Accession Number : ADA295106

Title :   The Demand for Military Health Care: Supporting Research for a Comprehensive Study of the Military Health-Care System,

Corporate Author : RAND CORP SANTA MONICA CA

Personal Author(s) : Hosek, Susan D. ; Bennett, Bruce W. ; Buchanan, Joan L. ; Marquis, M. S. ; McGuigan, Kimberly A.

PDF Url : ADA295106

Report Date : 1995

Pagination or Media Count : 157

Abstract : The Military Health Services System (MHSS) provides health care to active-duty service members, military retirees, and their dependents. Over the past several years, the system has faced the twin challenges of downsizing in consonance with the rest of the Department of Defense (DoD) and of controlling escalating health care costs. These challenges cannot, however, be dealt with independently. Closing military treatment facilities (MITs) could drive non- active-duty beneficiaries to seek more expensive medical care from the civilian sector, care that is reimbursed by DoD through the Civilian Health and Medical Program of the Uniformed Services (CHAMPUS). In 1991, in response to a congressional request, the Director of Program Analysis and Evaluation (PA&E) undertook an evaluation of health care utilization and costs within the current system and of various possible alternatives to that system. PA&E turned to RAND's National Defense Research Institute (NDRl) for analytic support in responding to Congress. Specifically, we were asked to compare current utilization by military beneficiaries with use by civilians, to develop analytic cases to study alternatives to the current medical structure, and to assess costs and changes in utilization associated with these cases (with the exception of MIF costs, which are being assessed by the Institute for Defense Analyses). pg10. JMD

Descriptors :   *MILITARY MEDICINE, *MEDICAL SERVICES, *HEALTH CARE FACILITIES, MILITARY PERSONNEL, CONGRESS, MILITARY FACILITIES, HEALTH, FAMILY MEMBERS, COSTS, MEDICINE, CIVILIAN POPULATION, BENEFITS, UTILIZATION, RETIREMENT(PERSONNEL), NATIONAL DEFENSE, VETERANS(MILITARY PERSONNEL).

Subject Categories : Medicine and Medical Research
      Medical Facilities, Equipment and Supplies

Distribution Statement : APPROVED FOR PUBLIC RELEASE