TRICARE Gears Up for Move Away From Fee-for-Service
with Chart: Current TRICARE Contracts at a Glance
October 14, 2019
The Dept. of Defense (DoD) is taking the first steps toward bringing value- based contracting to the TRICARE program — a change that could offer a lucrative opportunity for major health insurance companies that are already well-versed in executing such models.
TRICARE is the government’s health insurance program for members of the armed forces, military retirees and their dependents. Centene Corp. subsidiary Health Net Federal Services LLC currently holds a contract to cover the West TRICARE region — comprising 3.1 million beneficiaries — while Humana Military Healthcare Services Inc. controls the East region, which covers about 6.8 million beneficiaries. Both contracts were awarded in 2016 and provide five one-year options exercisable by the DoD.