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Starting Jan. 1, 2025, TriWest Healthcare Alliance (TriWest) will become the new contractor for the TRICARE West Region. While negotiations will continue through the New Year, Children's Colorado ...
On July 2, 2012, it was announced that TriWest lost its appeal to keep the West Region contract. [8] In September 2011, TriWest paid $10 million to settle a Justice Department lawsuit after whistle-blowers claimed TriWest "systematically defrauded" Tricare by billing the government higher rates than they had negotiated with health care providers.
The Tricare logo. Tricare (styled TRICARE) is a health care program of the United States Department of Defense Military Health System. [1] Tricare provides civilian health benefits for U.S Armed Forces military personnel, military retirees, and their dependents, including some members of the Reserve Component.
In October 2001, TRICARE benefits were extended to retirees and their dependents aged 65 and over. [1] On Oct. 1, 2013, the Defense Health Agency replaced the TRICARE Management Activity. The MHS has a $50+ billion budget and serves approximately 9.5 million beneficiaries. [4]
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.
The Assistant Secretary of Defense for Health Affairs (ASD(HA)) is chartered under United States Department of Defense Directive (DoDD) 5136.1 [1] in 1994. This DoDD states that the ASD(HA) is the principal advisor to the U.S. Secretary of Defense on all "DoD health policies, programs and activities."
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As a specific example, EFMP provides temporary rest periods for family members who serve as caregivers to persons with disabilities. Depending on unique circumstances, the care can be provided at either the home of the care user or the home of care provider. It can also be provided in other settings such as camps and enrichment programs. [46]