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Tricare provides civilian health benefits for U.S Armed Forces military personnel, military retirees, and their dependents, including some members of the Reserve Component. Tricare is the civilian care component of the Military Health System, although historically it also included health care delivered in military medical treatment facilities.
On July 21, 2016, the U.S. Department of Defense awarded Humana Government Business the TRICARE 2017 contract for the East Region, with WPS MVH as a subcontractor. WPS will provide information technology support, claims processing, and customer service functions. The East Region includes 30 states and approximately 6 million TRICARE beneficiaries.
In 1993, the USTFs developed a managed care plan, called the Uniformed Services Family Health Plan, and in 1996, became “TRICARE Designated Providers”—the first DoD-sponsored, full-risk managed health care plan and the first to serve the military 65 and older population (other than on a limited demonstration basis).
Under TRICARE, seven managed care support contracts were awarded covering DoD's 12 health care regions. [ 7 ] TRICARE has been restructured several times, with contract regions having been redrawn , Base Realignment and Closure , and by adding "TRICARE For Life" benefits in 2001 for those who are Medicare -eligible.
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[citation needed] The care from outside providers could be captured and incorporated into AHLTA from Tricare via billing codes and records, but it is not. [citation needed] Almost all health data recordings are missing from AHLTA once a referral to an outside provider is made. This represents an enormous amount of relevant medical data on ...
Eleven "Gateway to Care sites opened in the spring of 1992. By that fall, all HSC facilities had submitted business plans which were favorably received. Starting in 1994, "Gateway To Care" was gradually absorbed into a new regional Defense Department tri-service managed-care plan called TRICARE, which was modeled on CRI.