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Defense Health Care - Treatment, Performance and TRICARE (Hardcover)
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Defense Health Care - Treatment, Performance and TRICARE (Hardcover)
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For over a decade, Congress and DOD have led a series of efforts to
address the governance structure of the Military Health System. In
chapter1, GAO examines (1) measures DOD uses to assess the quality
of direct and purchased care, and (2) the extent to which DOD has
established performance standards related to the measures and
corrective action requirements for providers who do not meet those
standards. As reported in chapter 2, or more than a decade,
partially in response to congressional mandates, DOD has worked to
address inefficiencies in the Military Health System to control
costs. Chapter 3 examines the military departments planning
processes for determining (1) operational medical personnel
requirements, including an assessment of the mix of federal
civilian, contractor, and active and reserve medical personnel; and
(2) the most appropriate workforce mix at MTFs and any challenges
in executing their desired workforce mix. The National Defense
Authorization Act (NDAA) for Fiscal Year 2008 directed DOD to
conduct surveys of nonenrolled beneficiaries and civilian providers
about access to care under the TRICARE Standard and Extra options.
It also directed GAO to review the surveys results. Additionally,
the NDAA for Fiscal Year 2017 included a provision for GAO to
review access to care under TRICARE Extra. Chapter 4 addresses both
provisions. The NDAA 2017 made several changes to the TRICARE
program, including the establishment of a new preferred provider
network health plan option called TRICARE Select. The NDAA 2017
made several changes to the TRICARE program, including the
establishment of a new preferred provider network health plan
option called TRICARE Select. GAO examined program policies,
procedures, and contracts and interviewed DOD officials and TRICARE
regional contractors as reported in chapter 5.
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