Identifying the Critical Performance Indicators for the TRICARE Lead Agent Office Department of Defense Health Service Region 6 Through a Comparative Analysis of Similar Health Plans
Abstract
The Military Health System's (MHS) benefit program, TRICARE, is administered through a direct care system supported by a civilian network via 12 regional Managed Care Support Contracts (MCSCs). Lead Agents, whose offices serve not only to oversee MCSC performance but also to manage the healthcare benefit program for MHS beneficiaries, monitor these regional contracts. As such, they are inundated with numerous metrics, many of which are not optimal for strategic management. This graduate project identifies the critical performance indicators for the Region 6 Lead Agent Office (TRICARE Southwest) through a comparative analysis of similar health plans. Using a quantitative decision making tool, known as the JUDGE (Judging Utility: a Decision Generator and Evaluator) Model, the performance measurements of TRICARE Southwest were compared with those of TRICARE Northwest and PacifiCare of Texas. Critical performance indicators were identified for three core domains: health status, operations/member services, and cost accountability. An analysis provides the executive staff of TRICARE Southwest recommendations to assist in developing an optimal performance measurement system for Region 6. The critical performance indicators identified should aid leaders in determining the "health" of the health plan.
Document Details
- Document Type
- Technical Report
- Publication Date
- Apr 09, 1999
- Accession Number
- ADA420712
Entities
People
- Curt B. Prichard