Private Sector Care Analysis

1. Private Sector Care Analysis PSC Coordination Meeting 24 August 2004 An AMEDD at War

2. Issues • Analysis compares FY03 actual to FY04 projections • Did not use Business Plans • Baseline data • Education • Evolving Business Plan method and tool • Business Plan Timeline

3. Army Top 5 MTFs MTF Region FY03 Act* FY04 Proj Variance % Change *Inflated as FY04 $ Source: Prospective Payment Valuation Reconciliation

4. Medical Holdover Gains/Losses Remaining plus New Gain Cumulative Loss Remaining plus New Gain Cumulative Loss FY03 FY04 Fort Hood Enrollment Available Provider FTEs MEB 144 PEB 104 10% RC Enrollee Outpatient Workload Case Mix Index Enrollee Inpatient Workload

5. Medical Holdover Gains/Losses Remaining plus New Gain Cumulative Loss Remaining plus New Gain Cumulative Loss FY03 FY04 Fort Bragg Enrollment Available Provider FTEs MEB 90 PEB 54 5% RC Enrollee Outpatient Workload Case Mix Index Enrollee Inpatient Workload

6. Fort Drum Enrollment Available Provider FTEs Medical Holdover Gains/Losses MEB 58 PEB 38 6% RC Remaining plus New Gain Cumulative Loss Remaining plus New Gain Cumulative Loss FY03 FY04 Enrollee Outpatient Workload Case Mix Index Enrollee Inpatient Workload

7. Medical Holdover Gains/Losses Remaining plus New Gain Cumulative Loss Remaining plus New Gain Cumulative Loss FY04 FY03 Fort Stewart Enrollment Available Provider FTEs MEB 139 PEB 63 10% RC Available Provider FTEs Enrollee Outpatient Workload Case Mix Index Enrollee Inpatient Workload

8. Fort Belvoir Enrollment Available Provider FTEs Medical Holdover Gains/Losses MEB 4 PEB 2 2% RC Remaining plus New Gain Cumulative Loss Remaining plus New Gain Cumulative Loss FY04 FY03 Enrollee Outpatient Workload Case Mix Index Enrollee Inpatient Workload

9. Actions • Developed AMEDD Business Planning Model and Tool • Educated RMCs on Business Planning Process • Populated Command Management System (CMS) with Business Variables and Business Plan Targets

10. Future Issues • Meeting FY05 Business Plan Projections • Army Campaign Plan: Transforming to a Modular Army (30K+ Active Duty plus Family Members) • Operation Iraq Freedom – OIF 3 • Operation Enduring Freedom – OEF 6 • Overseas Unit Redeployment • Base Realignment and Closure • Medical Holdovers