Accession Number : ADA309130

Title :   The Military Health Services System and Managed Care: Progress and Pitfalls.

Descriptive Note : Research rept.,

Corporate Author : ARMY WAR COLL CARLISLE BARRACKS PA

Personal Author(s) : Gatrell, Cloyd B.

PDF Url : ADA309130

Report Date : APR 1996

Pagination or Media Count : 53

Abstract : Under TriCare, the Military Health Services System (MHSS) is transforming to a managed care organization. It must develop regional networks with civilian contractors, with the goal of providing uniform access to quality, cost effective health care. Capitation budgeting requires complete reorientation from traditional MHSS business practices. This paper analyzes MHSS progress as a managed care organization and rates it on a 'green-amber-red' basis. It concludes that the MHSS is largely 'green' in the basic characteristics of a managed care organization, except for insufficient emphasis on primary care. The MHSS is mostly 'amber to green' in characteristics linked with success in managed care. In characteristics identified with managed care excellence, it is 'amber to red.' The paper closes with recommendations to improve MHSS competitiveness in managed care.

Descriptors :   *COST EFFECTIVENESS, *MILITARY MEDICINE, *MEDICAL SERVICES, *HEALTH CARE FACILITIES, MILITARY PERSONNEL, COMMERCE, ORGANIZATIONS, NETWORKS, RED(COLOR), CONTRACTORS, ELECTRONIC EQUIPMENT, QUALITY, ACCESS, CIVILIAN PERSONNEL, WORKLOAD, GREEN(COLOR), CHAMPUS, YELLOW(COLOR).

Subject Categories : Economics and Cost Analysis
      Medicine and Medical Research
      Medical Facilities, Equipment and Supplies

Distribution Statement : APPROVED FOR PUBLIC RELEASE