C4
V serves a niche within the VI. In some regards,
C4
V competes with local hospitals, insurance providers, and
cemeteries, but in most cases, C4
V provides services to those
who could not pay other providers. Typically, the Veterans served
by C4
V would not produce significant revenue for other local
providers of similar services, and therefore, relationships with
others are collaborative rather than competitive. However, with
the expansion of Medicaid services under the Affordable Care Act
(ACA) and the new Veteran’s Choice Cards, many Veterans will
have increased choices for health insurance and health care, and
relationships may become increasingly competitive.