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Defense Health Agency Health Care Market Structure

The Defense Health Agency has established a market-based structure to manage the hospitals and clinics. Each market will:

  • Provide shared administrative services to the hospitals and clinics in their region.
  • Be responsible for generating medical readiness of active duty members and families in their regions
  • Ensure the readiness of their medical personnel.

To accomplish this, the markets will flex resources across their regions to ensure we meet patient demand and the readiness needs of the medical troops.

The DHA Market Construct is derived from the FY 2017 NDAA, Section 702 guidance to consolidate management of military hospitals and clinics and to provide:

  • Optimized patient care
  • Increased maintenance of readiness-related skillsets
  • Increased access to care
  • Increased flexibility in funding

Market Breakdown

In 20 Direct Reporting Markets where we have large concentrations of facilities and patients, markets are centered on large medical centers, establishing centers of excellence for specialty care that meet the needs of beneficiaries across their market regions. Nearly two-thirds of our current patient encounters happen in these 20 regions.

Another 17 Small Markets, such as Central Oklahoma and Central Kentucky, are centered on inpatient community hospitals, focused on providing ambulatory and some specialty and inpatient care across their regions. These small markets, as well as many stand-alone hospitals and clinics located outside a market region, report to the Small-Market and Stand-Alone Military Treatment Facility Organization (SSO) that provides administration and management support.

When DHA assumes responsibility for overseas hospitals and clinics, two regional offices called Defense Health Agency Regions will provide similar support, one for Europe and one for the Pacific.

MHS Market Structure

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Policy
Feb 24, 2022

DHA Memorandum OSD001285 22

.PDF | 3.12 MB

This memorandum directs the continued implementation of the Military Health System organizational reform required by law, extending the authority, direction and control of all military hospitals and clinics not currently under Defense Health Agency authority to the DHA, to include military hospitals and clinics in overseas areas.

  • Identification #: OSD 001285-22
  • Type: Memorandums
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The 96th Medical Group at Eglin Air Force Base in Florida and Defense Health Agency leadership marked the forming of a new military medical organization during a market establishment ceremony on Nov. 15. This new Florida Panhandle Market is a transformation of northwest Florida-based military treatment facilities into a market, or group of military ...

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The Defense Health Agency (DHA), and the new Hawaii market director, Army Col. Martin Doperak, hosted a ceremony at Tripler Army Medical Center on October 20, 2021, ushering in the new Military Health System market.

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The Central Texas Market will enable greater collaboration across military hospitals and clinics in the Central Texas region to strengthen the medical readiness of service members and enable these facilities to deliver better care and a better patient experience.

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Last Updated: July 24, 2023
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