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The Times…They A re A C hangin ’ Military Medicine’s Shifting Tectonic Plates…. And why it matters to you…. C. Forrest Faison III, M.D. RADM MC USN Commander, Navy Medicine West Commander, Naval Medical Center San Diego. Not Your Father’s Sickcall .... Tectonic Plates Driving Change.
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The Times…They Are AChangin’Military Medicine’s Shifting Tectonic Plates….And why it matters to you…. C. Forrest Faison III, M.D. RADM MC USN Commander, Navy Medicine West Commander, Naval Medical Center San Diego
Not Your Father’s Sickcall....Tectonic Plates Driving Change WOUNDED WARRIORS DoD HEALTH CARE COSTS U.S. HEALTHCARE REALITIES TOMORROW EMPOWERED PATIENTS
HEALTH CARE COSTS “Health care costs are eating the Defense Department alive” Robert Gates • Expanding health benefit • Non-discretionary • Largest growing DoD program • At risk: Other DoD programs
HEALTH CARE COSTS RAPID GROWTH Rate of Budget Growth (2011 baseline) $460 • Costs increasing: Mirrors U.S. civilian experience….BUT ALSO…. • Expanded eligibility, Increased benefits • Increased utilization
HEALTH CARE COSTS Out-of-Pocket Co-Pay (Average working retiree < 65) • But….Out of Pocket costs low • So….Who makes up the difference ?
OUR STRATEGY • Recapture care from the network • Aggressively manage health • Target high utilizers
WOUNDED WARRIORS Access to Healthcare Career Transition Job Placement Education Family Support • Highest Combat Survival in history • Best care our nation can offer • Challenges: More Than medical
WOUNDED WARRIORS “The willingness with which our young people are likely to serve in any war, no matter how justified, shall be directly proportional to how they perceive veterans of earlier wars were treated and appreciated by their nation.” George Washington (attributed)