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<classification authority="sudocs">GA 1.13:HEHS-95-142</classification>
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 <subject>Defense procurement</subject>
 <subject>Service contracts</subject>
 <subject>Health care services</subject>
 <subject>Contract award protests</subject>
 <subject>Contract negotiations</subject>
 <subject>Procurement practices</subject>
 <subject>Health services administration</subject>
 <subject>Military personnel</subject>
 <subject>Beneficiaries</subject>
 <subject>Health care cost control</subject>
 <identifier>Civilian Health and Medical Program of the Uniformed</identifier>
 <identifier>Services</identifier>
 <identifier>CHAMPUS</identifier>
 <identifier>DOD TRICARE Program</identifier>
 <identifier>Medicaid Program</identifier>
 <identifier>CHAMPUS Reform Initiative</identifier>
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 <identifier>Hawaii</identifier>
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<titleInfo>
 <title>Defense Health Care: Despite TRICARE Procurement Improvements, Problems Remain</title>
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<abstract>Pursuant to a congressional request, GAO reviewed defense health care,
focusing on: (1) procurement process problems identified by the bid
protest experiences; (2) the Department of Defense&apos;s (DOD) actions to
improve and help ensure the fairness of the procurement process; and (3)
what problems and concerns remain and whether further actions are
needed.&lt;p/&gt;GAO found that: (1) DOD has changed its managed care procurement process
to address such past problems as its failure to evaluate bidders&apos;
proposed prices according to solicitation criteria, the lack of
communication between technical and price evaluators, and its failure to
properly evaluate bidders&apos; cost containment approaches; (2) although DOD
has revised its evaluation methodology and has added new discussion
requirements to improve future procurements and ensure better treatment
of bidders, protests are likely to continue, given the vast sums of
money at stake and the relatively small expense of protesting; (3) DOD
may have difficulty meeting the congressional deadline for awarding all
contracts by September 1996, since procurements have been taking twice
as long as planned; (4) DOD has tried to make up for procurement delays
by reducing its transition period after contract award for contractors
to deliver health care, but this action has created major risks; and (5)
DOD must establish required qualifications for evaluation board members,
since their tasks have become so specialized.</abstract>
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<note>Letter Report</note>
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 <topic>Defense procurement</topic>
 <topic>Service contracts</topic>
 <topic>Health care services</topic>
 <topic>Contract award protests</topic>
 <topic>Contract negotiations</topic>
 <topic>Procurement practices</topic>
 <topic>Health services administration</topic>
 <topic>Military personnel</topic>
 <topic>Beneficiaries</topic>
 <topic>Health care cost control</topic>
 <topic>Civilian Health and Medical Program of the Uniformed</topic>
 <topic>Services</topic>
 <topic>CHAMPUS</topic>
 <topic>DOD TRICARE Program</topic>
 <topic>Medicaid Program</topic>
 <topic>CHAMPUS Reform Initiative</topic>
 <topic>California</topic>
 <topic>Hawaii</topic>
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  <title>United States Code</title>
  <partNumber>Title 31 Section 3551-56</partNumber>
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 <identifier type="USC citation">31 U.S.C. 3551-56</identifier>
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<relatedItem type="isReferencedBy">
 <titleInfo>
  <title>United States Public Law 569 (84th Congress)</title>
</titleInfo>
 <identifier type="public law citation">Public Law 84-569</identifier>
</relatedItem>
<relatedItem type="isReferencedBy">
 <titleInfo>
  <title>United States Public Law 614 (89th Congress)</title>
</titleInfo>
 <identifier type="public law citation">Public Law 89-614</identifier>
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