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Military Health System Transformation

We’re transforming the MHS to improve the readiness of our forces and the health care we provide to our warfighters, retirees and their families. Reform efforts focus on organizational, infrastructure and manpower changes. As changes are implemented, our priorities are to:

  • Support the operational readiness of our Joint Force by ensuring they are medically ready to deploy
  • Increase opportunities for medical professionals to improve their readiness skills
  • Provide beneficiaries with access to high quality care

Congress initiated these changes because they saw a need for a more flexible, adaptable, effective and integrated system to manage our medical facilities. Decades of best practices from across the Army, Navy and Air Force are converging now to build a stronger, more integrated and connected MHS.

We're also deploying a new electronic health record, MHS GENESIS, to all military hospitals and clinics. >>Learn More About MHS GENESIS

Military Treatment Facility Transition

Market Structure

DHA is establishing a market-based structure to manage the hospitals and clinics. These market organizations will provide shared administrative services to the hospitals and clinics in their region. While the transition of the administration and management of military hospitals and clinics from the Military Departments to Defense Health Agency was paused in 2020 due to the COVID-19 pandemic, transition activities have resumed, and the fifth market, the Tidewater Market was fully established on April 19, 2021.

Infrastructure Changes

Congress directed the Defense Department to assess existing hospital and clinic infrastructure and determine whether some facilities should be realigned or restructured. The Office of the Assistant Secretary of Defense for Health Affairs is now conducting the required analysis in conjunction with the Military Departments, DHA and the Joint Staff.  It’s expected that some facilities may be re-scoped, some may have capabilities reduced, while others may expand. DHA will be responsible for implementing the final determinations made by the Department and is working with the Military Departments to ensure that all beneficiaries continue to enjoy access to high-quality care.

Manpower Changes

The Department’s FY20 budget proposal recommended the realignment of about 17,000 uniformed billets from the MHS into operational forces. The Military Departments made recommendations to support the intent of the Department after rigorous analysis of their operational responsibilities and requirements. This proposed reduction meets the Department’s intent of increasing the combat capability of our forces. With this direction, DHA is formulating plans to ensure that beneficiaries continue to have uninterrupted access to high-quality care through a combination of new civilian and contract personnel, outside partnerships, and the TRICARE network.

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McCaffery calls for military medical strategic framework for warfighting readiness

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12/5/2019
Assistant Secretary of Defense for Health Affairs Tom McCaffery speaks on Thursday at the annual meeting of AMSUS, the Society of Federal Health Professionals. McCaffery announced to the nearly 2,000 conference attendees that he has asked the Military Health System's senior leadership to develop and codify a formal strategic framework to guide integrating and optimizing all MHS components to meet his vision. (MHS photo)

'New reality' includes tight synchronization, expanding partnerships

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Tri-Service surgeons perform the first surgeries at new hospital

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12/3/2019
The Army, Navy and Air Force surgeons and physician assistant met with the hospital command team. (Left to right) Army Col. Alfonso Alarcon, orthopedic surgeon at BDAACH; Army Maj. Harry Aubin, general surgeon at BDAACH; Army Command Sgt. Maj. Nicole Haines, the hospital senior enlisted advisor; Air Force Capt. Christopher Ng, Air Force general surgeon with 51st MDG; Army Maj. Eric de la Cruz, chief of general surgery at BDAACH; Navy Lt. Cmdr. Paul Lewis and Lt. Cmdr. Dan Sanford, general surgeons with 3rd Medical Battalion; Army Maj. John Fletcher, general surgeon at BDAACH; Army Col. Andrew L. Landers, hospital commander, and Air Force Capt. Steven Maya, physician assistant with 51st MDG. (U.S. Army photo by Inkyeong Yun)

This event showcased the collaboration amongst the tri-service general surgeons

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NMCP hosts ‘The Future of Military Medicine’ discussion panel

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12/3/2019
Navy Capt. Joel Schofer, deputy chief of the Medical Corps at the Navy Bureau of Medicine and Surgery, talks about the Defense Health Agency transition during Naval Medical Center Portsmouth’s Future of Military Medicine panel. The panel participants were (left to right) Schofer, deputy chief of the Medical Corps at the Navy Bureau of Medicine and Surgery, Navy Capt. Lisa Mulligan, NMCP’s commanding officer and Capt. Guido Valdes, Navy Medicine East deputy commander (U.S. Navy photo by Seaman Imani N. Daniels)

The readiness of the Navy Medicine team is paramount to combat survival in the future

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Air Force transitions all U.S. military treatment facilities to DHA administration, management

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10/31/2019
This October, U.S.-based Air Force military treatment facilities transferred administration and management to the Defense Health Agency. (U.S. Air Force illustration)

Congress directed this transfer in the fiscal year 2017 National Defense Authorization Act

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DHA's management of hospitals and clinics 'all about the patient'

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10/29/2019
Great outcomes, a ready medical force, satisfied patients – all flow directly from a patient-centered approach. As DHA assumes responsibility for military health care facilities across the entire Department of Defense, we aim to operate each hospital and clinic so that it improves the lives and health of our patients. It’s more than a pledge – it’s our mission. (DoD photo)

Great outcomes, a ready medical force, satisfied patients

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Continuing Implementation of the Reform of the Military Health System

Policy

This memorandum directs the continued implementation of the Military Health System (MHS) organizational reform required by 10 U.S.C. § 1073c, and sections 71 land 712 of the John S. McCain National Defense Authorization Act (NDAA) for Fiscal Year (FY) 2019. The DoD policy for this reform is guided by the goals of improved readiness, better health, better care, and lower cost. The Department will advance these objectives through specific organizational reforms directed by Congress and the continued direction of the Secretary of Defense·anct the National Defense Strategy.

Naval Hospital Pensacola transitions to DHA, stands up readiness training commands

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9/20/2019
Navy Hospital Corpsman 3rd Class Joren Seibert uses cryotherapy for wart removal at Naval Branch Health Clinic Jacksonville’s primary care. Seibert, a native of Galesburg, Illinois, says, “I started in the Navy as a deck seaman and can now proudly say I’m a hospital corpsman. The people we care for deserve nothing but the best. Being able to directly help those folks every day is what keeps me coming back and what motivates me to continue being a better corpsman." (U.S. Navy photo by Jacob Sippel)

To support the transition, Navy Medicine is establishing a co-located readiness and training command

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New DHA director visits Europe, talks military healthcare consolidation

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9/18/2019
Army Lt. Gen. Ronald Place (center), director of the Defense Health Agency, talks to two civilian staff personnel during a recent visited the U.S. Army Health Clinic Stuttgart, Sept. 11, 2019, Stuttgart, Germany. The Department of Defense is preparing for the next major step in consolidating military hospitals and clinics under a single agency, one of the largest organizational changes within the U.S. military in decades. (U.S. Army photo by Rey Ramon)

The standardization process...will be applied across all aspects of healthcare and will ensure more consistency throughout the services

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A change in leadership for the Defense Health Agency

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9/3/2019
Army Lt. Gen. Ronald Place, the incoming director of the Defense Health Agency, previously served in DHA as director of the National Capital Region Medical Directorate, the transitional Intermediate Management Organization, and the interim assistant director for health care administration. (MHS photo)

Army Lt. Gen. Place installed as third director

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McCaffery sworn in as new ASDHA

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8/29/2019
Assistant Secretary of Defense for Health Affairs Thomas McCaffery was formally sworn into office on August 28, 2019

He will oversee the transfer of management of hundreds of military hospitals and clinics from the Army, Navy and Air Force to the Defense Health Agency

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Military health care consolidation moves to next phase

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Jennifer Oubre, a certified mammogram technician at Naval Health Clinic Corpus Christi in Texas, validates a patient’s identity to prevent wrong-patient error prior to administering a mammogram. (U.S. Navy photo by Bill W. Love)

Eventually every military treatment facility will move under the DHA

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DoD to begin next major phase of military hospital consolidation

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Lt. Col. Juli Fung-Hayes (center), a U.S. Army Reserve emergency medicine physician with the 2nd Medical Brigade, leads a medic team from the 396th Combat Support Hospital, headquartered at Fairchild Air Force Base, Washington, through a trauma and critical care scenario in a field hospital during a promotional photo shoot for Army Reserve marketing and recruiting at Fort Hunter Liggett, California, July 18, 2018. (U.S. Army Reserve photo by Master Sgt. Michel Sauret)

Congress mandated that a single agency will be responsible for the administration and management of all military hospitals and clinics

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Officials discuss Blanchfield Hospital’s future as transition nears

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8/15/2019
Army Maj. Gen. Ron Place, who was recently confirmed for promotion to lieutenant general and selected to serve as the next director of DHA, visited Blanchfield Army Community Hospital and Fort Campbell, Kentucky, Aug. 7 for more discussion about the hospital’s transition to DHA Oct. 1. (U.S. Army photo)

Supporting forces remains the number one priority of the Defense Health Agency

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Maxwell AFB’s medical group reorganizes, improves health care

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Air Force Medical Service seal

The Air Force Medical Service is transforming 43 military treatment facilities

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Military Treatment Facility Transition

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7/31/2019
Military Treatment Facility Transition

You may have heard about the military treatment facility transition. It's a phase plan for the Defense Health Agency to assume responsibility and management of all military hospitals and clinics. Here's what that means for you.

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