Defense Health Care:

Expansion of the CHAMPUS Reform Initiative Into Washington and Oregon

HRD-93-149: Published: Sep 20, 1993. Publicly Released: Sep 20, 1993.

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Pursuant to a legislative requirement, GAO provided information on the Department of Defense's (DOD) certification on expanding the Civilian Health and Medical Program of the Uniformed Services (CHAMPUS) Reform Initiative (CRI).

GAO found that: (1) after comparing CRI with the standard CHAMPUS program, DOD certified that the modified CRI program is the most efficient method of delivering health care in Washington and Oregon and there would be no difference in quality of care between the two programs; (2) DOD reasonably estimated the two health care delivery programs' expected costs, quality, and access; and (3) DOD does not have an adequate basis to support its conclusion that CRI is the most efficient way to deliver health care, since it did not compare other health care delivery methods it is currently testing with the modified CRI and standard CHAMPUS programs.

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