The traditional boundaries between Public, Private and Federal Healthcare delivery have become more permeable as healthcare regulations and requirements have changed. The beneficiary population can no longer be considered as belonging to its system alone. Patients seeks services outside healthcare systems for many reasons, including access, capacity, and cost. Traditionally, migration between healthcare systems would be discouraged through financial measures or by threat of disenrollment. Today healthcare systems rely on each other to provide services that they cannot provide for financial, geographical or accessibility reasons.

The Veterans Administration and Department of Defense both rely on partnerships with public and private healthcare systems to provide care to Veterans, Service Members, and their dependents beyond the capability of the Federal system. Likewise, public and private healthcare systems enter into affiliation agreements with Federal sector healthcare systems for academic and research-based support.

Through this discussion, participants will gain an understanding of the complexities related to documentation of episodes of care, reimbursement for completed care, and information technology challenges; the interoperability and cooperation of Public, Private and Federal Healthcare Systems during natural or manmade disasters; and the future of Public, Private and Federal Healthcare Delivery as it relates to the continued homogenization of their respective patient populations.