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Defense Health Care: Actions Under Way to Address Many TRICARE Contract Change Order Problems

HEHS-97-141 Published: Jul 14, 1997. Publicly Released: Jul 14, 1997.
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Highlights

Pursuant to a congressional request, GAO reviewed the Department of Defense's (DOD) process for managing TRICARE contract change orders to determine: (1) the number of, nature of, and reasons for the orders; (2) whether DOD is adequately managing the change order process; and (3) if appropriate, how DOD can improve the process.

Recommendations

Recommendations for Executive Action

Agency Affected Recommendation Status
Department of Defense The Secretary of Defense should direct the Assistant Secretary of Defense (Health Affairs) to continue providing the high-level management attention that DOD has begun to focus on implementing the needed change order process improvements.
Closed – Implemented
No new progress has been made since the accomplishment report last year. There is still a large backlog of unsettled change orders.

Full Report

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Topics

Contract costsContract modificationsCost effectiveness analysisDefense budgetsDefense cost controlHealth care cost controlHealth care programsHealth maintenance organizationsManaged health careCost estimates