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Defense Health Care Challenges Facing Dod In Implementing Nationwide Managed Care
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Book Synopsis Defense Health Care by : United States Accounting Office (GAO)
Download or read book Defense Health Care written by United States Accounting Office (GAO) and published by Createspace Independent Publishing Platform. This book was released on 2018-05-23 with total page 28 pages. Available in PDF, EPUB and Kindle. Book excerpt: Defense Health Care: Challenges Facing DOD in Implementing Nationwide Managed Care
Book Synopsis Defense Health Care : Challenges Facing DOD in Implementing Nationwide Managed Care by : David P. Baine
Download or read book Defense Health Care : Challenges Facing DOD in Implementing Nationwide Managed Care written by David P. Baine and published by . This book was released on 1994 with total page 9 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis Defense Health Care by : United States. General Accounting Office
Download or read book Defense Health Care written by United States. General Accounting Office and published by . This book was released on 1994 with total page 9 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Defense Department (DOD) has made great strides in implementing TRICARE, its nationwide managed health care program. GAO commends DOD for tackling this ambitious but necessary undertaking. TRICARE embodies many of the lessons learned from DOD's managed health care demonstration projects over the last several years. GAO believes that it has the potential to improve beneficiary access to care, maintain high-quality care, and gain control of health care costs. Yet some analyses suggest that it is uncertain whether TRICARE will be more cost effective than other health care options available to DOD. Much will depend on TRICARE's benefit and cost-sharing packages, which DOD still needs to finalize. Also, several implementation and contracting issues remain unresolved.
Book Synopsis Defense Health Care by : United States. General Accounting Office
Download or read book Defense Health Care written by United States. General Accounting Office and published by . This book was released on 1987 with total page 28 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis Defense Health Care by : Marcia Crosse (au)
Download or read book Defense Health Care written by Marcia Crosse (au) and published by DIANE Publishing. This book was released on 2005 with total page 104 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis Defense Health Care by : United States Accounting Office (GAO)
Download or read book Defense Health Care written by United States Accounting Office (GAO) and published by Createspace Independent Publishing Platform. This book was released on 2018-05-23 with total page 30 pages. Available in PDF, EPUB and Kindle. Book excerpt: Defense Health Care: DOD's Managed Care Program Continues to Face Challenges
Book Synopsis Defense Health Care. Obstacles in Implementing Coordinated Care by :
Download or read book Defense Health Care. Obstacles in Implementing Coordinated Care written by and published by . This book was released on 1992 with total page 11 pages. Available in PDF, EPUB and Kindle. Book excerpt: Challenges which the Department of Defense (DOD) faces in restructuring its health care system to managed care include: (1) significant budget constraints as the size of the military forces is reduced, (2) building a consensus of support among various parties for managed care, and (3) making key operational decisions in the face of little data from the Department's demonstration projects. GAO believes that DOD should reconsider certain features of its Coordinated Care program to address the following problems: differences in cost-sharing by enrollees depending on whether they are directed to military facilities or private network providers for their medical care, higher levels of cost-sharing by enrollees compared to those in health maintenance organizations, and use of negative incentives to encourage enrollment such as eliminating nonenrollees access to military health facilities. GAO believes that DOD should reconsider the range of beneficiary cost-sharing options available for Coordinated Care including (1) instituting small charges for care provided to beneficiaries in military facilities and (2) a system of beneficiary premiums. DOD should postpone its plans to "lock out" nonenrollees from military health care facilities.
Book Synopsis Defense Health Care by : United States. General Accounting Office
Download or read book Defense Health Care written by United States. General Accounting Office and published by . This book was released on 1996 with total page 20 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Defense Department's (DOD) health care system, which costs $15 billion annually, is undergoing sweeping reform. Through TRICARE, its new managed health care program, DOD is trying to improve access to care among its 8.3 million beneficiaries while containing costs. How well DOD implements and operates TRICARE may define and shape military medicine for years to come. Because of TRICARE's complexity, scale, and impact on beneficiaries, GAO reviewed the program, focusing on (1) whether DOD's experiences with early implementation yielded the expected results, (2) how early outcomes may affect costs, and (3) whether DOD has defined and is capturing data needed to manage and assess TRICARE's performance. GAO concludes that despite initial confusion among beneficiaries arising from marketing and education problems, as well as problems with the compatibility of computer systems, early implementation of TRICARE is progressing consistent with congressional and DOD goals. However, the success of DOD's efforts to implement resource-sharing agreements and utilization management is critical to containing health care costs. DOD also needs to gather enrollment and performance data so that it and Congress can assess TRICARE's success in the future.
Book Synopsis Defense Health Care: Despite TRICARE Procurement Improvements, Problems Remain by :
Download or read book Defense Health Care: Despite TRICARE Procurement Improvements, Problems Remain written by and published by . This book was released on 1995 with total page 35 pages. Available in PDF, EPUB and Kindle. Book excerpt: As federal and state medical programs move to managed care, competitively bid contracting with private health care companies is increasingly being used. Under the Medicaid program, states are using such contracts as part of their overall strategy to control rapidly escalating medical costs. In the federal sector, the Department of Defense (DOD) has been a leader in using these contracts. As part of its implementation of a nationwide managed health care program for military beneficiaries called TRICARE, DOD has begun to award large, complex, competitively bid contracts to supplement and support the health care provided in military medical facilities. These 5-year contracts are estimated to cost a total of about $17 billion.
Book Synopsis Defense Health Care by : Stephen P. Backhus
Download or read book Defense Health Care written by Stephen P. Backhus and published by . This book was released on 1998 with total page 16 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Defense Department's (DOD) managed care program, known as TRICARE, is intended to improve beneficiaries' access to health care while controlling costs in the military's $15.5 billion health care system. Under TRICARE, medical care for more than 8.2 million beneficiaries is coordinated and managed on a regional basis by using military hospitals and clinics, supplemented by contracted civilian services. This testimony discusses (1) DOD's progress in implementing TRICARE; (2) whether DOD is adequately assessing TRICARE's effects on military health care access, quality, and cost; and (3) the implications for TRICARE of ongoing and proposed changes in the military health care system itself.
Book Synopsis Defense health care Medicare costs and other issues may affect uniformed services treatment facilities' future : report to the chairman and ranking minority member, Subcommittee on Defense, Committee on Appropriations, U.S. Senate by :
Download or read book Defense health care Medicare costs and other issues may affect uniformed services treatment facilities' future : report to the chairman and ranking minority member, Subcommittee on Defense, Committee on Appropriations, U.S. Senate written by and published by DIANE Publishing. This book was released on with total page 41 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis Defense Health Care by : DIANE Publishing Company
Download or read book Defense Health Care written by DIANE Publishing Company and published by DIANE Publishing. This book was released on 1995-07 with total page 69 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis Defense Health Care by : United States. General Accounting Office
Download or read book Defense Health Care written by United States. General Accounting Office and published by . This book was released on 1996 with total page 37 pages. Available in PDF, EPUB and Kindle. Book excerpt: Since fiscal year 1994, Congress has appropriated nearly $1 billion for the Uniformed Services Treatment Facilities (USTF) to deliver health care to what now totals 124,000 beneficiaries. In recent years, Congress has grown concerned about the rising cost to treat USTF members, in part because some members retain dual eligibility and unrestricted access to other government health care services, such as Medicare and Defense Department (DOD) hospitals. Congress directed DOD in 1991 to reform the USTF program by introducing a managed care program. As DOD begins to implement its new nationwide managed care program, known as TRICARE, questions about the program's future persist. This report discusses (1) whether unnecessary costs result from USTF members' use of other federally funded health care sources and (2) other issues that need to be considered as Congress deliberates reauthorization of the USTF program.
Author :United States Government Accountability Office Publisher :Createspace Independent Publishing Platform ISBN 13 :9781976433054 Total Pages :72 pages Book Rating :4.4/5 (33 download)
Book Synopsis Defense Health Care by : United States Government Accountability Office
Download or read book Defense Health Care written by United States Government Accountability Office and published by Createspace Independent Publishing Platform. This book was released on 2017-09-16 with total page 72 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Department of Defense (DOD) provides health care through its TRICARE program. Under TRICARE, beneficiaries may obtain care through a managed care option that requires enrollment and the use of civilian provider networks, which are developed and managed by contractors. Beneficiaries who do not enroll may receive care through TRICARE Standard, a fee-for-service option, using nonnetwork civilian providers or through TRICARE Extra, a preferred provider organization option, using network civilian providers. Nonenrolled beneficiaries in some locations have reported difficulties finding civilian providers who will accept them as patients. The National Defense Authorization Act (NDAA) for fiscal year 2004 directed GAO to provide information on access to care for nonenrolled TRICARE beneficiaries. This report describes (1) how DOD and its contractors evaluate nonenrolled beneficiaries' access to care and the results of these evaluations; (2) impediments to civilian provider acceptance of nonenrolled beneficiaries, and how they are being addressed; and (3) how DOD has implemented the NDAA fiscal year 2004 requirements to take actions to
Book Synopsis Defense Health Care by : United States. General Accounting Office
Download or read book Defense Health Care written by United States. General Accounting Office and published by . This book was released on 1997 with total page 23 pages. Available in PDF, EPUB and Kindle. Book excerpt: To help contain health care costs, the Department of Defense (DOD) in 1993 initiated TRICARE, its nationwide managed health care program for military personnel. By mid-1998, DOD expects to have implemented seven TRICARE managed care support contracts at an estimated cost of $17 billion. Since the award of the first TRICARE contract in 1994, 357 change orders have been made to the five TRICARE contracts now in place. Cumulatively, these change orders have increased tasks and overall costs. DOD has settled 134 of the orders at a cost of about $336,000. DOD estimates costs for the 223 orders that are yet to be settled at $38 million. However, DOD's initial cost estimates differ markedly from contractor estimates. GAO found that although there have been many change orders, DOD has not adequately managed the process. For example, rather than separately budgeting for the costs of individual change orders, DOD has used funds budgeted for other Defense Health Program activities to pay for them--an approach that could potentially create a need for supplemental funding. In addition, DOD's initial cost estimates for new orders have not been sound. As a result, DOD has not developed a reliable estimate of the total federal liability for the contract changes.
Book Synopsis Defense Health Care by : United States. General Accounting Office
Download or read book Defense Health Care written by United States. General Accounting Office and published by . This book was released on 1995 with total page 60 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis Defense Health Care by : U S Government Accountability Office (G
Download or read book Defense Health Care written by U S Government Accountability Office (G and published by BiblioGov. This book was released on 2013-06 with total page 36 pages. Available in PDF, EPUB and Kindle. Book excerpt: Under TRICARE, the Department of Defense's (DOD) managed care program, military-operated hospitals and clinics are supplemented by contracted civilian services. Since the inception of TRICARE, DOD has made many changes to these contracts via contract change orders. Since July 1997, when GAO reported that DOD was trying to improve its change order process, the backlog of change orders has continued to grow. This report evaluates (1) the status of the change order backlog and how DOD addressed it, (2) factors that contributed to the growth of the backlog, and (3) DOD's new initiative to improve the change order process. GAO found that as of June, 2000, the number of change orders issued had almost tripled, while the number of unsettled change orders had more than doubled since July 1997. Despite recommendations to devote high-level attention to managing improvements to the change order process, this was not done. Until recently, none of TRICARE Management Activity's (TMA) many initiatives significantly improved the process or reduced the backlog. The current small backlog is the result of recent concerted effort, not better management over time. TMA's new Change Management Process (CMP) appears to address many of TMA's problems with change orders. However, past initiatives have made similar promises and delivered little when they were abandoned or eclipsed by higher priorities. The high volume of change orders now or soon to enter the new CMP makes it imperative that TMA management closely monitor the process to prevent future backlogs.
