Proposed Changes to Military Health System

Deputy Secretary of Defense Ash Carter submitted a report to Congress detailing three proposed reforms to the structure of the Military Health System.

The three main reforms are:

  • Establishing a Defense Health Agency (DHA), which will absorb the functions of the TRICARE Management Activity and assume responsibility for common clinical and business processes across the MHS such as: medical education for physicians, nurses, medics, pharmacists, medical logistics and health information technology;
  • Appointing market managers for multi-service medical markets with enhanced authorities to create and sustain a cost-effective, coordinated, and high-quality health care system in multi-service medical markets, and;
  • Transferring the responsibility for running military treatment facilities within the National Capital Region (NCR) — including Walter Reed National Military Medical Center and Fort Belvoir Community Hospital — to a subordinate organization within the Defense Health Agency that will succeed the Joint Task Force – National Capital Region Medical (JTF-CapMed).

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