ABSTRACT

Defense Health Care: Opportunities to Improve Future TRICARE Managed Care Support Contract Transitions, Report to Congressional Committees   [open pdf - 2MB]

From the Highlights: "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 T2017, 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. The John S. McCain National Defense Authorization Act for Fiscal Year 2019 included a provision for GAO [Government Accountability Office] to review the T-2017 transition. 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 reviewed and analyzed DOD guidance, contract requirements, and other relevant documentation, and interviewed DOD officials, TRICARE contractors, and other stakeholders."

Report Number:
GAO-20-39
Publisher:
Date:
2019-11
Copyright:
Public Domain
Retrieved From:
Government Accountability Office: http://www.gao.gov/
Format:
pdf
Media Type:
application/pdf
URL:
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