The First Year of the Medicare-DoD Subvention Demonstration: Evaluation Report for FY 1999
In 1997, Congress directed the Health Care Financing Administration (HCFA) and the Department of Defense (DoD) to conduct a demonstration to test the feasibility of establishing Medicare managed care plans within the DoD TRICARE health benefits program for beneficiaries who are eligible for both DoD and Medicare health insurance coverage. The legislation was intended to expand access to military health care services for dually eligible beneficiaries while maintaining budget neutrality. This report focuses on one model being tested in the demonstration, called TRICARE Senior Prime. It presents the results of RAND's evaluation of the first year of operation at six demonstration sites.
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- Document Number: MR-1271.0-HCFA
- Year: 2001
- Series: Monograph Reports
Contents
Preface PDF
Tables PDF
Figures PDF
Summary PDF
Acknowledgements
Acknowledgments PDF
Acronyms PDF
Chapter 1
Introduction PDF
Chapter 2
The Medicare-DoD Subvention Demonstration PDF
Chapter 3
Evaluation Methods and Data PDF
Chapter 4
Enrollment Demand PDF
Chapter 5
Early Effects of Senior Prime on Service Use PDF
Chapter 6
Early Financial Effects of Senior Prime PDF
Chapter 7
Status of the Demonstration Sites PDF
Chapter 8
Discussion of Findings and Issues PDF
Chapter 9
Selection of Military Treatment Facilities for Senior Prime PDF
References PDF
Appendix A
Evaluation of the DoD-Medicare Subvention Demonstration PDF
Appendix B
FY96 - FY98 Rand Data Documentation PDF
Appendix C
Teleconferences with the Demonstration Sites PDF
Appendix D
DoD Medical Treatment Facilities - Not Participants on the Subvention Demonstration PDF
This research was conducted within RAND Health.
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