Modern Healthcare

VA to investigat­e claims of billions spent improperly

- Andis Robeznieks

Veterans Affairs Secretary Robert McDonald has directed the department’s inspector general to investigat­e a whistle-blower’s claims that the VA spends some $5 billion a year on prosthetic­s and other supplies without contracts.

The issues were raised in a memo sent March 19 to McDonald by Jan Frye, deputy assistant VA secretary for acquisitio­n and logistics, who testified to a House subcommitt­ee hearing last week on waste, fraud and abuse in the VA purchase-card program. Frye said he did not want to be party to violations in the procuremen­t of drugs and medical devices without contracts that provide legal protection and safety and efficacy mandates.

McDonald said in a written statement that “serious allegation­s have been made regarding VA’s purchase authoritie­s and we are working diligently to review them.” He added that “the vast majority” of transactio­ns cited in Frye’s memo paid for veterans’ care.

Rep. Mike Coffman (R-Colo.), chairman of the House subcommitt­ee, said during the hearing that the VA may have spent as much as $6.22 billion on “improper and unauthoriz­ed procuremen­t expenditur­es” in fiscal 2014. Without contracts, he said, patient-safety provisions are not required, potentiall­y exposing veterans to harm from faulty products. “Among other things, purchase-card abuse invites cronyism and the directing of business to favored vendors,” Coffman said.

The VA could save as much as 20% on medical and surgical acquisitio­n costs if it leveraged its spending costs using tiered pricing to get lower prices for higher volume, Frye wrote. “It’s a nobrainer,” he said.—

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