“A lack of guidance and oversight by the Defense Health Agency of its Tricare contractors in 2017 resulted in a host of problems for patients that must be addressed while the Pentagon develops its next generation of Tricare contracts, the Government Accountability Office has warned.”
“In a report published Tuesday, government watchdog analysts said that despite developing new guidance for the 2017 transition, as well as financial penalties meant to hold contractors accountable, DHA did not manage the turnover well, resulting in delays in contract implementation, patient enrollment problems and challenges providing specialty care.”
“In 2016, the Defense Health Agency consolidated its Tricare regions from three to two and awarded contracts for private health care services to Humana Military in the East Region and Health Net Federal Services in the West.”
“At the same time, the Tricare health program was preparing to launch Tricare Select, the preferred provider benefit that replaced the fee-for-service Tricare Standard program and Tricare Extra, a preferred provider health program.”
“But the turnover was anything but smooth, with UnitedHealthcare having lost the Tricare West contract to former Tricare North contractor Health Net and Humana, the Tricare South contractor, expanding to 32 states.”
“Among the problems encountered in the transition were…” Read the full article here.
Source: Bungled 2017 Tricare contract transition largely the Defense Health Agency’s fault, report says – By Patricia Kime, November 26, 2019. Military Times.