Download or read book Defense health care oversight of the TRICARE civilian provider network should be improved report to congressional committees written by and published by DIANE Publishing. This book was released on with total page 34 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Defense health care written by United States. General Accounting Office 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 United States Government Accountability Office and published by Createspace Independent Publishing Platform. This book was released on 2017-10-18 with total page 34 pages. Available in PDF, EPUB and Kindle. Book excerpt: Defense Health Care: Oversight of the TRICARE Civilian Provider Network Should Be Improved
Download or read book Defense health care written by Marjorie Kanof and published by . This book was released on 2003 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: During 2002, in testimony to the House Armed Services Committee, Subcommittee on Personnel, beneficiary groups described problems with access to care from TRICARE's civilian providers, and providers testified about their dissatisfaction with the TRICARE program, specifying low reimbursement rates and administrative burdens. The Bob Stump National Defense Authorization Act of 2003 required that GAO review DOD's oversight of TRICARE's network adequacy. In response, GAO is (1) describing how DOD oversees the adequacy of the civilian provider network, (2) assessing DOD's oversight of the adequacy of the civilian provider network, (3) describing the factors that may contribute to potential network inadequacy or instability, and (4) describing how the new contracts, expected to be awarded in June 2003, might affect network adequacy. GAO's analysis focused on TRICARE Prime--the managed care component of the TRICARE health care delivery system. This testimony summarizes GAO's findings to date. A full report will be issued later this year. To oversee the adequacy of the civilian network, DOD has established standards that are designed to ensure that its network has a sufficient number and mix of providers, both primary care and specialists, necessary to satisfy TRICARE Prime beneficiaries' needs. In addition, DOD has standards for appointment wait, office wait, and travel times that are designed to ensure that TRICARE Prime beneficiaries have adequate access to care. DOD has delegated oversight of the civilian provider network to lead agents, who are responsible for ensuring that these standards have been met. DOD's ability to effectively oversee--and thus guarantee the adequacy of--the TRICARE civilian provider network is hindered in several ways. First, the measurement used to determine if there is a sufficient number of providers for the beneficiaries in an area does not account for the actual number of beneficiaries who may seek care or the availability of providers. In some cases, this may result in an underestimation of the number of providers needed in an area. Second, incomplete contractor reporting on access to care makes it difficult for DOD to assess compliance with this standard. Finally, DOD does not systematically collect and analyze beneficiary complaints, which might assist in identifying inadequacies in the TRICARE civilian provider network. DOD and its contractors have reported three factors that may contribute to potential network inadequacy: geographic location, low reimbursement rates, and administrative requirements. However, the information the contractors provide to DOD is not sufficient to measure the extent to which the TRICARE civilian provider network is inadequate. While reimbursement rates and administrative requirements may have created dissatisfaction among providers, it is not clear that these factors have resulted in insufficient numbers of providers in the network. The new contracts, which are expected to be awarded in June 2003, may result in improved network participation by addressing some network providers' concerns about administrative requirements. For example, the new contracts may simplify requirements for provider credentialing and referrals, two administrative procedures providers have complained about. However, according to contractors, the new contracts may also create requirements that could discourage provider participation, such as the new requirement that 100 percent of network claims submitted by providers be filed electronically. Currently, only about 25 percent of such claims are submitted electronically.
Download or read book The Findings and Recommendations of the Department of Defense Task Force on Mental Health the Army s Mental Health Advisory Team Reports and Department of Defense and Service wide Improvements in Mental Health Resources Including Suicide Prevention for Servicemembers and Their Families written by United States. Congress. Senate. Committee on Armed Services. Subcommittee on Personnel and published by . This book was released on 2008 with total page 188 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Defense Health Care written by United States. Government Accountability Office and published by . This book was released on 2019 with total page 27 pages. Available in PDF, EPUB and Kindle. Book excerpt: DOD contracts with private sector companies—referred to as managed care support contractors—to deliver health care services to its TRICARE program beneficiaries through networks of civilian providers. In July 2016, DOD awarded its fourth generation of TRICARE contracts, referred to as T- 2017, for management of civilian providers in its two regions (East and West). For new TRICARE contracts, DOD provides a transition period— usually 9 to 12 months—for the incoming and outgoing contractors. During this time, the incoming contractors must take specific steps to prepare for health care delivery. This report examines (1) how the requirement to implement TRICARE Select affected the transition, (2) challenges DOD experienced executing the T-2017 transition process, and (3) how DOD addressed problems after the start of health care delivery. GAO is making three recommendations to improve future contract transitions, including that DOD improve the specificity of its transition guidance and have subject matter experts review oversight requirements.
Download or read book Findings of the Department of Defense Task Force on Mental Health written by United States. Congress. House. Committee on Armed Services. Subcommittee on Military Personnel and published by . This book was released on 2008 with total page 168 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 2017-08-03 with total page 98 pages. Available in PDF, EPUB and Kindle. Book excerpt: " DOD provides health and mental health care through its TRICARE program. TRICARE offers three basic options. Beneficiaries who choose TRICARE Prime, an option that uses civilian provider networks, must enroll. Beneficiaries who do not enroll in this option may obtain care from nonnetwork providers under TRICARE Standard or from network providers under TRICARE Extra. In addition, qualified National Guard and Reserve servicemembers may purchase TRICARE Reserve Select, a plan whose care options are similar to those of TRICARE Standard and TRICARE Extra. GAO refers to servicemembers who use TRICARE Standard, TRICARE Extra, or TRICARE Reserve Select as nonenrolled beneficiaries. The National Defense Authorization Act for Fiscal Year 2008 directed DOD to conduct annual surveys over fiscal years 2008 through 2011 of both beneficiaries and civilian providers to determine the adequacy of access to health and mental health care providers for nonenrolled beneficiaries. It also directed GAO to review these surveys. This report addresses (1) what the results of the 4-year beneficiary surveys indicate about the adequacy of access to care for nonenrolled beneficiaries; (2) what the results of the 4-year civilian provider surveys indicate about civilian providers' awareness and acceptance of TRICARE, and (3) what the collective results of the surveys indicate about access to care by geographic area. To do so, GAO"
Download or read book Defense Health Care written by United States. General Accounting Office and published by . This book was released on 1987 with total page 28 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Defense Health Care written by United States Accounting Office (GAO) and published by Createspace Independent Publishing Platform. This book was released on 2018-05-30 with total page 28 pages. Available in PDF, EPUB and Kindle. Book excerpt: Defense Health Care: Oversight of the Adequacy of TRICARE's Civilian Provider Network Has Weaknesses
Download or read book Defense health care continued management focus key to settling TRICARE change orders quickly report to the chairman and ranking minority member Subcommittee on Military Personnel Committee on Armed Services House of Representatives written by and published by DIANE Publishing. This book was released on with total page 32 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Defense health care implementation issues for new TRICARE contracts and regional structure report to the Committees on Armed Services U S Senate and House of Representatives written by and published by DIANE Publishing. This book was released on with total page 100 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Department of Defense Appropriations for 1998 Personnel quality of life issues written by United States. Congress. House. Committee on Appropriations. Subcommittee on National Security and published by . This book was released on 2002 with total page 476 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Hearing on National Defense Authorization Act for Fiscal Year 2008 and Oversight of Previously Authorized Programs Before the Committee on Armed Services House of Representatives One Hundred Tenth Congress First Session written by United States. Congress. House. Committee on Armed Services. Subcommittee on Military Personnel and published by . This book was released on 2008 with total page 224 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Hearings on National Defense Authorization Act for Fiscal Year 2005 H R 4200 and Oversight of Previously Authorized Programs Before the Committee on Armed Services House of Representatives One Hundred Eighth Congress Second Session written by United States. Congress. House. Committee on Armed Services. Subcommittee on Total Force and published by . This book was released on 2006 with total page 1532 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Hearing on National Defense Authorization Act for Fiscal Year 2007 and Oversight of Previously Authorized Programs Before the Committee on Armed Services House of Representatives One Hundred Ninth 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 2007 with total page 198 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Hearing on National Defense Authorization Act for Fiscal Year 2006 and Oversight of Previously Authorized Programs Before the Committee on Armed Services House of Representatives One Hundred Ninth Congress First Session written by United States. Congress. House. Committee on Armed Services. Subcommittee on Military Personnel and published by . This book was released on 2006 with total page 328 pages. Available in PDF, EPUB and Kindle. Book excerpt:
