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The Office of the Civilian Health and Medical Program of the Uniformed Services (OCHAMPUS) manages a medical benefits program that supplements direct medical care provided through military treatment facilities and is similar to private medical insurance programs. DoD spent about $3.5 billion on the program in FY 1995. Among other things, OCHAMPUS ensures that health care providers and medical facilities receive payment for services provided and detects fraud and abuse within the program. OCHAMPUS is also the procuring activity for a new managed care program (TRICARE) being implemented by DoD.
HEHS-96-141 Defense Health Care: Effects of Mandated Cost Sharing on Uniformed Services Treatment Facilities Likely to Be Minor
HEHS-94-174 Defense Health Care: Uniformed Services Treatment Facility Health Program
The military provides health services to dependents and retirees both through the on-base military health system; Military Treatment Facilities (MTFs), and through the private health care system; CHAMPUS (Civilian Health and Medical Plan for the Uniformed Services). Because the average cost per visit has been estimated to be less in the MTFs, it has been suggested that increasing MTF staffing levels might draw into the MTFs patients who otherwise would use CHAMPUS, thereby decreasing total military health expenditures. This report addresses this assumption. The report uses data on variation in staffing levels between WY 1988 and WY 1992 to generate estimates of the effects of increasing MTF staffing on the utilization of MTF care and on the utilization of CHAMPUS care. Two considerations are examined that might diminish the projected cost savings. First, increased staffing levels may yield a less than proportional increase in patients served. Second, with better care available in the MTFs, total utilization may increase. This report was initially prepared in 1996. It reflects research carried out in 1993-1995. The findings of this study will be of special interest to government and other agencies concerned with the efficient use of resources in the military health care system.
Nearly 1.9 million U.S. troops have been deployed to Afghanistan and Iraq since October 2001. Many service members and veterans face serious challenges in readjusting to normal life after returning home. This initial book presents findings on the most critical challenges, and lays out the blueprint for the second phase of the study to determine how best to meet the needs of returning troops and their families.