Download or read book Government Estimates in the Tricare Managed Care Support Contracts written by Michael Evi Jonasson and published by . This book was released on 2001-08-01 with total page 101 pages. Available in PDF, EPUB and Kindle. Book excerpt: In 1994, the Department of Defense (DoD) began a journey, to merge the Military Health System (MHS) with the concept of the Managed Care Support Contractor (MCSC). The DoD managed health care program, called TRICARE, includes the competitive selection of contractors to financially underwrite the delivery of civilian health care services with a uniform, stabilized benefit structure, triple option health benefit features, and a regionally-based health care management system. The goals of TRICARE are to maintain medical readiness, improve access to care, provide a secure quality health care benefit, provide a choice of health care options, and contain DOD health care costs. The Managed Care Support (MCS) contracts are fixed-price contracts, with risk-sharing features and a bid price adjustment process designed to periodically substitute projected/estimated health care costs with actual health care costs. MCS contracts are 5 1/2 year contracts, with a 6-month phase-in period prior to start-up of delivery of health care services, followed by 5 1-year option periods. This thesis will explore the bid price adjustment process within the MCS contract, and the Government's methodology used to project/estimate health care costs for use by offerors in the bidding process. Selected as an example for discussion is the Regions 3 and 4 MCS contract. This thesis explores whether the Government, in choosing and engaging a methodology for projecting/estimating health care costs, should have instead chosen another methodology or path; i.e., "the road not taken."
Download or read book TRICARE Managed Care Support Contracts written by United States. Congress. House. Committee on Armed Services. Subcommittee on Military Personnel and published by . This book was released on 2001 with total page 270 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book An Evaluation of Resource Sharing Within Tricare s Managed Care Support Contracts written by Martin D. McCue and published by . This book was released on 1996-09-01 with total page 146 pages. Available in PDF, EPUB and Kindle. Book excerpt: To help reduce the overall cost of health care in the Military Health Services System, Managed Care Support Contracts include a provision known as Resource Sharing. Resource Sharing Agreements allow the contractor to provide personnel, equipment, or supplies to a military treatment facility to improve its capability to deliver health care. After reviewing civilian managed care programs, this thesis examines the Military Health Services System and its new managed care program known as TRICARE. Then the concept of Resource Sharing is examined and the process for identifying, evaluating, and using cost effective Resource Sharing Agreements is discussed. Case studies of different types of agreements are used to illustrate the complexity and importance of cost and workload estimates and key contract factors in understanding the agreements. The findings suggest that the contractor's and government's performance data and assumptions underlying the agreements should be continuously monitored to ensure the cost-effectiveness of the agreements.
Download or read book A Financial Analysis of Resource Sharing Agreements as Part of the TRICARE Managed Care Support Contracts written by Steven L. Hoeft and published by . This book was released on 1998-12-01 with total page 100 pages. Available in PDF, EPUB and Kindle. Book excerpt: Escalating health care costs and base closures have forced the DoD to improve access to health care while maintaining quality, controlling costs, and increasing medical readiness. The response is a Tri-service managed care system called TRICARE. One mechanism utilized within the TRICARE Managed Care Support Contracts (MCSCs) is Resource Sharing. Resource sharing is a system to reduce the government's health care costs by recapturing the TRICARE workload This thesis explores if Resource Sharing Agreements (RSAs) are cost-effective and how they are being monitored and evaluated by the Lead Agent and MTFs. After conducting a literature review, interviews and performing data analysis, this thesis examined the reported cost analysis, retrospective analysis, and workload of RSAs in Health Services Region 10 as they are used under the MCSC for that region. A case study of RSAs, comparing forecasted and reported savings, was also conducted to understand RSAs and their role in controlling military health care costs. The analysis found that the RSAs are reducing government costs, but not at the predicted rate. This case study found that only 67 percent of the estimated government savings were realized. Decreasing workload is a key factor explaining this shortfall.
Download or read book TRICARE Managed Care Support Contracts written by United States. Congress. House. Committee on Armed Services. Subcommittee on Military Personnel and published by . This book was released on 2001 with total page 256 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book TRICARE MANAGED CARE SUPPORT CONTRACTS LESSONS LEARNED HEARING H A S C NO 107 17 COMMITTEE ON ARMED SERVICES HOUSE OF REPRESENTATIVES written by and published by . This book was released on 2003* with total page pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Defense Health Care written by U.s. Government Accountability Office and published by Createspace Independent Publishing Platform. This book was released on 2017-07-27 with total page 44 pages. Available in PDF, EPUB and Kindle. Book excerpt: " DOD provides health care through TRICARE, its regionally structured health care program. In each of its regions (North, South, West), DOD uses contractors to manage health care delivery through civilian providers, among other tasks. UnitedHealth-an organization new to TRICARE-was awarded the contract in the West region. After health care delivery began, UnitedHealth experienced problems fulfilling some requirements and delivering care to TRICARE beneficiaries. GAO was asked to review the West region's transition to UnitedHealth. This report provides information on (1) the extent to which TMA provided guidance and oversight of the new contractor's transition period in preparation for health care delivery; and (2) how, if at all, TMA's guidance and oversight during the transition period contributed to issues with health care delivery. GAO reviewed and analyzed TMA guidance, contract requirements, and other relevant documentation, and interviewed TMA and UnitedHealth officials. "
Download or read book TRICARE Administrative Prices in the Northwest Region May be Too High written by United States. General Accounting Office and published by . This book was released on 1997 with total page 7 pages. Available in PDF, EPUB and Kindle. Book excerpt: GAO reviewed the Department of Defense's (DOD) TRICARE program, focusing on whether TRICARE managers in the Northwest Region had taken advantage of DOD's contractual authority to adjust administrative prices to correspond with a large health care price decrease. GAO noted that: (1) the largest contract change to date in the Northwest Region, modification P00008, effective February 1, 1995, reduced the health care price by a total of $169 million, 33 percent, over the five option periods; (2) the reduction was calculated to reflect lower baseline population and military treatment facility utilization estimates; (3) despite a 33-percent reduction in health care prices, TRICARE contracting officers did not propose a second action to reduce administrative support prices; (4) TRICARE managed care services (MCS) contracts do not require that health care price reductions automatically trigger a corresponding reduction in the administrative support prices, nor do contracts require the reasons administrative prices are not reduced; (5) while administrative price adjustments are not part of the bid price adjustment process, administrative support price adjustments are not precluded under the federal acquisition regulation (FAR) changes provisions; (6) because modification P00008 was issued under the authority of FAR section 52.243-1, it is a change order that allows TRICARE Support Office (TSO) contracting officers to adjust administrative support prices; (7) while health care costs are not directly linked to administrative support costs in existing TRICARE MCS contracts, there is a clear relationship between the two; (8) the Defense Contract Audit Agency and Lead Agent officials told GAO that a 33-percent reduction in health care price should have been accompanied by a reduction, perhaps proportionally smaller, in the administrative support price or, at minimum, TSO contracting officers should have conducted further analysis to determine the extent to which an administrative support price reduction was warranted; (9) had TRICARE contracting officials applied the contractor's administrative support rates to the reduced health care prices in modification P00008, administrative support prices might be as much as $25 million less over the 5 years of the contract; (10) this projection, moreover, is at the upper range of potential savings because administrative support costs would likely not decrease in the same proportion as health care costs; and (11) nevertheless, renegotiating administrative support prices would not only give DOD valuable information on the true cost of administrative services in the Northwest Region, but also would ensure DOD pays fair and reasonable prices for these services.
Download or read book Substance Use Disorders in the U S Armed Forces written by Institute of Medicine and published by National Academies Press. This book was released on 2013-03-21 with total page 350 pages. Available in PDF, EPUB and Kindle. Book excerpt: Problems stemming from the misuse and abuse of alcohol and other drugs are by no means a new phenomenon, although the face of the issues has changed in recent years. National trends indicate substantial increases in the abuse of prescription medications. These increases are particularly prominent within the military, a population that also continues to experience long-standing issues with alcohol abuse. The problem of substance abuse within the military has come under new scrutiny in the context of the two concurrent wars in which the United States has been engaged during the past decade-in Afghanistan (Operation Enduring Freedom) and Iraq (Operation Iraqi Freedom and Operation New Dawn). Increasing rates of alcohol and other drug misuse adversely affect military readiness, family readiness, and safety, thereby posing a significant public health problem for the Department of Defense (DoD). To better understand this problem, DoD requested that the Institute of Medicine (IOM) assess the adequacy of current protocols in place across DoD and the different branches of the military pertaining to the prevention, screening, diagnosis, and treatment of substance use disorders (SUDs). Substance Use Disorders in the U.S. Armed Forces reviews the IOM's task of assessing access to SUD care for service members, members of the National Guard and Reserves, and military dependents, as well as the education and credentialing of SUD care providers, and offers specific recommendations to DoD on where and how improvements in these areas could be made.
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 Managerial Cost Accounting Concepts and Standards for the Federal Government written by United States. Federal Accounting Standards Advisory Board and published by . This book was released on 1995 with total page 120 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Department of Defense Appropriations Act 2000 written by United States and published by . This book was released on 1999 with total page 72 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Recognition of Contingent Liabilities Arising from Litigation written by United States. Office of Management and Budget and published by U.S. Government Printing Office. This book was released on 1999 with total page 28 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Promoting Mental Health written by World Health Organization and published by . This book was released on 2004-01-01 with total page 67 pages. Available in PDF, EPUB and Kindle. Book excerpt: Mental health can be improved through the collective action of society. Improving mental health requires broadly based policies and programmes, as well as specific activities in the health field relating to the prevention and treatment of ill health. .
Download or read book Circular No A 11 written by Omb and published by . This book was released on 2019-06-29 with total page 534 pages. Available in PDF, EPUB and Kindle. Book excerpt: The June 2019 OMB Circular No. A-11 provides guidance on preparing the FY 2021 Budget and instructions on budget execution. Released in June 2019, it's printed in two volumes. This is Volume I. Your budget submission to OMB should build on the President's commitment to advance the vision of a Federal Government that spends taxpayer dollars more efficiently and effectively and to provide necessary services in support of key National priorities while reducing deficits. OMB looks forward to working closely with you in the coming months to develop a budget request that supports the President's vision. Most of the changes in this update are technical revisions and clarifications, and the policy requirements are largely unchanged. The summary of changes to the Circular highlights the changes made since last year. This Circular supersedes all previous versions. VOLUME I Part 1-General Information Part 2-Preparation and Submission of Budget Estimates Part 3-Selected Actions Following Transmittal of The Budget Part 4-Instructions on Budget Execution VOLUME II Part 5-Federal Credit Part 6-The Federal Performance Framework for Improving Program and Service Delivery Part7-Appendices Why buy a book you can download for free? We print the paperback book so you don't have to. First you gotta find a good clean (legible) copy and make sure it's the latest version (not always easy). Some documents found on the web are missing some pages or the image quality is so poor, they are difficult to read. If you find a good copy, you could print it using a network printer you share with 100 other people (typically its either out of paper or toner). If it's just a 10-page document, no problem, but if it's 250-pages, you will need to punch 3 holes in all those pages and put it in a 3-ring binder. Takes at least an hour. It's much more cost-effective to just order the bound paperback from Amazon.com This book includes original commentary which is copyright material. Note that government documents are in the public domain. We print these paperbacks as a service so you don't have to. The books are compact, tightly-bound paperback, full-size (8 1/2 by 11 inches), with large text and glossy covers. 4th Watch Publishing Co. is a HUBZONE SDVOSB. https: //usgovpub.com
Download or read book The Medicare Handbook written by and published by . This book was released on 1992 with total page 12 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Hearings on National Defense Authorization Act for Fiscal Year 2003 H R 4546 and Oversight of Previously Authorized Programs Before the Committee on Armed Services House of Representatives One Hundred Seventh Congress Second Session written by United States. Congress. House. Committee on Armed Services. Subcommittee on Military Personnel and published by . This book was released on 2003 with total page 508 pages. Available in PDF, EPUB and Kindle. Book excerpt:
