Defense Health Care
Obstacles in Implementing Coordinated Care Gao ID: T-HRD-92-24 April 7, 1992While not a panacea, managed care in the military health services system holds promise for gaining more control over costs, improving beneficiary access, and offering high-quality care. This effort is threatened by serious obstacles, however, including budget constraints arising from military downsizing, building a consensus of support among various parties for managed care, and making key operation decisions given minimal data from the Defense Department's (DOD) demonstration projects. This testimony focuses on (1) the challenges DOD faces in implementing the Coordinated Care Program throughout the military health services system, (2) implementation problems and some options available to DOD in dealing with them, and (3) the use of contracting in Coordinated Care.
RecommendationsOur recommendations from this work are listed below with a Contact for more information. Status will change from "In process" to "Open," "Closed - implemented," or "Closed - not implemented" based on our follow up work.
Director: Team: Phone: