Defense Health Care: Implementation of Value Based Initiatives in TRICARE

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

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Document Details

Document Type
Technical Report
Publication Date
Sep 17, 2020
Accession Number
AD1131132

Entities

People

  • Debra A. Draper

Organizations

  • United States Government Accountability Office

Tags

DTIC Thesaurus Topics

  • Active Duty
  • Congress
  • Contractors
  • Contracts
  • Customer Services
  • Delivery Of Health Care
  • Department Of Defense
  • Disease Attributes
  • Diseases And Disorders
  • Electronic Mail
  • Governments
  • Health
  • Health Care
  • Health Services
  • Hospitals
  • Lower Extremity
  • Medical Personnel
  • Military Hospitals
  • Military Medicine
  • National Guard
  • National Security
  • Pain
  • Physical Therapy
  • Surgery
  • Therapy

Fields of Study

  • Medicine
  • Political science

Readers

  • Defense Technology Research and Development.
  • Personnel Management and Statistics in the Military and Department of Defense
  • Trauma or Military Medicine