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Author :
Publisher :
ISBN 13 :
Total Pages : 144 pages
Book Rating : 4.:/5 (31 download)
Download or read book Reforming the Military Health Care System written by and published by . This book was released on 1988 with total page 144 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Author :
Publisher :
ISBN 13 :
Total Pages : 139 pages
Book Rating : 4.:/5 (318 download)
Download or read book Reforming the Military Health Care System written by and published by . This book was released on 1988 with total page 139 pages. Available in PDF, EPUB and Kindle. Book excerpt: 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 : H. Hugh Shelton
Publisher :
ISBN 13 :
Total Pages : 0 pages
Book Rating : 4.:/5 (139 download)
Download or read book REFORMING the MILITARY HEALTH SYSTEM: The Opportunity and Dire Need for Change in how We Care for Military Personnel and Their Families written by H. Hugh Shelton and published by . This book was released on 2022 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Author : United States. Congress. House. Committee on Armed Services. Subcommittee on Military Personnel
Publisher :
ISBN 13 :
Total Pages : pages
Book Rating : 4.:/5 (124 download)
Download or read book Military Health System Reform: a Cure for Efficiency and Readiness? :. written by United States. Congress. House. Committee on Armed Services. Subcommittee on Military Personnel and published by . This book was released on 2020 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt:
Author : Richard A. Jordan (student.)
Publisher :
ISBN 13 :
Total Pages : 27 pages
Book Rating : 4.:/5 (663 download)
Download or read book National Healthcare Reform written by Richard A. Jordan (student.) and published by . This book was released on 2010 with total page 27 pages. Available in PDF, EPUB and Kindle. Book excerpt: 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
Publisher :
ISBN 13 :
Total Pages : 152 pages
Book Rating : 4.3/5 (91 download)
Download or read book FEHBP/CHAMPUS written by United States. Congress. House. Committee on Government Reform and Oversight. Subcommittee on Civil Service and published by . This book was released on 1997 with total page 152 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Author : Henry H. Shelton
Publisher :
ISBN 13 :
Total Pages : 13 pages
Book Rating : 4.:/5 (93 download)
Download or read book Reforming the Military Health System written by Henry H. Shelton and published by . This book was released on 2015 with total page 13 pages. Available in PDF, EPUB and Kindle. Book excerpt: "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. House. Committee on Armed Services. Subcommittee on Military Personnel
Publisher :
ISBN 13 :
Total Pages : pages
Book Rating : 4.:/5 (22 download)
Download or read book Military Health System Reform :. written by United States. Congress. House. Committee on Armed Services. Subcommittee on Military Personnel and published by . This book was released on 2020 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt:
Author : United States. Congress. Senate. Committee on Armed Services
Publisher :
ISBN 13 :
Total Pages : 44 pages
Book Rating : 4.0/5 (1 download)
Download or read book Health Care Reform in the Department of Defense written by United States. Congress. Senate. Committee on Armed Services and published by . This book was released on 1994 with total page 44 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Author : David P. Baine
Publisher :
ISBN 13 :
Total Pages : 16 pages
Book Rating : 4.3/5 (91 download)
Download or read book Veterans' Health Care written by David P. Baine and published by . This book was released on 1993 with total page 16 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Author : Andrew W. Mulcahy
Publisher :
ISBN 13 :
Total Pages : 79 pages
Book Rating : 4.:/5 (1 download)
Download or read book The Impact of Health Reform on Purchased Care Access written by Andrew W. Mulcahy and published by . This book was released on 2017 with total page 79 pages. Available in PDF, EPUB and Kindle. Book excerpt: "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.
Author : Patricia K. Tong
Publisher :
ISBN 13 :
Total Pages : 0 pages
Book Rating : 4.:/5 (137 download)
Download or read book Reforming Military Health Care Costs written by Patricia K. Tong and published by . This book was released on 2023 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: The top three costs for the Military Health System (MHS) are health care delivery costs, military medical personnel costs, and Medicare Eligible Retiree Health Care Fund contributions. Determining how to curb burgeoning military health care costs without compromising (1) access to and quality of care or (2) the readiness of military medical personnel continues to be a priority for the Defense Health Agency. The authors of this report conducted a literature review and solicited expert opinions to outline four key policy areas in which further research could be pursued to understand how to reduce MHS costs.
Author : Timothy R. Richardson
Publisher :
ISBN 13 : 9781423531906
Total Pages : 94 pages
Book Rating : 4.5/5 (319 download)
Download or read book Military Healthcare Reform and Legislative Changes for FY01 written by Timothy R. Richardson and published by . This book was released on 2000-12 with total page 94 pages. Available in PDF, EPUB and Kindle. Book excerpt: Healthcare is considered one of the most impoflant non-cash benefits in the military compensation package. However, the Military Healthcare System (MHS) has several significant problems, including inequity in benefits, lack of access to care, growing out-of-pocket cost, and a perceived "promise" of free healthcare for life for military retirees that has not been kept. This thesis examines the MIlS and congressional reforms during the 2nd session of the l06% Congress addressing these problems. An expanded background of the MHS benefit is presented, followed by a description of current problems with the MHS. Recommended DoD reform initiatives are reviewed, along with bills addressing MHS initiatives. Changes to the military healthcare benefit passed for FY0 1 are documented and explained. The research methodology included a review of public records, websites, congressional testimony, reports from relevant congressional coimnittees, JCS, OSD, and DoD healthcare reform proposals, and phone interviews with military healthcare experts. A major new entitlement called TRICARB-For- Life and a retiree pharmacy program were enacted, representing the largest increase in domestic spending in over 30 years to address problems with the MHS.
Author : United States. Government Accountability Office
Publisher :
ISBN 13 :
Total Pages : 0 pages
Book Rating : 4.:/5 (138 download)
Download or read book Defense Health Care written by United States. Government Accountability Office and published by . This book was released on 2023 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: For the past decade, DOD has been taking actions to reform its health system. The military health system is a massive enterprise charged with maintaining a medically ready force and ready medical personnel. To achieve this mission, DOD estimated it will provide care to approximately 9.6 million beneficiaries at a cost of more than $55.8 billion in fiscal year 2023. This report examines (1) statutory requirements for reform of the military health system that GAO identified within each NDAA for fiscal years 2012 through 2022, and the extent to which DOD has (2) taken actions to address these requirements for military health system reform and assessed the effectiveness of certain reforms, and (3) monitored actions taken in response to the requirements. GAO is making four recommendations, including that DOD finalize implementation plans for the transfers of (1) public health and (2) research and development organizations, and establish a process to monitor actions taken to address statutory requirements for the military health system.
Author : United States. Congress. House. Committee on Armed Services. Subcommittee on Military Personnel
Publisher :
ISBN 13 :
Total Pages : 111 pages
Book Rating : 4.:/5 (12 download)
Download or read book Military Health System Reform written by United States. Congress. House. Committee on Armed Services. Subcommittee on Military Personnel and published by . This book was released on 2020 with total page 111 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Author : John Whitley
Publisher :
ISBN 13 :
Total Pages : 40 pages
Book Rating : 4.:/5 (1 download)
Download or read book Five Actions to Improve Military Hospital Performance written by John Whitley and published by . This book was released on 2017 with total page 40 pages. Available in PDF, EPUB and Kindle. Book excerpt: The rising costs of healthcare in DoD have placed a spotlight on the importance of sound management of DoD's Military Treatment Facilities (MTFs) in recent years This, combined with concerns about adequacy in direct health care support for the readiness mission and quality, has led Congress to direct a major overhaul of the direct care system. This report presents background information on the challenges of the direct system to provide context for the modernization reforms directed by the NDAA Whitley describes specific actions DoD can take to improve performance and reduce costs in MTFs This includes, where applicable, illustration of examples where DoD has already taken these actions in a limited fashion or in other areas of the department Many of the recommended actions have been implemented on limited scales (or in other mission areas) It also draws lessons learned from these experiences for reform across other government healthcare delivery systems.
Author : U S Government Accountability Office (G
Publisher : BiblioGov
ISBN 13 : 9781289134181
Total Pages : 64 pages
Book Rating : 4.1/5 (341 download)
Download or read book Veterans' Health Care written by U S Government Accountability Office (G and published by BiblioGov. This book was released on 2013-06 with total page 64 pages. Available in PDF, EPUB and Kindle. Book excerpt: Pursuant to a congressional request, GAO reviewed the veterans health care systems in Australia, Canada, Finland, and the United Kingdom, focusing on: (1) why these countries implemented universal health care; (2) how eligibility for veterans health care benefits in these countries compares to that in the United States; (3) how the age and status of U.S. veterans compare to the veteran populations in the other countries; (4) the effects of changes to the countries' veterans health care systems; and (5) the potential effects of health reform on the U.S. veterans health care system. GAO found that: (1) the four countries have implemented universal health care systems primarily to improve access to care and control health care costs; (2) although three of the four countries operate health financing systems, the United Kingdom still operates a direct delivery system; (3) although the four countries generally limit veterans' health benefits to those with military service-related injuries, U.S. veterans are universally eligible for health benefits after 2 years of military service; (4) the veteran populations in the four countries are aging and declining more rapidly than in the United States because veteran eligibility is linked to wartime service and these countries have not been engaged in major military conflicts since the end of World War II; (5) the four countries' veterans health systems no longer focus on delivering direct acute hospital care because their veteran populations no longer require these services; (6) three of the four countries have preserved and enhanced their veterans health benefits without maintaining a direct delivery system; (7) U.S. health care reform proposals that allow veterans to choose between veterans or community services will likely decrease the demand for a U.S. direct delivery system; and (8) the changing demographics and needs of the veteran population should prompt reform of the U.S. veteran health care system regardless of whether health care reform is enacted.
