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Implementation Of Tricare Benefits For Medicare Eligible Military Beneficiaries
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Author :United States. Congress. House. Committee on Armed Services. Subcommittee on Military Personnel Publisher : ISBN 13 : Total Pages :136 pages Book Rating :4.0/5 (7 download)
Book Synopsis Implementation of TRICARE Benefits for Medicare Eligible Military Beneficiaries by : United States. Congress. House. Committee on Armed Services. Subcommittee on Military Personnel
Download or read book Implementation of TRICARE Benefits for Medicare Eligible Military Beneficiaries written by United States. Congress. House. Committee on Armed Services. Subcommittee on Military Personnel and published by . This book was released on 2001 with total page 136 pages. Available in PDF, EPUB and Kindle. Book excerpt:
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 1996 with total page 16 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis Final Evaluation Report for the TRICARE Senior Supplement Demonstration Program by : Michael Schoenbaum
Download or read book Final Evaluation Report for the TRICARE Senior Supplement Demonstration Program written by Michael Schoenbaum and published by Minnesota Historical Society. This book was released on 2002 with total page 212 pages. Available in PDF, EPUB and Kindle. Book excerpt: The TRICARE Senior Supplement Demonstration (TSSD), conducted from March 2000 through December 2002, offers Medicare-eligible military beneficiaries the option of enrolling in TRICARE as a supplement to Medicare. This book describes RAND's evaluation of the TSSD program. Enrollment in TSSD was very low because of several factors, particularly the introduction of the permanent TRICARE for Life (TFL) that supercedes TSSD. However, implementation of TSSD as a permanent national program is feasible and would benefit many Medicare-eligible military retirees.
Book Synopsis Military Medical Care by : Bryce H. P. Mendez
Download or read book Military Medical Care written by Bryce H. P. Mendez and published by Independently Published. This book was released on 2018-12-04 with total page 42 pages. Available in PDF, EPUB and Kindle. Book excerpt: Military medical care is a congressionally authorized entitlement that has expanded in size and scope since the late 19th century. Chapter 55 of Title 10 U.S. Code, entitles certain health benefits to military personnel, retirees, and their families. These health benefits are administered by a Military Health System (MHS). The primary objectives of the MHS, which includes the Defense Department's hospitals, clinics, and medical personnel, are (1) to maintain the health of military personnel so they can carry out their military missions and (2) to be prepared to deliver health care during wartime. Health care services are delivered through either Department of Defense (DOD) medical facilities, known as military treatment facilities (MTFs) as space is available, or through civilian health care providers. As of 2017, the MHS operates 681 MTFs, employs nearly 63,000 civilians and 84,000 military personnel, and serves 9.4 million beneficiaries across the United States and in overseas locations. Since 1966, civilian care for millions of retirees, as well as dependents of active duty military personnel and retirees, has been provided through a program still known in law as the Civilian Health and Medical Program of the Uniformed Services (CHAMPUS), more commonly known as TRICARE. TRICARE has three main benefit plans: a health maintenance organization option (TRICARE Prime), a preferred provider option (TRICARE Select), and a Medicare supplement option (TRICARE for Life) for Medicare-eligible retirees. Other TRICARE plans include TRICARE Young Adult, TRICARE Reserve Select, and TRICARE Retired Reserve. TRICARE also includes a pharmacy program and optional dental and vision plans. Options available to beneficiaries vary by the sponsor's duty status and geographic location. This report answers selected frequently asked questions about military health care, including How is the Military Health System structured? What is TRICARE? What are the different TRICARE plans and who is eligible? What are the costs of military health care to beneficiaries? What is the relationship of TRICARE to Medicare? How does the Affordable Care Act affect TRICARE? When can beneficiaries change their TRICARE plan? What is the Medicare Eligible Retiree Health Care fund, which funds TRICARE for Life? This report does not address issues specific to battlefield medicine, veterans, or the Veterans Health Administration.
Book Synopsis Health Benefits for Medicare-eligible Military Retirees by : Michael Schoenbaum
Download or read book Health Benefits for Medicare-eligible Military Retirees written by Michael Schoenbaum and published by Rand Corporation. This book was released on 2004 with total page 71 pages. Available in PDF, EPUB and Kindle. Book excerpt: The National Defense Authorization Act (NDAA) for fiscal year (FY) 2001 made sweeping changes to the way that health care furnished by civilian providers to Medicare-eligible military retirees is financed. The law directed the Department of Defense (DoD) to implement what is now commonly referred to as TRICARE for Life (TFL). As of October 1, 2001, TFL provides TRICARE as supplemental health insurance for all Medicare-eligible military retirees age 65 or older who are enrolled in Medicare Part B. As of 2003, approximately 1.6 mil- lion military retirees are eligible for TFL. In general, TRICARE for Life covers all cost-sharing for Medicare-covered services and standard TRICARE cost-sharing for services that are covered by TRICARE but not by Medicare. Thus, TFL provides Medicare-eligible military retirees with one of the most comprehensive health insurance benefit packages in the United States.
Book Synopsis Military Medical Care: Questions and Answers by : Dan J. Jansen
Download or read book Military Medical Care: Questions and Answers written by Dan J. Jansen and published by DIANE Publishing. This book was released on 2010-02 with total page 20 pages. Available in PDF, EPUB and Kindle. Book excerpt: Contents: Recent Developments; Background; Subjects: Purpose of DoD¿s Military Health System (MHS); Structure of the MHS; Unified Medical Budget; Medicare Eligible Retiree Health Care Fund; Cost of Military Health Care to Beneficiaries; Changes in MHS in Recent Years; Eligibility to Receive Care; Assignment of Priorities for Care in Military Medical Facilities; Relationship of DoD Health Care to Medicare; Military Personnel and Free Medical Care for Life; Payment of Private Health Care Providers; Effect of Base Realignment and Closure on Military Medical Care; Pharmacy Benefit; Medical Benefits Available to Reservists; Congressionally Directed Medical Research Program; Tricare and Abortion; and Use of Animals in Medical Res. or Training.
Book Synopsis IMPLEMENTATION OF TRICARE BENEFITS FOR MEDICARE ELIGIBLE..., HEARING... (H.A.S.C NO. 107-12)... COMMITTEE ON ARMED SERVICES... HOUSE OF..., 10 by : United States. Congress. House. Committee on Armed Services
Download or read book IMPLEMENTATION OF TRICARE BENEFITS FOR MEDICARE ELIGIBLE..., HEARING... (H.A.S.C NO. 107-12)... COMMITTEE ON ARMED SERVICES... HOUSE OF..., 10 written by United States. Congress. House. Committee on Armed Services and published by . This book was released on 2001* with total page pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis Health Benefits for Medicare-Eligible Military Retirees: Rationalizing TRICARE for Life by :
Download or read book Health Benefits for Medicare-Eligible Military Retirees: Rationalizing TRICARE for Life written by and published by . This book was released on 2004 with total page 86 pages. Available in PDF, EPUB and Kindle. Book excerpt: The National Defense Authorization Act (NDAA) for fiscal year (FY) 2001 made sweeping changes to the way that health care furnished by civilian providers to Medicare-eligible military retirees is financed. The law directed the Department of Defense (DoD) to implement what is now commonly referred to as TRICARE for Life (TFL). As of October 1, 2001, TFL provides TRICARE as supplemental health insurance for all Medicare-eligible military retirees age 65 or older who are enrolled in Medicare Part B. As of 2003, approximately 1.6 mil- lion military retirees are eligible for TFL. In general, TRICARE for Life covers all cost-sharing for Medicare-covered services and standard TRICARE cost-sharing for services that are covered by TRICARE but not by Medicare. Thus, TFL provides Medicare-eligible military retirees with one of the most comprehensive health insurance benefit packages in the United States.
Author :United States. Congress. House. Committee on Armed Services. Subcommittee on Military Personnel Publisher : ISBN 13 : Total Pages :824 pages Book Rating :4.F/5 ( download)
Book Synopsis Implementation of TRICARE Benefits for Medicare Eligible Military Beneficiaries by : United States. Congress. House. Committee on Armed Services. Subcommittee on Military Personnel
Download or read book Implementation of TRICARE Benefits for Medicare Eligible Military Beneficiaries written by United States. Congress. House. Committee on Armed Services. Subcommittee on Military Personnel and published by . This book was released on 2001 with total page 824 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis Substance Use Disorders in the U.S. Armed Forces by : Institute of Medicine
Download or read book Substance Use Disorders in the U.S. Armed Forces written by Institute of Medicine and published by National Academies Press. This book was released on 2013-03-21 with total page 350 pages. Available in PDF, EPUB and Kindle. Book excerpt: Problems stemming from the misuse and abuse of alcohol and other drugs are by no means a new phenomenon, although the face of the issues has changed in recent years. National trends indicate substantial increases in the abuse of prescription medications. These increases are particularly prominent within the military, a population that also continues to experience long-standing issues with alcohol abuse. The problem of substance abuse within the military has come under new scrutiny in the context of the two concurrent wars in which the United States has been engaged during the past decade-in Afghanistan (Operation Enduring Freedom) and Iraq (Operation Iraqi Freedom and Operation New Dawn). Increasing rates of alcohol and other drug misuse adversely affect military readiness, family readiness, and safety, thereby posing a significant public health problem for the Department of Defense (DoD). To better understand this problem, DoD requested that the Institute of Medicine (IOM) assess the adequacy of current protocols in place across DoD and the different branches of the military pertaining to the prevention, screening, diagnosis, and treatment of substance use disorders (SUDs). Substance Use Disorders in the U.S. Armed Forces reviews the IOM's task of assessing access to SUD care for service members, members of the National Guard and Reserves, and military dependents, as well as the education and credentialing of SUD care providers, and offers specific recommendations to DoD on where and how improvements in these areas could be made.
Book Synopsis Military Medical Care by : Don J. Jansen
Download or read book Military Medical Care written by Don J. Jansen and published by Createspace Independent Pub. This book was released on 2012-10-20 with total page 30 pages. Available in PDF, EPUB and Kindle. Book excerpt: The primary objective of the military health system, which includes the Defense Department's hospitals, clinics, and medical personnel, is to maintain the health of military personnel so they can carry out their military missions and to be prepared to deliver health care during wartime. The military health system also covers dependents of active duty personnel, military retirees and their dependents, including some members of the reserve components. The military health system provides health care services through either Department of Defense (DOD) medical facilities, known as “military treatment facilities” or “MTFs” as space is available, or through private health care providers. The military health system currently includes some 56 hospitals and 365 clinics serving 9.7 million beneficiaries. It operates worldwide and employs some 58,369 civilians and 86,007 military personnel. Since 1966, civilian care to millions of dependents and retirees (and retirees' dependents) has been provided through a program still known in law as the Civilian Health and Medical Program of the Uniformed Services (CHAMPUS), but more commonly known as TRICARE. TRICARE has four main benefit plans: a health maintenance organization option (TRICARE Prime), a preferred provider option (TRICARE Extra), a fee-for-service option (TRICARE Standard), and a Medicare wrap-around option (TRICARE for Life) for Medicare-eligible retirees. Other TRICARE plans include TRICARE Young Adult, TRICARE Reserve Select and TRICARE Retired Reserve. TRICARE also includes a pharmacy program and optional dental plans. Options available to beneficiaries vary by the beneficiary's duty status and location. This report answers several frequently asked questions about military health care, including: How is the military health system structured? What is TRICARE? What are the different TRICARE plans and who is eligible? What are the costs of military health care to beneficiaries? What is the relationship of TRICARE to Medicare? How does the Affordable Care Act affect TRICARE? What are the long-term trends in defense health care costs? What is the Medicare Eligible Retiree Health Care fund, which funds TRICARE for Life? The Government Accountability Office (GAO) and the Congressional Budget Office (CBO) have also published important studies on the organization, coordination and costs of the military health system, as well as its effectiveness addressing particular health challenges. The Office of the Assistant Secretary of Defense for Health Affairs Home Page, available at http://www.health.mil/, may also be of interest for additional information on the military health system.
Book Synopsis Medicare Subvention by : David N. Breier
Download or read book Medicare Subvention written by David N. Breier and published by . This book was released on 1999-12-01 with total page 80 pages. Available in PDF, EPUB and Kindle. Book excerpt: Medicare-eligible military beneficiaries have experienced difficulty accessing the Military Health System. To help alleviate this problem, a three- year demonstration project known as Medicare Subvention has been implemented creating a Department of Defense Health Maintenance Organization called TRICARE Senior Prime (TSP). This research determined the financial impact of TSP at Naval Medical Center, San Diego (NMCSD). The financial analysis includes an examination of inpatient and outpatient costs and revenues for Fiscal Year (FY) 1999. The results of this research show that TSP indirectly caused a net reduction. in operating costs at NMCSD in FY 1999 of $ 1.5 million or one percent of the operating budget. The program caused revenues to decline by causing a 20 percent reduction in admissions for non-TSP beneficiaries with other health insurance. Proportionally larger cost reductions resulted from this decrease in non-TSP admissions that outweighed increases in TSP admissions.
Download or read book Military Medical Care written by Jansen and published by CreateSpace. This book was released on 2014-10-31 with total page 30 pages. Available in PDF, EPUB and Kindle. Book excerpt: The primary objective of the military health system, which includes the Defense Department's hospitals, clinics, and medical personnel, is to maintain the health of military personnel so they can carry out their military missions and to be prepared to deliver health care during wartime. The military health system also covers dependents of active duty personnel, military retirees, and their dependents, including some members of the reserve components.
Download or read book Interim Report written by and published by . This book was released on 1999 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: The Health Care Financing Administration (HCFA) and the Department of Defense (DoD) are testing the feasibility of making Medicare-covered health care services available to Medicare-eligible DoD beneficiaries in the TRICARE program at military treatment facilities (MTFs). This report evaluates the early implementation of TRICARE Senior Prime at six MTFs, financed by subvention (the transfer of funds from HCFA to DoD). It finds that enrollment rates in Senior Prime were faster than in many private health plans and beneficiaries were generally pleased with their care. However, sites are having difficulties caused by the complexity of payment methods and by uncertainty over whether they will ever see Senior Prime revenues--even if DoD obtains net payments from HCFA after each year's reconciliation. If a larger Senior Prime program becomes a permanent part of TRICARE, the following policy issues must be addressed: (1) balancing interactions between the readiness mission and Senior Prime; (2) structuring and managing Senior Prime effectively; (3) creating the desired financial incentives; and (4) achieving effective clinical and cost performance. Lessons learned include the importance of effective introduction of the program and orientation of beneficiaries; early identification of enrollees with existing treatment requirements; the importance of coordination of intake activities and follow-up visits; and the difficulty many beneficiaries have with automated appointment and customer service systems. In addition, DoD's health data system capabilities will need to be improved.
Book Synopsis The TRICARE Senior Prime Demonstration Project at Madigan Army Medical Center by : William H. Millar
Download or read book The TRICARE Senior Prime Demonstration Project at Madigan Army Medical Center written by William H. Millar and published by . This book was released on 1999 with total page 161 pages. Available in PDF, EPUB and Kindle. Book excerpt: Delivery of care under the Medicare Subvention Demonstration began 1 September 1998, at Madigan Army Medical Center (MAMC). The goal of the demonstration is to implement a cost-neutral alternative to delivering health care to Medicare-eligible military beneficiaries, while increasing the total federal cost to neither the Department of Defense (DOD) nor Department of Health and Human Services. The purpose of this research effort is to determine if MAMC can achieve cost-neutrality and contribute to the achievement of the DOD Level of Ef fort (LOE). Two supporting objectives are examined in this research effort. The first seeks to determine if the cost of treating Medicare dual-eligible beneficiaries is significantly greater than the cost of treating all other beneficiaries. The second examines whether MAMC will meet its assigned LOR based on accrued costs for care rendered to dual-eligible beneficiaries. Cost-neutrality is achieved if the LOR is met but not exceeded. Results indicate MAMC will meet and exceed its assigned LOE, but will not achieve cost-neutrality. Results also revealed that costs for Medicare patients are greater (significantly) . Information and methods presented in this study may assist health care decision-makers in innovating methods for controlling the associated costs.
Book Synopsis TRICARE Around the World by : John Letaw
Download or read book TRICARE Around the World written by John Letaw and published by . This book was released on 2023-08-15 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: "TRICARE Around the World" is the definitive guide to TRICARE, the U.S. military health plan. With nearly 10 million members beneficiaries, including Active duty, reservists, National Guard, military retirees, and their eligible family members. Meticulously researched, with an engaging narrative style, John Letaw walks the reader though the labyrinth of TRICARE benefits step-by-step. Topics include: - Who is covered - Description of each plan - How to select and enroll in a plan - What is covered or excluded by TRICARE - Costs, including premiums, deductibles, copayments, annual caps - How to find a doctor in any country of the world - Special rules for TRICARE in the Philippines - How to submit a claim - What if something goes wrong; who can you turn to for help. Readers will easily be able to save thousands of dollars each year by thoroughly understanding their benefits, sidestepping common mistakes and avoiding unnecessary third-party insurance. "TRICARE Around the World" is the perfect resource for all military families, military retirees, reservists, National Guard, family members and surviving family of deceased sponsors. All TRICARE users will benefit from this best-in-class book.
Book Synopsis Evaluation of the Medicare-DoD Subvention Demonstration by : Donna Farley
Download or read book Evaluation of the Medicare-DoD Subvention Demonstration written by Donna Farley and published by Rand Corporation. This book was released on 2003 with total page 151 pages. Available in PDF, EPUB and Kindle. Book excerpt: Final review of the lessons learned from the Medicare-DOD Subvention Demonstration, which tested the feasibility of making cost-effective, Medicare-covered health care services available to Medicare-eligible DOD beneficiaries through the military TRICARE health insurance program and military treatment facilities.
