Reforming the Military Health Care System PDF Download

Author:
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Category : Government publications
Languages : en
Pages : 144

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Author:
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ISBN:
Category :
Languages : en
Pages : 139

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Book Description
High costs, wide beneficiary dissatisfaction, and inadequate readiness for war have stirred widespread interest in changing the military's system of health care. Large sums are at stake because of the military health care system's scope. The Army, Navy, and Air Force run 129 hospitals (medical centers and regional and community hospitals), and several hundred outpatient clinics in the United States. About 9 million people are entitled to use these facilities, including not only the 2.2 million men and women serving on active duty but their roughly 3 million dependents along with about 4 million retired military personnel and their dependents and survivors. Caring for dependents and retirees nonactive beneficiaries in military facilities costs the Defense Department more than $3 billion a year. When nonactive beneficiaries cannot obtain care directly from the armed forces, because a particular medical service is unavailable or because military facilities in general are hard to reach, they may use the Civilian Health and Medical Program of the Uniformed Services (CHAMPUS). CHAMPUS pays a large part of the costs of care obtained from civilian hospitals and doctors. Dependents and retirees can use CHAMPUS whenever they want for outpatient care, but for hospital care those living in a "catchment area"--The area roughly 40 miles around a military hospital must get specific permission from their local military medical commander. In recent years funding for CHAMPUS has tripled, from about $710 million in 1980 to more than $2 billion in 1987. In response, the Administration has put forward the CHAMPUS Reform Initiative (CRI), which has at its core several fixed-price contracts with private health care companies to provide care for beneficiaries who are not on active duty. Though it may save money, CRI also carries a risk of triggering much higher costs.

Author: United States. Congress. House. Committee on Armed Services. Subcommittee on Military Personnel
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Category :
Languages : en
Pages :

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Author: H. Hugh Shelton
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Category :
Languages : en
Pages : 0

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Author: Richard A. Jordan (student.)
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Category : Health services accessibility
Languages : en
Pages : 27

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For decades, economists, forward thinking lawmakers and academicians have issued warnings that continued escalating healthcare costs and an aging population would lead to a day of fiscal reckoning. Today, healthcare spending exceeds $2.1 trillion annually hitting twice that spent on food. Liberal benefits entailing little out of pocket expenses from the consumer lead the list of causes. Hospital and physician expenses experiencing little price discipline are at the heart of an emerging crisis in the American healthcare industry. Paralleling the civilian sector, department of defense medical costs have escalated, now threatening to exceed 12% of the defense budget. Military leaders recognizing the link between open ended access to healthcare and excessive utilization, despite their warnings have met with stiff resistance from a broad coalition of lobbyists and elected representatives to implement reforms. The recent passage of the Patient Protection and Affordable Care Act (PPACA), injects an impetus toward change, however unless addressed comprehensively, the cost of healthcare will continue to rise independently from the stated goals of quality, equity, affordability. Regardless of its previous shortcomings, the Military Healthcare System (MHS) is unique as a large government run healthcare organization which could positively impact national healthcare reform.

Author: United States. Congress. House. Committee on Government Reform and Oversight. Subcommittee on Civil Service
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Category : Business & Economics
Languages : en
Pages : 152

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Author: Henry H. Shelton
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Category : United States
Languages : en
Pages : 13

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"In this white paper, experts Dr. Peter Levin, General H. Hugh Shelton, U.S. Army (ret.), and Dr. Stephen Ondra discuss reforming the military health system and recommend that the upcoming TRICARE solicitation be consistent with the recently-released HHS/CMS guidelines regarding 'fee for value.' The authors urge the in-process electronic health records acquisition to not choose a closed, proprietary, highly integrated commercial vendor, and that the Department of Defense (DOD) promote Blue Button personal health records to help address digital record exchange with the Department of Veterans Affairs"--Publisher's web site.

Author: United States. Congress. Senate. Committee on Armed Services
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Category : Biography & Autobiography
Languages : en
Pages : 44

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Author: David P. Baine
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Category : Health care reform
Languages : en
Pages : 16

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Author: Andrew W. Mulcahy
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Category : Managed care plans (Medical care)
Languages : en
Pages : 79

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"This report assesses the impact of a key aspect of reform in the broader U.S. health care system: the Affordable Care Act's coverage expansion. The authors estimated how an influx of newly insured patients through the coverage expansion may change the way that civilian providers choose to interact with the TRICARE program. RAND's approach for this analysis combined data from the Defense Health Agency, publicly available data sources, and projections of health insurance coverage in 2016 from the RAND COMPARE microsimulation model to predict how physicians' decisions to treat TRICARE enrollees will change over time. The report culminates in lists and maps of counties where civilian physicians are most likely to face financial incentives to substitute newly insured patients for current TRICARE patients. The authors found that about 7 percent of current TRICARE visits are delivered by a community provider who could face financial incentives after the Affordable Care Act's coverage expansion to replace their current TRICARE patients with the newly insured. This work is one indicator of potential future TRICARE access concerns rather than an exact prediction of providers' decisions"--Publisher's description.