Accession Number : ADA290943

Title :   Evaluation of the CHAMPUS Reform Initiative. Volume 6, Implementation and Operations.

Descriptive Note : Research rept.,

Corporate Author : RAND CORP SANTA MONICA CA

Personal Author(s) : Anderson, Mary E. ; Hosek, Susan D.

PDF Url : ADA290943

Report Date : 1994

Pagination or Media Count : 88

Abstract : The Civilian Health and Medical Program of the Uniformed Services (CHAMPUS) pays for much of the health care that dependents of active-duty personnel, military retirees and their dependents, and survivors of deceased service members get from civilian providers. In response to growing costs in CHAMPUS and dissatisfaction with the program on the part of its beneficiaries, the Department of Defense (DoD) proposed in 1987 a set of reforms based partly on civilian managed-care plans. The CHAMPUS Reform Initiative (CRI) makes reduced cost sharing available to those beneficiaries willing to restrict their physician choice to a specified provider network offering discounts for its services. CRI offers two new health plans as alternatives to the Standard CHAMPUS plan-a health maintenance organization (HMO) called CHAMPUS Prime and a preferred provider organization (PPO) called CHAMPUS Extra. Through these new plans, CRI improves coverage of preventive care and reduces paperwork for beneficiaries, introduces comprehensive utilization review, and promotes better coordination of civilian-provided care with care in military treatment facilities (MTFs). Since CRI fundamentally changes the Military Health Service System (MHSS), Congress required a demonstration to test the initiative's feasibility and cost-effectiveness before nationwide implementation. The demonstration began in California and Hawaii in February 1988, and, following its planned five-year run, Congress also mandated an independent evaluation of the CRI demonstration. RAND was asked to perform that evaluation. JMD.

Descriptors :   *COST EFFECTIVENESS, *COSTS, *MEDICINE, *MILITARY MEDICINE, *MEDICAL SERVICES, *HEALTH CARE FACILITIES, *RETIREMENT(PERSONNEL), TEST AND EVALUATION, CONGRESS, DEPARTMENT OF DEFENSE, MILITARY FACILITIES, DEMONSTRATIONS, HEALTH, FAMILY MEMBERS, SHARING, FEASIBILITY STUDIES, PLANNING, ACTIVE DUTY, CALIFORNIA, PERSONNEL, SURVIVAL(PERSONNEL), PHYSICIANS, UTILIZATION, PREVENTION, HAWAII, VETERANS(MILITARY PERSONNEL).

Subject Categories : Medical Facilities, Equipment and Supplies
      Economics and Cost Analysis
      Personnel Management and Labor Relations

Distribution Statement : APPROVED FOR PUBLIC RELEASE