Improving Health Care Options for the Nation's Over-65 Military Retirees
Jan 1, 2001
Evaluation Report for FY 1999
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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.
The Medicare-DoD Subvention Demonstration
Evaluation Methods and Data
Early Effects of Senior Prime on Service Use
Early Financial Effects of Senior Prime
Status of the Demonstration Sites
Discussion of Findings and Issues
Selection of Military Treatment Facilities for Senior Prime
Evaluation of the DoD-Medicare Subvention Demonstration
FY96 – FY98 RAND Data Documentation
Teleconferences with the Demonstration Sites
DoD Medical Treatment Facilities – Not Participants in the Subvention Demonstration
This research was conducted within 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.
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