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HPA&E Studies : Journal Publications

Differences in Beneficiary Assessment of Health Care Between TRICARE Prime and TRICARE Prime Remote

Author:Meza JL, Chen LW, Williams TV.

Study Design:
We used a cross-sectional mail survey of a stratified sample of 3,871 beneficiaries enrolled in TRICARE Prime (TP) and TRICARE Prime Remote (TPR).

Methods:
The adjusted plan mean composite and global ratings were compared between TP and TPR participants.

Results:
There are few significant differences between the two groups. Patient satisfaction is higher when patients choose their providers (TPR) and use of some preventive services is higher in managed care plans (TP). Respondents in metropolitan locations differed significantly from those in non-metropolitan locations in ratings of plans, quality of health care received, and access to services.

Conclusions:
The military health system is achieving some success in delivering a uniform benefit but faces challenges in delivering a high quality uniform benefit in rural communities.



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