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<classification authority="sudocs">GA 1.13:T-HEHS-94-145</classification>
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 <subject>Health care cost control</subject>
 <subject>Health care programs</subject>
 <subject>Health care services</subject>
 <subject>Health resources utilization</subject>
 <subject>Health maintenance organizations</subject>
 <subject>Military personnel</subject>
 <subject>Military dependents</subject>
 <subject>Cost effectiveness analysis</subject>
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 <title>Defense Health Care: Challenges Facing DOD in Implementing Nationwide Managed Care</title>
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<abstract>The Defense Department (DOD) has made great strides in implementing
TRICARE, its nationwide managed health care program.  GAO commends DOD
for tackling this ambitious but necessary undertaking.  TRICARE embodies
many of the lessons learned from DOD&apos;s managed health care demonstration
projects over the last several years.  GAO believes that it has the
potential to improve beneficiary access to care, maintain high-quality
care, and gain control of health care costs. Yet some analyses suggest
that it is uncertain whether TRICARE will be more cost effective than
other health care options available to DOD.  Much will depend on
TRICARE&apos;s benefit and cost-sharing packages, which DOD still needs to
finalize.  Also, several implementation and contracting issues remain
unresolved.</abstract>
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<note>Testimony</note>
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 <topic>Health care programs</topic>
 <topic>Health care services</topic>
 <topic>Health resources utilization</topic>
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 <topic>Military personnel</topic>
 <topic>Military dependents</topic>
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