Empanelment Model For Use By Medical Treatment Facilities Within the MilitaryHealth Services System

摘要

The implementation of the Department of Defense managed care program entitledTRICARE has provided the military health service system a new set of challenges. The significant question and problem faced by medical treatment facility commanders is the determination of how many beneficiaries to empanel in their facilities' primary care networks. The model described in this study provides the commander with the elements necessary to determine the primary care network's total likely capacity to accommodate visits as well as the population's demand for them. From these two pieces of information the facility commander can determine the number of beneficiaries to empanel in the primary care network. This model also estimates the additional demand that results from moral hazard in a military treatment facility, as a consequence of providing health care at a insignificant cost to the patient.