Cover: Reorganizing the Military Health System

Reorganizing the Military Health System

Should There Be a Joint Command?

by Susan D. Hosek, Gary Cecchine

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Abstract

Since the end of World War II, the question of whether to create a unified military health system has arisen repeatedly. Despite a variety of answers to this question, the system has largely retained its traditional structure, with separate Army, Navy, and Air Force medical departments. Now that a new managed-care program — called TRICARE — is operational, the military health system organization is once again in the spotlight. This book documents research on the organization of the military health system. It considers five alternative organizational structures for their likely impact on peacetime health care and wartime readiness. It also examines organizational models in the civilian managed-care sector that might be applied to TRICARE. The authors recommend modification of the current system organization to unify health-plan management in TRICARE and separate it from military treatment facility management. The authors also find that there is insufficient evidence to predict the necessity or effectiveness of establishing a joint command to direct the restructured TRICARE organization and other military medical activities. The outcome of a regional test, now underway, can better inform this decision.

Table of Contents

  • Preface PDF

  • Figures PDF

  • Tables PDF

  • Summary PDF

  • Acknowledgements

    Acknowledgments PDF

  • Acronyms PDF

  • Chapter One

    Introduction and Background PDF

  • Chapter Two

    Options for Organizing the Military Health System PDF

  • Chapter Three

    Organization in the Private Sector and TRICARE PDF

  • Chapter Four

    Medical Readiness and Operational Medicine PDF

  • Chapter Five

    Other Assessments of the MHS Organization PDF

  • Chapter Six

    Assessing the Organizational Alternatives PDF

  • Appendix A

    Unifying the Training Curriculum PDF

  • Appendix B

    Principles of Organizational Structure PDF

  • Appendix C

    Interviewee List PDF

  • Bibliography PDF

This research was conducted within RAND's National Security Research Division and RAND Health.

This report is part of the RAND Corporation monograph report series. The monograph/report was a product of the RAND Corporation from 1993 to 2003. RAND monograph/reports presented major research findings that addressed the challenges facing the public and private sectors. They included executive summaries, technical documentation, and synthesis pieces.

The RAND Corporation is a nonprofit institution that helps improve policy and decisionmaking through research and analysis. RAND's publications do not necessarily reflect the opinions of its research clients and sponsors.