Accession Number:

AD1131132

Title:

Defense Health Care: Implementation of Value Based Initiatives in TRICARE

Descriptive Note:

[Technical Report, Letter Report]

Corporate Author:

GOVERNMENT ACCOUNTABILITY OFFICE WASHINGTON DC

Personal Author(s):

Report Date:

2020-09-17

Pagination or Media Count:

12

Abstract:

In fiscal year 2019, the Department of Defense DOD offered health care services to approximately 9.6 million eligible beneficiaries worldwide through TRICARE, its regionally structured health care program.1 Beneficiaries may obtain health care services through DODs direct care system of military hospitals and clinicsreferred to as military treatment facilitiesor from its purchased care system of civilian providers. In each of its two TRICARE regions East and West, DOD contracts with private sector companiesreferred to as managed care support contractorsto develop and maintain networks of civilian providers and perform other customer service functions, such as processing claims, enrolling beneficiaries, and assisting beneficiaries with finding providers for its purchased care system. In fiscal year 2019, purchased care accounted for 55 percent of the total costs for health care services delivered to TRICAREbeneficiaries.2

Subject Categories:

  • Administration and Management
  • Medicine and Medical Research

Distribution Statement:

[A, Approved For Public Release]