PSCR&I (Private Sector Care Requirements Office) supports the overall financial framework of the DHP (Defense Health Program) health services and support contracts. It develops financial requirements for present and future private sector care contracts, conducts economic analysis and evaluations and conducts cost analysis and performance-based measurements to assist the MHS in making strategic business decisions about private sector health care utilization. PSCR&I also provides strategic financial and business consulting services to the MHS.
The primary functions of the PSCR&I office include:
- Conduct analyses of all private sector care, with special emphasis on managed care support contracts (MCSCs) and the next generation of TRICARE contracts
- Perform bid price adjustment (BPA) calculations for MCSCs; participates in all negotiation processes including REAs, change orders, claims and target cost establishment (for the next generation of TRICARE contracts)
- Develop private sector care requirements for current and future year budgeting processes
- Analyze the financial impact of actual, potential legislative or programmatic policy changes on private sector care
- Monitor and manage fiscal interface between private sector care contracts and other DHP initiatives such as supplemental care
- Conduct periodic financial and economic analyses of MHS and contracts to evaluate cost effectiveness
- Ensure collaboration with HA (Health Affairs) and TMA directorates, and the Policy and Statistical Analysis support contractor in order for independent government and other cost estimates accomplished and properly coordinated
- Develop, implement and refine financial policy and requirements of the next generation of TRICARE contracts
- Serve as primary liaison between TMA, regional directors and the military services concerning financial matters associated with the private sector care contracts and requirements
- Develop and implement tools and training to allow military service medical representatives, market managers, MTFs (Military Treatment Facilities), and TMA regional directors to interface successfully with the health services and support contracts
- View the Aug 24-25, 2004 Coordination Meeting documents.
See also TFMEP
Telephone: (703) 681-3492
Fax: (703) 681-4559