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Defense Health Care: CHAMPUS Reform Initiative--Unresolved Issues

HRD-87-65BR Published: Mar 04, 1987. Publicly Released: Mar 04, 1987.
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Highlights

Pursuant to a congressional request, GAO reviewed Department of Defense (DOD) changes to the Civilian Health and Medical Program of the Uniformed Services (CHAMPUS).

Recommendations

Recommendations for Executive Action

Agency Affected Recommendation Status
Department of Defense The Secretary of Defense should direct the Assistant Secretary of Defense (Health Affairs) to: (1) expeditiously develop a methodology for conducting a thorough evaluation of the initiative's demonstration phase; (2) ensure that the initiative's demonstration phase is of sufficient duration that issues such as those raised in this report, and those that may arise during the demonstration, can be thoroughly evaluated before DOD proceeds to subsequent phases of the initiative; and (3) inform Congress promptly if DOD determines that the congressionally directed timetable for nationwide implementation of the initiative cannot be met because of the need for a more thorough demonstration phase.
Closed – Implemented
DOD contracted with the Rand Corporation to develop and perform an evaluation methodology. Congress, in DOD authorization and appropriations acts, directed DOD to evaluate the methodology and place limits on future phases until the initial phase is evaluated.

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Topics

Health care cost controlHealth care programsHealth care servicesInternal controlsMilitary benefits claimsMilitary dependentsMilitary personnelMonitoringProgram managementBeneficiaries