Fed Regist. 1998 Nov 13;63(219):63456-8.
This notice is to advise interested parties of a demonstration project in which DoD will enroll up to 2,000 Medicare-eligible military retirees at MacDill Air Force Base to primary care managers. The MacDill 65 demonstration project seeks to show that a DoD-operated program can provide primary health care services to beneficiaries eligible for both military health care and Medicare more effectively and efficiently than under the current DoD-operated system. In this project, DoD will grant enrollees in the program priority access to primary health care at MacDill in exchange for their agreement to receive all of their primary health care from MacDill AFB. Additional services, available at the military treatment facility at MacDill AFB, will be granted to these enrollees at a higher priority than that granted to other retirees and their family members not enrolled in TRICARE Prime. Funding for the demonstration for care provided will come from an additional $2 million per year over the current level of DoD expenditures on care provided to the MacDill AFB Medicare-eligible population. Claims for care provided to enrollees outside the MTF will be submitted to Medicare on a fee-for-service basis by the civilian provider. At the end of the project, DoD will conduct an analysis of the benefits and costs of the program. DoD will conduct the demonstration over three years, from October 1, 1998, to September 30, 2001. This demonstration project is being conducted under the authority of 10 USC 1092.
本通知旨在告知相关各方一项示范项目，国防部将在麦克迪尔空军基地为多达2000名符合医疗保险资格的军队退休人员登记初级保健管理人员。麦克迪尔65示范项目旨在表明，国防部运营的项目能够比现行国防部运营系统更有效、更高效地为有资格享受军事医疗保健和医疗保险的受益人提供初级保健服务。在该项目中，国防部将给予项目登记人员在麦克迪尔优先获得初级保健的权利，以换取他们同意在麦克迪尔空军基地接受所有初级保健服务。麦克迪尔空军基地军事治疗设施提供的其他服务，将给予这些登记人员比给予未参加TRICARE Prime的其他退休人员及其家属更高的优先级。提供护理示范的资金将在国防部目前用于为麦克迪尔空军基地符合医疗保险资格人群提供护理的支出水平基础上，每年额外增加200万美元。向军事治疗设施外的登记人员提供护理的索赔将由民用医疗服务提供者按服务收费的方式提交给医疗保险机构。在项目结束时，国防部将对该项目的效益和成本进行分析。国防部将在1998年10月1日至2001年9月30日的三年时间内进行该示范项目。本示范项目是根据美国法典第10编第1092条的授权进行的。
