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Accession Number PB2014-100549
Title Defense Health Care: Evaluation of TRICARE Pharmacy Services Contract Structure Is Warranted.
Publication Date Sep 2013
Media Count 36p
Personal Author N/A
Abstract DOD offers health care coverage--medical and pharmacy services--to eligible beneficiaries through its TRICARE program. DOD contracts with managed care support contractors to provide medical services, and separately with a pharmacy benefit manager to provide pharmacy services that include the TRICARE mail-order pharmacy and access to a retail pharmacy network. This is referred to as a carve-out contract structure. DOD's current pharmacy contract ends in the fall of 2014. DOD has been preparing for its upcoming contract through acquisition planning, which included identifying any needed changes to contract requirements. Senate Report 112-173, which accompanied a version of the NDAA for fiscal year 2013, mandated that GAO review DOD's health care contracts. For this report, GAO examined: (1) how DOD identified changes needed, if any, to requirements for its upcoming pharmacy services contract; and (2) what, if any, assessment DOD has done of the appropriateness of its current contract structure. GAO reviewed DOD acquisition planning documents and federal regulations, and interviewed officials from DOD and its pharmacy services contractor.
Keywords Acquisition
Benefits
Contracts
Department of defense
Eligibility
Health care coverage
Managed care
Medical services
Military personnel
Pharmacies
Regulations
TRICARE program


 
Source Agency General Accounting Office
NTIS Subject Category 57Q - Pharmacology & Pharmacological Chemistry
44K - Health Services
74 - Military Sciences
Corporate Author Government Accountability Office, Washington, DC.
Document Type Technical report
Title Note N/A
NTIS Issue Number 1403
Contract Number N/A

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