Using outside entities other than the VA sounds good, but it doesn't work. Doctors treat veterans as Medicaid patients and won't take their plans. Put the money into the VA and make more out patient facilities. You won't save money using any plan other than the VA. You asked them to serve now it is time to backup your promise. I use the VA in Reno, NV and you can not ask for better care or staff anywhere. Using outside plans is just the start to chip away at deleting the VA. This began by sending out cards to use outside doctors rather than hiring more doctors, nurses and mental health folks.