{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T23:27:01Z","timestamp":1787009221095,"version":"build-2736575974"},"reference-count":17,"publisher":"Oxford University Press (OUP)","issue":"1-2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2022,1,4]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>The U.S. Military Health System spends about $50 billion annually to provide care to 9.6 million active duty service members, retirees, and their families through its TRICARE health plans. TRICARE follows the predominant payment model in the USA\u2014fee-for-service\u2014although the Department of Defense (DoD) and Congress encourage and mandate a move toward alternative payment models\u2014mainly, fee-for-value. For the next TRICARE contracts which will begin in 2023, the DoD asked its health-focused federal advisory committee, the Defense Health Board (DHB), to recommend how best to assess and prioritize leading value-based healthcare initiatives identified from private, public, and employer-based health plans. The November 2020 report, \u2018Modernization of the TRICARE Benefit\u2019, specifies a rubric to evaluate these value-based care initiatives not only in traditional measures of effectiveness but also in terms of the Defense Health Agency\u2019s Quadruple Aim with its focus on readiness. The goal of TRICARE\u2019s move toward value-based care is to leverage its size and focus on prevention of disease and injury to maintain the readiness of the U.S. Armed Forces in addition to delivering great outcomes and value to the DoD\u2019s nearly 10 million beneficiaries. The DHB emphasizes that TRICARE\u2019s size and focus on providing quality care at lower cost will incentivize providers to participate in the shift toward value-based care despite the potential challenges in transitioning to this system. This shift also aims to motivate other large government and private payors to accelerate the adoption of value-based care through TRICARE\u2019s example.<\/jats:p>","DOI":"10.1093\/milmed\/usab271","type":"journal-article","created":{"date-parts":[[2022,1,6]],"date-time":"2022-01-06T13:26:37Z","timestamp":1641475597000},"page":"12-16","source":"Crossref","is-referenced-by-count":5,"title":["Mobilizing the U.S. Military\u2019s TRICARE Program for Value-Based Care: A Report From the Defense Health Board"],"prefix":"10.1093","volume":"187","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5976-3211","authenticated-orcid":false,"given":"Paul R","family":"Schaettle","sequence":"first","affiliation":[{"name":"Knowesis, Inc, Fairfax, VA 22031, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robert S","family":"Kaplan","sequence":"additional","affiliation":[{"name":"Harvard Business School, Boston, MA 02163, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vivian S","family":"Lee","sequence":"additional","affiliation":[{"name":"Verily Life Sciences, Cambridge, MA 02142, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael D","family":"Parkinson","sequence":"additional","affiliation":[{"name":"University of Pittsburgh Medical Center (UPMC) Health Plan and WorkPartners, Pittsburgh, PA 15219, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5118-7811","authenticated-orcid":false,"given":"Gregory H","family":"Gorman","sequence":"additional","affiliation":[{"name":"Defense Health Board, DHB Support Division, Falls Church, VA 22042, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael-Anne","family":"Browne","sequence":"additional","affiliation":[{"name":"Stanford Children\u2019s Health, Palo Alto, CA 94034, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2021,7,9]]},"reference":[{"key":"2022010618262935800_R1","volume-title":"Evaluation of the TRICARE Program: Fiscal Year 2020 Report to Congress","author":"Defense Health Agency Analytics and Evaluation Division","year":"2020"},{"key":"2022010618262935800_R2","article-title":"MHS quadruple aim","author":"Defense Health Agency","year":"2013"},{"key":"2022010618262935800_R3","article-title":"Information for TRICARE providers","author":"Defense Health Agency","year":"2020"},{"key":"2022010618262935800_R4","volume-title":"National Defense Authorization Act for Fiscal Year","author":"United States Congress","year":"2017"},{"key":"2022010618262935800_R5","volume-title":"Modernization of the TRICARE Benefit","author":"Defense Health Board","year":"2020"},{"key":"2022010618262935800_R6","article-title":"\u201cBetter Care Plan\u201d: a public option 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TRICARE\u2019s Managed Care Support Contracts","author":"United States Government Accountability Office","year":"2020"},{"key":"2022010618262935800_R12","article-title":"What is value-based healthcare?","volume":"3","author":"NEJM Catalyst","year":"2017","journal-title":"NEJM Catalyst"},{"issue":"12","key":"2022010618262935800_R13","article-title":"The strategy that will fix health care","volume":"91","author":"Porter","year":"2013","journal-title":"Harv Bus Rev"},{"issue":"7","key":"2022010618262935800_R14","doi-asserted-by":"crossref","first-page":"924","DOI":"10.1001\/jamainternmed.2019.0480","article-title":"Evaluation of economic and clinical outcomes under centers for Medicare & Medicaid services mandatory bundled payments for joint replacements","volume":"179","author":"Haas","year":"2019","journal-title":"JAMA Intern Med"},{"issue":"2","key":"2022010618262935800_R15","doi-asserted-by":"crossref","first-page":"214","DOI":"10.1001\/jamainternmed.2016.8263","article-title":"Cost of joint replacement using bundled payment models","volume":"177","author":"Navathe","year":"2017","journal-title":"JAMA Intern Med"},{"key":"2022010618262935800_R16","doi-asserted-by":"publisher","first-page":"17","DOI":"10.7812\/TPP\/17-025","article-title":"Lifestyle medicine: a brief review of its dramatic impact on health and survival","volume":"22","author":"Bodai","year":"2018","journal-title":"Perm J"},{"issue":"2","key":"2022010618262935800_R17","doi-asserted-by":"crossref","first-page":"3","DOI":"10.1097\/01974520-201510000-00002","article-title":"Rewards of value-based reimbursement","volume":"32","author":"Henkel","year":"2015","journal-title":"Front Health Serv Manage"}],"container-title":["Military 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