Defense Health Care: Continued Management Focus Key to Settling TRICARE Change Orders Quickly Metadata

Metadata describes a digital item, providing (if known) such information as creator, publisher, contents, size, relationship to other resources, and more. Metadata may also contain "preservation" components that help us to maintain the integrity of digital files over time.


  • Main Title Defense Health Care: Continued Management Focus Key to Settling TRICARE Change Orders Quickly


  • Author: United States. General Accounting Office.
    Creator Type: Organization


  • Name: United States. General Accounting Office.
    Place of Publication: Washington D.C.


  • Creation: 2001-04-10


  • English


  • Content Description: A letter report issued by the General Accounting Office with an abstract that begins "Under TRICARE, the Department of Defense's (DOD) managed care program, military-operated hospitals and clinics are supplemented by contracted civilian services. Since the inception of TRICARE, DOD has made many changes to these contracts via contract change orders. Since July 1997, when GAO reported that DOD was trying to improve its change order process, the backlog of change orders has continued to grow. This report evaluates (1) the status of the change order backlog and how DOD addressed it, (2) factors that contributed to the growth of the backlog, and (3) DOD's new initiative to improve the change order process. GAO found that as of June, 2000, the number of change orders issued had almost tripled, while the number of unsettled change orders had more than doubled since July 1997. Despite recommendations to devote high-level attention to managing improvements to the change order process, this was not done. Until recently, none of TRICARE Management Activity's (TMA) many initiatives significantly improved the process or reduced the backlog. The current small backlog is the result of recent concerted effort, not better management over time. TMA's new Change Management Process (CMP) appears to address many of TMA's problems with change orders. However, past initiatives have made similar promises and delivered little when they were abandoned or eclipsed by higher priorities. The high volume of change orders now or soon to enter the new CMP makes it imperative that TMA management closely monitor the process to prevent future backlogs."


  • Library of Congress Subject Headings: Government accountability -- United States.
  • Keyword: national defense
  • Keyword: health care
  • Keyword: defense health care
  • Keyword: letter report


  • Place Name: United States


  • Name: Government Accountability Office Reports
    Code: GAORT


  • Name: UNT Libraries Government Documents Department
    Code: UNTGD


  • Rights License: pd

Resource Type

  • Report


  • Text


  • Report No.: GAO-01-513
  • Accession or Local Control No: 231359
  • URL:
  • Archival Resource Key: ark:/67531/metadc293076