Research Brief
Improving Health Care Options for the Nation's Over-65 Military Retirees
Jan 1, 2001
The First Year of the Medicare-DoD Subvention Demonstration
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.
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Table of Contents
Chapter One
Introduction
Chapter Two
The Medicare-DoD Subvention Demonstration
Chapter Three
Evaluation Methods and Data
Chapter Four
Enrollment Demand
Chapter Five
Early Effects of Senior Prime on Service Use
Chapter Six
Early Financial Effects of Senior Prime
Chapter Seven
Status of the Demonstration Sites
Chapter Eight
Discussion of Findings and Issues
Chapter Nine
Selection of Military Treatment Facilities for Senior Prime
Appendix A
Evaluation of the DoD-Medicare Subvention Demonstration
Appendix B
FY96 – FY98 RAND Data Documentation
Appendix C
Teleconferences with the Demonstration Sites
Appendix D
DoD Medical Treatment Facilities – Not Participants in the Subvention Demonstration
This research was conducted within RAND Health.
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Citation
Format:Farley, Donna O., Katherine M. Harris, J. Scott Ashwood, John B. Carleton, and George Dydek, The First Year of the Medicare-DoD Subvention Demonstration: Evaluation Report for FY 1999. Santa Monica, CA: RAND Corporation, 2000. https://www.rand.org/pubs/monograph_reports/MR1271z0.html. Also available in print form.
Farley, Donna O., Katherine M. Harris, J. Scott Ashwood, John B. Carleton, and George Dydek, The First Year of the Medicare-DoD Subvention Demonstration: Evaluation Report for FY 1999, RAND Corporation, MR-1271.0-HCFA, 2000. As of March 24, 2023: https://www.rand.org/pubs/monograph_reports/MR1271z0.html