Download or read book Defense Health Care Costs Strategic Implications written by and published by . This book was released on 2001 with total page 15 pages. Available in PDF, EPUB and Kindle. Book excerpt: In an ideal world, the National Security Strategy (NSS) drives the National Military Strategy (NMS), the Joint Strategic Capabilities Plan, the Defense and Contingency Planning Guidance, and ultimately the Future Years Defense Program (FYDP) budgetary request to Congress. If resources are unlimited, all aspects of NMS and NSS goals are theoretically achievable. In reality, resource constraints limit the FYDP and hence achievable strategic goals. This forces the US to prioritize national interests, selecting some to pursue and some to abandon. Resource allocation (spending) is strategic. In our open democratic process, regional or special interest groups can force allocation of resources to goals not necessarily of the highest global priority. Actions by the Defense Department may facilitate action by special interest groups, producing a significant reallocation of defense resources. Ideally, the Defense Department recognizes this possibility when it makes decisions, makes allowances for the possible outcomes, and ultimately makes an informed decision on the wisdom of a particular action and its present and future impact on our NSS. Unfortunately, the Defense Department is not always sufficiently prescient in its appreciation of the consequences of its actions. This report reviews one such instance, the promise of free medical care for life, and its potential impact on future resource allocation. This case study also demonstrates the intricate interplay of political and legal systems on resource allocation and, by extension, on NMS and NSS.
Download or read book Defense health Care DOD Needs to Address the Expected Benefits Costs and Risks for Its newly Approved Medical Command Structure written by United States. Government Accountability Office and published by DIANE Publishing. This book was released on 2007 with total page 64 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book An Analysis of Alternatives for Reducing Outpatient Military Health Care Costs for Active Duty Members and Their Families written by and published by . This book was released on 2007 with total page 101 pages. Available in PDF, EPUB and Kindle. Book excerpt: Rising health care costs are placing a considerable burden on Government and Department of Defense resources. At the current rate, health care costs will likely impact the overall readiness and future force structure of the Department of Defense. In efforts to reduce or contain the costs of the military health care system, this project will propose two cost savings alternatives for providing outpatient care to active duty personnel and their dependents. In addition to analyzing the current system as an alternative (status quo), the two proposed cost-sharing alternatives are a standard co-payment and a monthly allotment program. These strategies are primarily designed to reduce Department of Defense costs by influencing the attitudes of beneficiaries toward outpatient health care, restricting their access to options with higher costs, and shifting a portion of outpatient care costs through co-payments. This project provides an in-depth analysis for each alternative using a set of assumptions for treatment possibilities based on three likely scenarios, and provides quantitative and qualitative data to arrive at a recommendation. Using acquisition principles, this project provides an implementation process for the proposed alternative that should minimize disruption in the current military health care system. This project highlights the hypothesis by implementing a cost-saving strategy to active duty and dependent outpatient care; thus, the military health care system will experience a significant cost reduction over the long run.
Download or read book The Strategic Implications of Sustaining and Improving Military Health Care written by Mark F. Fassl and published by Createspace Independent Pub. This book was released on 2012-12-01 with total page 38 pages. Available in PDF, EPUB and Kindle. Book excerpt: Given the strategic implications of the Global War on Terrorism and current and likely future commitments of the military, it is urgent to address several persistent and new challenges facing today's current Military Health System (MHS). These include maintaining and improving the quality of patient care at Major Treatment Facility's (MTF) and greater awareness and improved treatment of Post-Traumatic Stress Disorder (PTSD), Traumatic Brain Injury (TBI), and Long-Term Care for Veterans. These challenges must be considered in the contexts of the current and ongoing needs of Active Duty, National Guard and Reserve military personnel, of their families, of the aging military retiree population, and the broader backdrop of the U.S. health care economy, in which the military health care system operates. The DoD must preserve the quality of care in order to ensure positive unit and family morale during these very trying times. The MHS must improve certain practices to ensure force readiness and provision of the highest quality health care. The all-volunteer force should never have any doubt that they and their families will always receive first class care.
Download or read book The Elasticity of Demand for Health Care A Review of the Literature and Its Application to the Military Health System written by and published by . This book was released on 2002 with total page 70 pages. Available in PDF, EPUB and Kindle. Book excerpt: Understanding the effects of changes in health insurance policies on the demand for health care services is an important and timely topic. As the Military Health System (MHS) has evolved over time, it has begun to adopt cost-containment strategies that have been tested in private health plans. These strategies have led to changes in many aspects of the health care services offered to Department of Defense (DoD) beneficiaries. Each change potentially can affect the number of people accessing services, the intensity of use, and the cost to the DoD. The goal of this report is to summarize the research relevant for considering the effects of policy changes on the demand for DoD health care services and associated costs.
Download or read book Defense Health Care written by Brenda S. Farrell and published by . This book was released on 2012-11-04 with total page 64 pages. Available in PDF, EPUB and Kindle. Book excerpt: Over the past decade, the cost of the Department of Defense's (DOD) Military Health System (MHS) has grown substantially and is projected to reach nearly $95 billion by 2030. As health care costs consume an increasingly large portion of the defense budget, current DOD leadership and Congress have recognized the need to better control these costs. Section 716 of the National Defense Authorization Act for Fiscal Year 2012 required DOD to submit a report analyzing potential MHS governance options under consideration, and also an analysis of these options. In response, this report determined the extent to which DOD's assessment provides complete information on cost implications and the strengths and weaknesses of potential MHS governance options. Tables and figures. This is a print on demand report.
Download or read book The Military Health System written by William P. Malloy and published by . This book was released on 2014 with total page 27 pages. Available in PDF, EPUB and Kindle. Book excerpt: "The cost of military health care has almost tripled over the last decade from $19 billion in 2001to $53.5 billion in 2012 and is approaching 10% of the defense budget. This unprecedented growth, and the huge cuts to the overall Department of Defense (DoD) budget, is driving strategic tradeoffs between competing defense priorities, including how much the DoD can afford to pay for health care. The DoD has repeatedly proposed higher enrollment fees in order to help offset health-care costs and modify beneficiary utilization behavior, but it has been unable to secure approval through Congress. Most experts agree fundamental reform to the Military Health System (MHS) is needed, but few offer concrete, politically viable options. This paper will analyze and evaluate the costs, benefits and policy implications associated with redefining the role of employers of working military retirees and improving cost-share parity among retirees. Specifically, I recommend employers be required to pay TRICARE the insurance premium they would have otherwise had to pay to their insurance carrier if the retiree opts out of the employer plan. Just as important, I propose DoD leave the baseline TRICARE fees alone, but charge an additional fee to working-age retirees based on a percentage of wages above retirement pay. This will require changes to Section 707 of the 2007 NDAA as it relates to employers providing payments to retirees for opting out of employer-sponsored health insurance coverage. Implementing these proposed options could provide the MHS an additional $48 billion in revenue across the Future Years Defense Program (FYDP, FY 2015-2019). In this period of fiscal austerity, I fear significant cuts to the MHS could have unintended, long-lasting, negative impacts to military readiness. The funding provided through my proposal has the potential to maintain the current benefit and provide additional time for deliberate strategic planning."--Abstract, page iv.
Download or read book For Profit Enterprise in Health Care written by Institute of Medicine and published by National Academies Press. This book was released on 1986-01-01 with total page 580 pages. Available in PDF, EPUB and Kindle. Book excerpt: "[This book is] the most authoritative assessment of the advantages and disadvantages of recent trends toward the commercialization of health care," says Robert Pear of The New York Times. This major study by the Institute of Medicine examines virtually all aspects of for-profit health care in the United States, including the quality and availability of health care, the cost of medical care, access to financial capital, implications for education and research, and the fiduciary role of the physician. In addition to the report, the book contains 15 papers by experts in the field of for-profit health care covering a broad range of topicsâ€"from trends in the growth of major investor-owned hospital companies to the ethical issues in for-profit health care. "The report makes a lasting contribution to the health policy literature." â€"Journal of Health Politics, Policy and Law.
Download or read book Assessing the Implications of Allowing Transgender Personnel to Serve Openly written by Agnes Gereben Schaefer and published by Rand Corporation. This book was released on 2016-06-30 with total page 113 pages. Available in PDF, EPUB and Kindle. Book excerpt: The U.S. Department of Defense is considering a change in policy to allow transgender military personnel to serve openly. A RAND study examined the health care needs of transgender personnel, the costs of gender transition–related care, and the potential readiness implications of a policy change. The experiences of foreign militaries that permit transgender service members to serve openly also point to some best practices for U.S. policymakers.
Download or read book Evidence Based Medicine and the Changing Nature of Health Care written by Institute of Medicine and published by National Academies Press. This book was released on 2008-09-06 with total page 202 pages. Available in PDF, EPUB and Kindle. Book excerpt: Drawing on the work of the Roundtable on Evidence-Based Medicine, the 2007 IOM Annual Meeting assessed some of the rapidly occurring changes in health care related to new diagnostic and treatment tools, emerging genetic insights, the developments in information technology, and healthcare costs, and discussed the need for a stronger focus on evidence to ensure that the promise of scientific discovery and technological innovation is efficiently captured to provide the right care for the right patient at the right time. As new discoveries continue to expand the universe of medical interventions, treatments, and methods of care, the need for a more systematic approach to evidence development and application becomes increasingly critical. Without better information about the effectiveness of different treatment options, the resulting uncertainty can lead to the delivery of services that may be unnecessary, unproven, or even harmful. Improving the evidence-base for medicine holds great potential to increase the quality and efficiency of medical care. The Annual Meeting, held on October 8, 2007, brought together many of the nation's leading authorities on various aspects of the issues - both challenges and opportunities - to present their perspectives and engage in discussion with the IOM membership.
Download or read book Delivering Affordable Cancer Care in the 21st Century written by Institute of Medicine and published by National Academies Press. This book was released on 2013-06-20 with total page 95 pages. Available in PDF, EPUB and Kindle. Book excerpt: Rising health care costs are a central fiscal challenge confronting the United States. National spending on health care currently accounts for 18 percent of gross domestic product (GDP), but is anticipated to increase to 25 percent of GDP by 2037. The Bipartisan Policy Center argues that "this rapid growth in health expenditures creates an unsustainable burden on America's economy, with far-reaching consequences". These consequences include crowding out many national priorities, including investments in education, infrastructure, and research; stagnation of employee wages; and decreased international competitiveness.In spite of health care costs that far exceed those of other countries, health outcomes in the United States are not considerably better. With the goal of ensuring that patients have access to high-quality, affordable cancer care, the Institute of Medicine's (IOM's) National Cancer Policy Forum convened a public workshop, Delivering Affordable Cancer Care in the 21st Century, October 8-9, 2012, in Washington, DC. Delivering Affordable Cancer Care in the 21st Century summarizes the workshop.
Download or read book Returning Home from Iraq and Afghanistan written by Institute of Medicine and published by National Academies Press. This book was released on 2010-03-31 with total page 193 pages. Available in PDF, EPUB and Kindle. Book excerpt: 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.
Download or read book Health Care Utilization as a Proxy in Disability Determination written by National Academies of Sciences, Engineering, and Medicine and published by National Academies Press. This book was released on 2018-04-02 with total page 161 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Social Security Administration (SSA) administers two programs that provide benefits based on disability: the Social Security Disability Insurance (SSDI) program and the Supplemental Security Income (SSI) program. This report analyzes health care utilizations as they relate to impairment severity and SSA's definition of disability. Health Care Utilization as a Proxy in Disability Determination identifies types of utilizations that might be good proxies for "listing-level" severity; that is, what represents an impairment, or combination of impairments, that are severe enough to prevent a person from doing any gainful activity, regardless of age, education, or work experience.
Download or read book Fit for Growth written by Vinay Couto and published by John Wiley & Sons. This book was released on 2017-01-10 with total page 296 pages. Available in PDF, EPUB and Kindle. Book excerpt: A practical approach to business transformation Fit for Growth* is a unique approach to business transformation that explicitly connects growth strategy with cost management and organization restructuring. Drawing on 70-plus years of strategy consulting experience and in-depth research, the experts at PwC’s Strategy& lay out a winning framework that helps CEOs and senior executives transform their organizations for sustainable, profitable growth. This approach gives structure to strategy while promoting lasting change. Examples from Strategy&’s hundreds of clients illustrate successful transformation on the ground, and illuminate how senior and middle managers are able to take ownership and even thrive during difficult periods of transition. Throughout the Fit for Growth process, the focus is on maintaining consistent high-value performance while enabling fundamental change. Strategy& has helped major clients around the globe achieve significant and sustained results with its research-backed approach to restructuring and cost reduction. This book provides practical guidance for leveraging that expertise to make the choices that allow companies to: Achieve growth while reducing costs Manage transformation and transition productively Create lasting competitive advantage Deliver reliable, high-value performance Sustainable success is founded on efficiency and high performance. Companies are always looking to do more with less, but their efforts often work against them in the long run. Total business transformation requires total buy-in, and it entails a series of decisions that must not be made lightly. The Fit for Growth approach provides a clear strategy and practical framework for growth-oriented change, with expert guidance on getting it right. *Fit for Growth is a registered service mark of PwC Strategy& Inc. in the United States
Download or read book Best Care at Lower Cost written by Institute of Medicine and published by National Academies Press. This book was released on 2013-05-10 with total page 437 pages. Available in PDF, EPUB and Kindle. Book excerpt: America's health care system has become too complex and costly to continue business as usual. Best Care at Lower Cost explains that inefficiencies, an overwhelming amount of data, and other economic and quality barriers hinder progress in improving health and threaten the nation's economic stability and global competitiveness. According to this report, the knowledge and tools exist to put the health system on the right course to achieve continuous improvement and better quality care at a lower cost. The costs of the system's current inefficiency underscore the urgent need for a systemwide transformation. About 30 percent of health spending in 2009-roughly $750 billion-was wasted on unnecessary services, excessive administrative costs, fraud, and other problems. Moreover, inefficiencies cause needless suffering. By one estimate, roughly 75,000 deaths might have been averted in 2005 if every state had delivered care at the quality level of the best performing state. This report states that the way health care providers currently train, practice, and learn new information cannot keep pace with the flood of research discoveries and technological advances. About 75 million Americans have more than one chronic condition, requiring coordination among multiple specialists and therapies, which can increase the potential for miscommunication, misdiagnosis, potentially conflicting interventions, and dangerous drug interactions. Best Care at Lower Cost emphasizes that a better use of data is a critical element of a continuously improving health system, such as mobile technologies and electronic health records that offer significant potential to capture and share health data better. In order for this to occur, the National Coordinator for Health Information Technology, IT developers, and standard-setting organizations should ensure that these systems are robust and interoperable. Clinicians and care organizations should fully adopt these technologies, and patients should be encouraged to use tools, such as personal health information portals, to actively engage in their care. This book is a call to action that will guide health care providers; administrators; caregivers; policy makers; health professionals; federal, state, and local government agencies; private and public health organizations; and educational institutions.
Download or read book Model Rules of Professional Conduct written by American Bar Association. House of Delegates and published by American Bar Association. This book was released on 2007 with total page 216 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Model Rules of Professional Conduct provides an up-to-date resource for information on legal ethics. Federal, state and local courts in all jurisdictions look to the Rules for guidance in solving lawyer malpractice cases, disciplinary actions, disqualification issues, sanctions questions and much more. In this volume, black-letter Rules of Professional Conduct are followed by numbered Comments that explain each Rule's purpose and provide suggestions for its practical application. The Rules will help you identify proper conduct in a variety of given situations, review those instances where discretionary action is possible, and define the nature of the relationship between you and your clients, colleagues and the courts.
Download or read book Budget Options written by United States. Congressional Budget Office and published by . This book was released on 1977 with total page 240 pages. Available in PDF, EPUB and Kindle. Book excerpt:
