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<classification authority="sudocs">GA 1.13:GAO-07-647</classification>
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 <subject>Beneficiaries</subject>
 <subject>Cost analysis</subject>
 <subject>Deductibles and Coinsurance</subject>
 <subject>Defense cost control</subject>
 <subject>Health care costs</subject>
 <subject>Health care programs</subject>
 <subject>Health insurance</subject>
 <subject>Insurance premiums</subject>
 <subject>Managed health care</subject>
 <subject>Military dependents</subject>
 <subject>User fees</subject>
 <subject>Cost growth</subject>
 <subject>Savings estimates</subject>
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<titleInfo>
 <title>Military Health Care: TRICARE Cost-Sharing Proposals Would Help Offset Increasing Health Care Spending, but Projected Savings Are Likely Overestimated</title>
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<abstract>In light of the fact that Department of Defense (DOD) health care
spending more than doubled from 2000 to 2005 and continues to	 
escalate, DOD proposed increasing the share of health care costs 
paid by TRICARE beneficiaries, under a proposal known as Sustain 
the Benefit. DOD estimated that if the proposal had been	 
implemented in fiscal year 2007, savings would amount to over $11
billion through fiscal year 2011. As required by the National	 
Defense Authorization Act for 2007, GAO evaluated (1) the	 
likelihood that DOD would achieve its estimated savings from the 
proposed enrollment fee and deductible increases for retirees and
dependents under age 65, (2) the likelihood that DOD would	 
achieve its estimated savings from the proposed pharmacy	 
co-payment increases for all beneficiaries except active duty	 
personnel, and (3) the factors identified by DOD as contributing 
to increased TRICARE spending from 2000 to 2005. To conduct its  
work, GAO examined DOD analyses and interviewed DOD officials.	 
GAO also analyzed data on many aspects of health care costs in	 
general and interviewed health economists.</abstract>
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 <topic>Beneficiaries</topic>
 <topic>Cost analysis</topic>
 <topic>Deductibles and Coinsurance</topic>
 <topic>Defense cost control</topic>
 <topic>Health care costs</topic>
 <topic>Health care programs</topic>
 <topic>Health insurance</topic>
 <topic>Insurance premiums</topic>
 <topic>Managed health care</topic>
 <topic>Military dependents</topic>
 <topic>User fees</topic>
 <topic>Cost growth</topic>
 <topic>Savings estimates</topic>
 <topic>DOD TRICARE Program</topic>
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  <title>United States Statutes at Large</title>
  <partNumber>Volume 114 Page 1654</partNumber>
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 <identifier type="Statute citation">114 Stat. 1654</identifier>
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  <title>United States Statutes at Large</title>
  <partNumber>Volume 120 Page 2083</partNumber>
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 <identifier type="Statute citation">120 Stat. 2083</identifier>
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 <titleInfo>
  <title>United States Public Law 398 (106th Congress)</title>
</titleInfo>
 <identifier type="public law citation">Public Law 106-398</identifier>
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<relatedItem type="isReferencedBy">
 <titleInfo>
  <title>United States Public Law 364 (109th Congress)</title>
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 <identifier type="public law citation">Public Law 109-364</identifier>
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