Military Personnel: Guidance Needed for Any Future Conversions of Military Medical Positions to Civilian Positions

Abstract

Since September 11, 2001, the high pace of military operations has placed significant stress on U.S. operating forces. In late 2003, the Department of Defense (DOD) reported that several studies had found that tens of thousands of military personnel were performing tasks that were not military essential and that these tasks could be performed more cost effectively by civilian or private-sector contract employees. To address this matter, DOD, in fiscal year 2004, began a multiyear initiative to convert military positions, including military health care positions,1 to federal civilian or contract positions.2 Within DOD, the Office of the Under Secretary of Defense, Personnel and Readiness (USD, P&R), has overall responsibility for issuing guidance on manpower management, which includes guidance related to determining the least costly mix of military, civilian, and contract personnel.3 Additionally, the Under Secretary of Defense (Comptroller) (USD (C)) and the Director, Program Analysis and Evaluation (PA&E) play key roles in determining the costs of military, civilian, and contract personnel. For example, the USD(C) is responsible for developing the composite pay rates used in developing military and civilian personnel budgets and PA&E provides leadership in developing and promoting tools, data, and methods for analyzing allocation of resources. USD, P&R also has responsibility for the Defense Health Program, which provides health care to over 9 million beneficiaries including military servicemembers and retirees and their families and survivors. This program had estimated costs of $21 billion for fiscal year 2007 and DOD officials anticipate further significant growth in these health care costs.

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Document Details

Document Type
Technical Report
Publication Date
Feb 08, 2008
Accession Number
ADA476922

Entities

Organizations

  • United States Government Accountability Office

Tags

Communities of Interest

  • Biomedical

DTIC Thesaurus Topics

  • Civilian Personnel
  • Congress
  • Delivery Of Health Care
  • Dental Personnel
  • Department Of Defense
  • Employment
  • Governments
  • Health Care
  • Health Services
  • Law
  • Medical Personnel
  • Military Medicine
  • Military Personnel
  • National Security
  • Personnel Management
  • Physicians
  • United States Government

Readers

  • Defense Financial Management and Audit.
  • Economics
  • Medical or Health Care Field.