Skip to main content

Military Health System

Important Notice about Pharmacy Operations

Change Healthcare Cyberattack Impact on MHS Pharmacy Operations. Read the statement to learn more. 

Enhanced Markets Lead Streamlining in Military Health Care

Image of Enhanced Markets Lead Streamlining in Military Health Care. Enhanced Markets Lead Streamlining in Military Health Care

The Military Health System last month activated the Defense Health Agency to streamline business processes and deliver improved health care, safety and outcomes to its 9.6 million beneficiaries. As part of that overall effort, six of the military’s regional medical markets are leading the effort to standardize services, clinical practices and business rules.

The enhanced multiservice markets, as they are known, are geographic areas where at least two medical treatment facilities from different services have overlapping service areas, as defined by TRICARE. There are 15 multiservice markets around the world, 11 in the United States and four abroad.

Six of these existing markets were selected for enhanced authorities by the deputy secretary of defense based on several factors, including overall size, medical mission and graduate medical education capacity. The six markets are the National Capital Region; Tidewater, Va.; Colorado Springs, Col.; San Antonio, Texas; Puget Sound, Washington; and Oahu, Hawaii. Combined, these markets account for about 30 percent of all the care delivered in military hospitals and 22 percent of all care purchased in the private sector.

The multiservice markets crafted five-year business plans, encompassing strategies for the entire market area, rather than individual military hospitals or clinics. The plans focus on the standardization of clinical and business practices, as well as maximizing resources in an integrated way in order to provide better care and become more efficient.

“These markets are the leaders for the future of the MHS,” said Rear Admiral Donald Gintzig, who led the enhanced multiservice market transition team before his retirement at the end of last month. “As our primary readiness and care platforms, the coordination of care demonstrated by these markets will help set the example for the rest of the MHS to follow.”

The markets also work with one another, sharing challenges and best practices to find enterprise-wide solutions. “In the past, the services have worked within their individual service silos within a market,” Gintzig said. This lack of coordination would often result in redundancy and unnecessary overlap.

“Coordination and integration create opportunities for realizing efficiencies and improving both readiness and care,” Gintzig continued, “and the new market-centered business plans allow market managers to leverage the unique capabilities and resources of all three services.”

The initial five-year business plans have been approved and market managers assumed their new authorities Oct. 1. These efforts will inform adjustments to future business plans. “This isn’t an overnight change,” Gintzig said. “It’s an evolving process. But the goals - increased interoperability, increased value to our line leadership, and improved service to our beneficiaries - are the primary drivers of everything the markets will do.”

As the markets implement and adjust their business plans, market leaders will meet on a regular basis to share best practices and work collaboratively on challenges. This market leadership group consists of the six enhanced multiservice market directors as well as the market leaders from the Ft. Bragg and San Diego medical markets, two single-service markets similar in size and scope to the enhanced multiservice markets.

The enhanced markets also support a broader military health initiative to recapture care by bringing beneficiaries receiving care in the private sector back into military treatment facilities.

“Each market has a plan for inviting our beneficiaries to come back to our military clinics and hospitals for their care,” Gintzig said. “These initiatives will be the primary drivers of increasing the competency and currency of our medical force, improving access and service to our patients and enhancing the value of military medicine to commanders.”

Recapturing care that has migrated to the private sector will directly benefit military health care providers. By bringing care back into medical treatment facilities, Military Treatment Facility commanders ensure that military providers and staff get to see the kinds of clinical work necessary to maintain their skills.

“Our No. 1 mission is to be ready to go to war,” Gintzig said. “Ensuring that our surgeons, nurses and clinical staff get to see interesting and complex cases on a regular basis is how we keep those skills sharp.”

You also may be interested in...

Article Around MHS
Aug 14, 2023

Senior Warrant Officer Awarded Soldier's Medal for Saving Lives

U.S. Army Chief Warrant Officer 5 Nigel P. Huebscher, command chief warrant officer for the 1st Aviation Brigade, speaks after receiving the Soldier's Medal for risking his life to save others during a ceremony at Fort Novosel, Alabama, on Aug. 7, 2023. (U.S. Army photo by Kelly Morris)

When mere seconds mattered, U.S. Army Chief Warrant Officer 5 Nigel P. Huebscher, command chief warrant officer for the 1st Aviation Brigade, was first on the scene of a house fire near Bonifay, Florida, on Oct. 9, 2022. He helped save the lives of two residents.

Article Around MHS
Aug 11, 2023

Army Medical Corps Provides Continuity of Care for 248 Years

Ensuring trained and ready medical forces, particularly combat trauma surgeons, is critical to support soldiers and other service personnel in combat. Army medicine is using individual critical task lists, centrally managing trauma surgery personnel and assets, and building military-civilian partnerships with civilian level I trauma centers to ensure surgeons are getting the experience needed for battlefield surgery. (Photo: Ronald Wolf/U.S. Army)

Only 43 days separate the creations of the continental army that was formed by the original 13 American colonies and the Army Medical Corps. That short period of time speaks to the importance the corps plays in the mission of the Army.

Article Around MHS
Jul 24, 2023

Flight Medic First to Receive New Nebraska National Guard Heroism Medal

Nebraska Governor Jim Pillen and U.S. Army Maj. Gen. Daryl Bohac, Nebraska adjutant general, present the Nebraska National Guard Heroism Medal to U.S. Army Sgt. Brandi Sullivan during the Nebraska Adjutant General Change of Command Ceremony, on July 8, 2023, at the Pinnacle Bank Arena in Lincoln, Nebraska.  (Photo: U.S. Air National Guard Staff Sgt. Jamie Titus)

“To any individual serving with or supporting the Nebraska Military Department who has distinguished himself/herself by heroism, in saving the life, limb, or eyesight of a fellow citizen.” Those were the words read describing the newly authorized Nebraska National Guard Heroism Medal presented during the Nebraska Adjutant General Change of Command ...

Article Around MHS
Jul 5, 2023

Medical Service Corps: 106 Years of Diverse Health Service

Soldiers assigned to 129th Area Support Medical Company and Forward Support MEDEVAC Platoon, 3rd Combat Aviation Brigade, 3rd Infantry Division, conduct patient movement operations for aeromedical evacuation during a training in Slobozia, Romania, on June 1. This year marks 106 years of support from medical service corps officers. (Photo: U.S. Army Staff Sgt. Laura Torres)

Whether in everyday patient care, clinical research, or by performing the administrative tasks needed to run U.S. Army hospitals, medical service corps officers have provided health care to veterans, soldiers, and their families for 106 years.

Article Around MHS
Jun 12, 2023

Navy Medicine at D-Day: Stories of Valor and Sacrifice

Navy medical personnel help evacuate wounded soldiers at Normandy, June 1944. (Photo Courtesy of the U.S. Navy Bureau of Medicine and Surgery)

On the morning of June 6, 1944, Navy physician Lt. (j.g.) Frank Ramsey, Jr., and Pharmacist’s Mate Third Class Byron Dary landed on Omaha Beach with the 6th Naval Beach Battalion. Upon hitting the beach, the physician and hospital corpsman rushed to the aid of wounded U.S. Army personnel lying near a burning half-track. In minutes, the vehicle ...

Article Around MHS
May 19, 2023

Navy Medicine at War: Stories of Service and Sacrifice at the Battle of Coral Sea

Throughout the Battle of the Coral Sea, U.S. Navy medical personnel serving shipboard played important roles keeping sailors in the fight while providing life-saving medical care under the severest of conditions. (Courtesy Photo)

The Battle of the Coral Sea was fought primarily by carrier-based planes across this marginal sea off the northeast coast of Australia from May 4 to 8, 1942. Throughout the battle, U.S. Navy medical personnel serving shipboard played important roles keeping sailors in the fight while providing life-saving medical care under the severest of conditions. ...

Article Around MHS
Apr 10, 2023

American Medical Center in Europe to Celebrate 70 Years

U.S. soldiers, airmen and civilian staff at Landstuhl Regional Medical Center  provide care to U.S. service members and Afghan civilians who were injured in a series of attacks outside of Hamid Karzai International Airport in Kabul. (Photo by Marcy Sanchez, Landstuhl Regional Medical Center)

Landstuhl Regional Medical Center is slated to host a week-long celebration, open to all Department of Defense cardholders, marking 70 years of selfless service and military medicine in Germany, from April 11-14.

Article Around MHS
Mar 17, 2023

Navy Medical Corps 152nd Anniversary Celebrated at Navy Medical Readiness and Training Command Bremerton

As part of the tradition of recognizing the Navy Medical Corps 152nd anniversary, on May 3, congratulatory letters from Navy Medicine Dental Corps, Civilian Corps, Hospital Corps, Medical Service Corps and Nurse Corps directors were read by representatives of each distinct entity as was well-wishes by U.S. Navy Rear Adm. Guido Valdes, Medical Corps chief (Photo by Douglas H Stutz, NHB/NMRTC Bremerton public affairs officer)

It was on March 3, 1871, that 153 U.S. Navy physicians were officially recognized as a staff corps to parallel their professional status with other naval officers. That date was readily acknowledged 152 years later on March 3, 2023, at Navy Medicine Readiness Training Command Bremerton with an anniversary celebration for Navy Medical Corps officers ...

Last Updated: September 19, 2023
Follow us on Instagram Follow us on LinkedIn Follow us on Facebook Follow us on X Follow us on YouTube Sign up on GovDelivery