the times…they are a changin’ military medicine’s shifting tectonic plates…. and why it...
TRANSCRIPT
The Times…They Are A Changin’
Military Medicine’s Shifting Tectonic Plates….
And why it matters to you….
C. Forrest Faison III, M.D.RADM MC USN
Commander, Navy Medicine WestCommander, Naval Medical Center San Diego
Not Your Father’s Sickcall....Tectonic Plates Driving Change
U.S. HEALTHCAREREALITIES
WOUNDEDWARRIORS
EMPOWEREDPATIENTS
TOMORROW
DoD HEALTH CARE COSTS
•Expanding health benefit•Non-discretionary•Largest growing DoD program•At risk: Other DoD programs
HEALTH CARE COSTS
“Health care costs are eating the Defense Department alive”
Robert Gates
$460
HEALTH CARE COSTS
•Costs increasing: Mirrors U.S. civilian experience….BUT ALSO….•Expanded eligibility, Increased benefits•Increased utilization
20112013
201505
101520253035
DHPDoD
Rate of Budget Growth(2011 baseline)
RAPIDGROWTH
HEALTH CARE COSTS
•But….Out of Pocket costs low•So….Who makes up the difference ?
2012 2017$0
$1,000 $2,000 $3,000 $4,000 $5,000 $6,000 $7,000 $8,000 $9,000
$460 $2,048
$5,329
$8,543
TricarePrivate Insur-ance
Out-of-Pocket Co-Pay(Average working retiree < 65)
OUR STRATEGY
•Recapture care from the network•Aggressively manage health•Target high utilizers
•Highest Combat Survival in history•Best care our nation can offer•Challenges: More Than medical
WOUNDED WARRIORS
Access to Healthcare
Education Career TransitionJob Placement
Family Support
WOUNDED WARRIORS
“The willingness with which our young peopleare likely to serve in any war, no matter how
justified, shall be directly proportional to howthey perceive veterans of earlier wars weretreated and appreciated by their nation.”
George Washington (attributed)