An Assessment of Champus Expenditures for Cardiovascular Health Care Services in the Fort Leonard Wood Catchment Area
Abstract
Profound changes in the military health care system are altering the way hospital commanders conduct business. The Catchment Area Management (CAM) and Gateway To Care (GTC) initiatives effectively eliminated referral to CHAMPUS as the optimal solution to overcrowding at an MTF. This study used descriptive statistics and a case study methodology to analyze CHAMPUS expenditures for cardiovascular health-care services attributed to the Ft Leonard Wood, MO catchment area. Events studied included all CHAMPUS inpatient cardiovascular claims paid during CY 1991 (n=57) and all CHAMPUS outpatient cardiovascular claims paid during September, 1991 (n=112). Inpatient, outpatient, institutional, and market area profiles were constructed to facilitate the analyses. Government expenditures and lengths of stay (LOS) were compared for the most common inpatient procedures. Billed charges were compared for the most common outpatient service. The dominant provider of a procedure or service was compared to a group of all other providers of that particular procedure or service. The researcher noted that a minority of clients, institutions, and market areas accounted for a majority of government expenditures. CHAMPUS expenditures for cardiovascular health care services.
Document Details
- Document Type
- Technical Report
- Publication Date
- Dec 01, 1992
- Accession Number
- ADA278918
Entities
People
- David L. Kelty