billing oversight has put thousands at risk for unanticipated hospital bills.

By the numbers: A report this week from the VA’s Office of Inspector General found that many veterans’ claims were improperly denied after they sought care in the emergency rooms of non-VA facilities.

  • The OIG estimated that about 17,400 veterans were billed for care the VA should have covered, totaling about $53 million.
  • The universe of potential effects is even bigger. Not every hospital ended up billing veterans for their denied claims, but roughly 61,000 veterans were at risk for such a bill, the OIG found.

What happened: The part of the VA that handles these claims prioritized speed — making a lot of decisions as quickly as possible — over accuracy, the OIG said.

  • The inappropriate denials were largely a product of processing errors, and when claims are processed incorrectly, patients who do get a bill may not have the accurate information they need to contest it.

My thought bubble: There’s a practical, non-ideological argument for expanding veterans’ options outside VA facilities, and that case is especially intuitive for emergency care. But the VA is still dropping the ball if it’s not actually covering that care the way it should.

Go deeper: Veterans' private health care program led to longer waits

Go deeper

Updated 25 mins ago - Politics & Policy

Coronavirus dashboard

Illustration: Sarah Grillo/Axios

  1. Global: Total confirmed cases as of 8 a.m. ET: 32,595,105 — Total deaths: 989,663 — Total recoveries: 22,508,651Map.
  2. U.S.: Total confirmed cases as of 8 a.m. ET: 7,034,432 — Total deaths: 203,789 — Total recoveries: 2,727,335 — Total tests: 99,483,712Map.
  3. States: "We’re not closing anything going forward": Florida fully lifts COVID restaurant restrictions — Virginia Gov. Ralph Northam tests positive for coronavirus.
  4. Health: Young people accounted for 20% of cases this summer.
  5. Business: Coronavirus has made airports happier places The expiration of Pandemic Unemployment Assistance looms.
  6. Education: Where bringing students back to school is most risky.
Mike Allen, author of AM
14 hours ago - Politics & Policy

Biden pushes unity message in new TV wave

A fresh Joe Biden ad, "New Start," signals an effort by his campaign to make unity a central theme, underscoring a new passage in his stump speech that says he won't be a president just for Democrats but for all Americans.

What he's saying: The ad — which began Friday night, and is a follow-up to "Fresh Start" — draws from a Biden speech earlier in the week in Manitowoc, Wisconsin:

Trump prepares to announce Amy Coney Barrett as Supreme Court replacement

Judge Amy Coney Barrett. Photo: Matt Cashore/Notre Dame University via Reuters

President Trump is preparing to nominate federal appeals court Judge Amy Coney Barrett of Indiana, a favorite of both the social conservative base and Republican elected officials, to succeed Justice Ruth Bader Ginsburg, Republican sources tell Axios.

Why it matters: Barrett would push the already conservative court further and harder to the right, for decades to come, on the most important issues in American politics — from abortion to the limits of presidential power. If confirmed, she would give conservatives a 6-3 majority on the high court.