Can TRICARE Senior Prime Remain Budget Neutral for the Department of Defense and Department of Health and Human Services?
Abstract
The purpose of this retrospective study is to determine the financial neutrality of the TRICARE Senior Prime program. TRICARE Senior Prime was created under the provisions of the 1997 Balanced Budget Amendments for Medicare Subvention Demonstration projects. TRICARE Senior Prime is a demonstration of the Military Health System's ability to conduct a Medicare+Choice style benefit for dual- eligible beneficiaries. Under the provisions of the program the goal of the TRICARE Senior Prime program is, through a joint effort by the Department of Health and Human Services and the Department of Defense's Military Health System, to implement a cost effective alternative for delivering accessible and quality care to dual-eligible beneficiaries while ensuring that the demonstration does not increase the total federal cost for either agency. The analysis provides insight to how the program was created and areas that will provide a financial challenge for the Military Health System. The study found that the Military Health System has a disproportionately larger risk share in this program than the Department of Health and Human Services and can not remain budget neutral as the program is currently structured.
Document Details
- Document Type
- Technical Report
- Publication Date
- Jun 26, 1999
- Accession Number
- ADA420400
Entities
People
- Jim L. Stilley
Organizations
- Academy of Health Sciences