lunes, 25 de julio de 2016

Health.mil - DoD Awards TRICARE Managed Care Support Contracts

Health.mil - DoD Awards TRICARE Managed Care Support Contracts

Health.mil

DoD Awards TRICARE Managed Care Support Contracts



Image of the TRICARE logo.

THe Department of Defense (DoD) announced today the next generation of TRICARE Managed Care Support Contracts.  The new contracts, which go into effect nine months after the award, establish two TRICARE regions in the United States – East and West – instead of the current three. The East Region contract goes to Humana Government Business, Inc., Louisville, Kentucky, and in the West Region the new Managed Care contractor is Health Net Federal Services LLC, Rancho Cordova, California. These contracts are replacing current arrangements under which health care is provided to eligible members of the uniformed services, their families, retirees and their families.
"I am pleased that our new TRICARE contracts are focused on enhancing the experience of care for our service members, retirees and their families,” said Karen S. Guice, M.D., acting Assistant Secretary of Defense for Health Affairs. 
The new contracts will continue to provide for the delivery of health care, customer service, claims processing and other administrative services to the estimated 9.4 million TRICARE beneficiaries.  The new contracts do not change the TRICARE benefit and offer all the same TRICARE options.
“TRICARE is moving into a new era, making use of the lessons learned in the first three contract phases,” said Vice Admiral Raquel C. Bono, Director of the Defense Health Agency. “Defense Department leadership and the incumbent managed care support contractors are dedicated to managing a smooth transition to the new managed care support contractors, with minimum disruption to our beneficiaries.”
The new contracts include a requirement to improve integration between military hospitals and the civilian components of TRICARE. They also call for an upgraded electronic referral process to reduce wait times for beneficiaries who need specialty care.
After the nine-month transition period from the current contracts to the new ones, military hospitals and clinics will have real-time access to medical management data. This increased ability to share data will improve both patient care coordination and access to care. And through improved visibility of data, the Military Health System will be able to standardize care between civilian and military facilities, which promises both better care and greater patient safety.
The Defense Health Agency will keep TRICARE beneficiaries informed of coming changes during the transition period. Those interested in the progress should bookmark the web page on the TRICARE Website and sign up for regular bulletins through our e-alert system.




Merger of TRICARE offices provides more efficiencies in care management

Article
7/18/2016
Image of the TRICARE logo.
TRICARE Regional Office (TRO) North and TRO South became TRO East on July 1, 2016.
Related Topics: TRICARE Health Program | New Regional Contracts to Administer the TRICARE Benefit

During Nurses Week, Nurse Advice Line emphasizes value to moms in the military

Article
5/4/2016
With staffing by nurses 24 hours a day, 7 days a week, the Nurse Advice Line puts medical advice as close as the nearest phone for military personnel and their families.
During National Nurses Week (May 6-12), read more about how the Nurse Advice Line is helping new moms in the military.
Related Topics: Access to Health Care | Military Hospitals and Clinics | TRICARE Health Program | Women's Health

National Prescription Drug Take-Back Day is April 30

Article
4/28/2016
The Drug Enforcement Agency’s National Prescription Drug Take-back Day is April 30. Sites will be open from 10 a.m. to 2 p.m. for people to bring excess prescription drugs that otherwise could be abused or contaminate the environment.
Drug Take Back events are a great chance for TRICARE beneficiaries and anyone else to get rid of their unused, unwanted and expired prescription drugs
Related Topics: TRICARE Health Program | TRICARE Pharmacy Program

TRICARE Facts and Figures

Infographic
4/20/2016
TRICARE Facts and Figures infographic
Military Health System Facts & Figures
Related Topics: Access to Health Care | TRICARE Health Program | Military Hospitals and Clinics

TRICARE improves mental health care and treatment

Article
4/15/2016
Image of the TRICARE logo.
People in distress may hesitate to reach out for help due to perceived stigma associated with seeking mental health treatment. This perception and the belief that care may be hard to get, may prevent some people who need care from getting it. TRICARE has worked hard to eliminate potential barriers to mental health care by removing day limits for certain mental health services.
Related Topics: TRICARE Health Program

TRICARE waives referral requirement for family members evacuated from Turkey

Article
4/1/2016
Image of the TRICARE logo.
The Department of Defense is evacuating about 700 family members of active duty service members from southern Turkey, due to security concerns in the region. TRICARE is waiving the primary care manager (PCM) referral requirement for all evacuated beneficiaries. This will help them get medical care while away from their homes and doctors.
Related Topics: TRICARE Health Program

TRICARE releasing new reimbursement rates for autism care

Article
3/29/2016
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The TRICARE Health Plan announced new reimbursement rates effective April 1, 2016 for applied behavior analysis services, which are provided under the Autism Care Demonstration
Related Topics: Autism Care Demonstration | Applied Behavior Analysis Maximum Allowed Amounts | TRICARE Health Program

VLER HIE Initiative: Because having the right information is always important

Article
3/3/2016
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The Virtual Lifetime Electronic Record Health Information Exchange Initiative (VLER HIE) securely connects health and benefit information systems from the Department of Defense (DoD), Department of Veterans Affairs (VA), and other federal and private sector partners.
Related Topics: Technology | TRICARE Health Program | DoD/VA Sharing Initiatives | Virtual Lifetime Electronic Record Health Information Exchange Initiative

Senior medical leaders testify on Defense Health Care reform

Article
2/25/2016
MHS Seal
Many successful initiatives are underway to reform the Military Health System, but the system will require change to continue its many benefits to readiness and patient care, military medicine’s top leaders told a Senate panel yesterday
Related Topics: Military Hospitals and Clinics | TRICARE Health Program

DoD Official: New form provided for 2015 federal taxes

Article
2/4/2016
MHS Seal
This is the first year DoD is responsible for notifying the IRS of its military and civilian employees’ health care insurance participation through Form 1095
Related Topics: TRICARE Health Program

United Concordia awarded contract to support the TRICARE Dental Program

Article
2/1/2016
Image of the TRICARE logo.
The TRICARE Dental Program is a voluntary dental plan for active duty family members, and Guard/Reserve members and their families.
Related Topics: TRICARE Health Program

New TRICARE Reimbursement Rates for Applied Behavior Analysis Providers Start in Spring 2016

Article
12/1/2015
Image of the TRICARE logo.
Beginning spring 2016, TRICARE reimbursement rates for ABA providers under the Demonstration will change to become more consistent with national prevailing rates.
Related Topics: Autism Care Demonstration | TRICARE Health Program | Applied Behavior Analysis Maximum Allowed Amounts

What TRICARE Beneficiaries Need to Know About Open Enrollment and the Health Insurance Marketplace

Article
11/6/2015
Image of the TRICARE logo.
It’s time for open enrollment; the time of year when people can enroll in or change their health insurance plan. The open enrollment period for HealthCare.gov is November 1, 2015 to January 31, 2016 for 2016 coverage.
Related Topics: TRICARE Health Program

Laboratory developed test coverage expanded for TRICARE beneficiaries

Article
11/6/2015
Image of the TRICARE logo.
The Defense Health Agency has added 32 tests to its Evaluation of Non-United States Food and Drug Administration Approved Laboratory Developed Tests Demonstration Project
Related Topics: Access to Health Care | TRICARE Health Program

TRICARE Young Adult premiums to increase

Article
10/28/2015
Department of Defense official seal
The TRICARE Health Plan has announced the 2016 premiums for TRICARE Young Adult Prime and Standard options covering beneficiaries between 21 and 26 years old. These premiums are adjusted on an annual basis and go into effect Jan. 1, 2016.
Related Topics: TRICARE Health Program

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