Accession Number:

ADA209592

Title:

A Study to Determine the Practicability and Impact of Recovering Champus Patients at Evans U.S. Army Community Hospital, Fort Carson, Colorado

Descriptive Note:

Final rept. Jul 1987-Jul 1988

Corporate Author:

ACADEMY OF HEALTH SCIENCES (ARMY) FORT SAM HOUSTON TX HEALTH CARE ADMINISTRATION

Personal Author(s):

Report Date:

1988-06-15

Pagination or Media Count:

85.0

Abstract:

Current Department of Defense initiatives for reducing the spiraling cost of the CHAMPUS program include efforts at recovering CHAMPUS patients for care in military medical treatment facilities located within CHAMPUS catchment areas. Beneficiary care within the military direct care system has been shown, on average, to be less expensive than beneficiary care under CHAMPUS. The responsibility for initiating CHAMPUS recovery activities rests with the medical facilities themselves. Before any recovery of CHAMPUS, patients can take place, treatment facilities require a methodology for accomplishing several essential tasks 1 determining likely categories of CHAMPUS care for recovery, 2 assessing the practicability of recovery given the availability of underutilized resources within the facility, 3 insuring that care can be provided within the military facility at a cost competitive with CHAMPUS, and 4 assessing the impact throughout the facility in terms of additional work load for all involved areas. Data obtained from CHAMPUS catchment area reports and from the Medical Evaluation and Performance Reporting System MEPRS can be used for analyzing the cost and work load associated with the recovery of CHAMPUS patients in order to make management decisions about what care to recover and in what quantity. Keywords CHAMPUSCivilian Health and Medical Program of the Uniformed Services

Subject Categories:

  • Economics and Cost Analysis
  • Medicine and Medical Research

Distribution Statement:

APPROVED FOR PUBLIC RELEASE