Back to Top Skip to main content Skip to sub-navigation

Careful, Deliberate Changes Ahead for Select MTFs

The Department of Defense today announced plans to restructure 50 military hospitals and clinics to better support wartime readiness of military personnel and to improve clinical training for medical forces who deploy in support of combat operations around the world. Of the 343 facilities in the United States initially screened for this report, 77 were selected for additional assessment, with 21 identified for no changes. (DoD file photo) The Department of Defense today announced plans to restructure 50 military hospitals and clinics to better support wartime readiness of military personnel and to improve clinical training for medical forces who deploy in support of combat operations around the world. Of the 343 facilities in the United States initially screened for this report, 77 were selected for additional assessment, with 21 identified for no changes. (DoD file photo)

Recommended Content:

Military Health System Transformation | Military Hospitals and Clinics

The Department of Defense's top health official shared plans today to restructure 50 military hospitals and clinics, emphasizing changes will prioritize the warfighter and enhance force readiness.

"The bottom line is we are committed to refocusing our hospitals and clinics on readiness, in addition to providing access to health care for our beneficiaries. I am confident the Military Health System can accomplish both of those goals," said Tom McCaffery, DOD's assistant secretary of defense for health affairs, who reiterated changes would be implemented over time, in some cases several years.

"We will help guide beneficiaries (moving into private care) through every step of the enrollment process when the time for actions arrives," he said.

McCaffery, Dr. Dave Smith, acting principal deputy assistant secretary of defense for health affairs, and Lt. Gen. Ron Place, director of the Defense Health Agency, discussed the plans outlined in the report during briefings with Military and Veteran Service Organizations and members of the media to announce the restructuring plans. Read the entire transcript.

While some facilities may expand, others will reduce capabilities, with 37 slated to move to active duty care only. This means active-duty family members, retirees and families who currently receive care at identified facilities will transition into the TRICARE health plan's civilian provider network.

McCaffery confirmed active duty and their family members will not be responsible for copays in downsizing locations. An exception is when filling a prescription at a retail pharmacy.

"We will implement changes in a deliberate fashion, at a pace local health care markets can handle," McCaffery said.

Changing some facilities to active duty-only clinics is the most significant change, McCaffery said, adding that it collectively applies to roughly 200,000 beneficiaries enrolled at those MTFs.

"We are taking a careful, deliberate approach as we assess the market capacity of each location to accept new patients," McCaffery said. "If we determine market capacity in a particular location is more constrained than we estimated, we will reassess our plans and adjust as necessary."

Immediate next steps involve collaboration among DHA staff, MTF leadership, installation leadership, and TRICARE network partners to continue tailoring MTF-specific transition plans while maintaining uninterrupted access to health care for all patients.

The report "makes very clear that we recognize this is a MTF-by-MTF, market-by-market implementation," McCaffery said. "We readily recognize that some of these changes may take two, three, four years to implement because it's going to be contingent upon that local health care market to be able to take on those additional patients."

McCaffery acknowledged retirees and their families who transition to TRICARE SelectTRICARE Select is a self-managed, preferred provider network plan. TRICARE Select is a fee-for-service option in the United States that allows you to get care from any TRICARE-authorized provider.  Enrollment is required to participate.TRICARE Select will be responsible for co-pays. Currently, a primary care visit costs $30, and specialty care from in-network TRICARE providers is $45 per visit.

TRICARE is the health care program for the U.S. armed services. The two most popular plans available to most eligible beneficiaries under 65, TRICARE PrimeA managed care option available in Prime Service Areas in the United States; you have an assigned primary care manager who provides most of your care.TRICARE Prime and TRICARE Select, include more than 6.7 million enrolled patients.

Earlier today DOD sent a report to Congress titled, "Restructuring and Realignment of Military Medical Treatment Facilities." The report outlines changes to the scope of operations at 50 hospitals and clinics. Section 703(d) of the National Defense Authorization Act of 2017 required DOD to analyze its footprint of hospitals and clinics and submit an implementation plan to Congressional defense committees.

Track updates on MHS transformation and reform at Health.mil/MHSTransformation. Follow #MHSTransformation and #MHSRestructuring on social media channels. For more information about TRICARE, go to TRICARE.mil.

You also may be interested in...

Contract Awarded for Largest Overseas U.S. Military Hospital

Article
1/21/2022
Rendering of the Rhine Ordnance Barracks Medical Center Replacement (ROBMCR) project.

The contract to build the largest U.S. hospital outside the United States has been signed, marking a significant step forward in progressing the Rhine Ordnance Barracks Medical Center Replacement (ROBMCR) project.

Recommended Content:

Military Hospitals and Clinics | Defense Health Agency Region Europe

How Standing Up Regional Markets is Improving Access to Health Care

Article
1/11/2022
Air Force Maj. Megan George, a registered nurse assigned to the 633d Medical Group based at Joint Base Langley-Eustis, Virginia, retrieves medical supplies from a storeroom at Hennepin Healthcare in Minneapolis, Minnesota during COVID-19 response operations, Dec. 7. The DHA has seen early success in replacing deployed personnel in their assigned markets (Photo by Navy Petty Officer 2nd Class Michael H. Lehman).

Modernizations set in motion in 2021 will optimize care and sharing of medical resources across services and the entire MHS, says U.S. Public Health Service Capt. Tracy Farrill.

Recommended Content:

Military Health System Transformation | DHA Health Care Market Structure | Electronic Health Record: MHS GENESIS | MHS GENESIS

New Small Market and Stand Alone MTF Organization Marks Big Milestone

Article
12/20/2021
The Defense Health Agency officially established the Small Market and Stand Alone Military Treatment Facility Organization, or SSO, during a ceremony at Joint Base San Antonio-Kelly Field in Texas on Dec. 14.

The Defense Health Agency officially established the Small Market and Stand Alone Military Treatment Facility Organization, or SSO, during a ceremony at Joint Base San Antonio-Kelly Field in Texas on Dec. 14.

Recommended Content:

DHA Health Care Market Structure | Small Market and Stand-Alone MTF Organizations | Military Health System Transformation

SSO Market Standup

Photo
12/20/2021
The Defense Health Agency officially established the Small Market and Stand Alone Military Treatment Facility Organization, or SSO, during a ceremony at Joint Base San Antonio-Kelly Field in Texas on Dec. 14.

The Defense Health Agency officially established the Small Market and Stand Alone Military Treatment Facility Organization, or SSO, during a ceremony at Joint Base San Antonio-Kelly Field in Texas on Dec. 14.

Recommended Content:

Military Health System Transformation

Puget Sound Market stands up with integration in mind

Article Around MHS
12/7/2021
Military personal posing

Defense Health Agency leaders ushered in the new Puget Sound Market within the nationwide Military Health System.

Recommended Content:

DHA Health Care Market Structure | Military Health System Transformation | Direct Reporting Markets

Local military medical units combine into medical market

Article Around MHS
11/26/2021
Leadership unfurls the DHA guidons during a ceremony

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 medical facilities working together within the military health system.

Recommended Content:

DHA Health Care Market Structure | Direct Reporting Markets | Multi-Service Markets: Our Pathway to the Health Care Market Structure | Military Health System Transformation

Meet the Navy Lieutenant Who’s a ‘Rising Star’ in Health Care IT

Article
11/17/2021
Studio photograph of Navy Lt. Travis Kelley

Navy Lt. Travis Kelley was recognized as one of 10 innovators in the federal information technology field in October.

Recommended Content:

Technology | Military Health System Transformation

New MHS Video Connect increases convenient access to care for patients

Article
11/4/2021
Air Force Lt. Col. John A. DaLomba

The MHS is rapidly expanding the number of facilities using MHS Video Connect, with all continental United States-based hospitals and clinics expected to have the capability by the end of 2021.

Recommended Content:

Technology | Access to Health Care | MHS Video Connect | Military Hospitals and Clinics

Hawaii Market Strengthens DoD’s Medical Readiness & Patient Experience

Article
10/26/2021
DHA Assistant Director Dr. Brian Lein (left), and Hawaii Market Director Col. Martin Doperak (right) prepare to unfurl the flags during the formal Hawai'i Market Establishment Ceremony.

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.

Recommended Content:

Military Health System Transformation | DHA Health Care Market Structure | Direct Reporting Markets | Defense Health Agency Region Indo-Pacific | Multi-Service Markets: Our Pathway to the Health Care Market Structure

MHS GENESIS: New electronic health record coming soon to the San Antonio Market

Article Around MHS
10/13/2021
A woman looks at her computer monitor.

The San Antonio Market will transition to the new electronic health record system – known as MHS GENESIS – in January 2022.

Recommended Content:

Military Health System Transformation | Electronic Health Record: MHS GENESIS | Genesis of MHS GENESIS

DHA establishes Central Texas Market to improve health care delivery

Article
10/4/2021
Unfurling of the flags during the ceremony of the Central Texas Market

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.

Recommended Content:

DHA Health Care Market Structure | Military Health System Transformation | Direct Reporting Markets | Multi-Service Markets: Our Pathway to the Health Care Market Structure

Happy Birthday, DHA! Director Reflects on Eight Years of Progress

Article
10/1/2021
Military personnel posing for a picture

Oct. 1 marked the 8th anniversary of the founding of the Defense Health Agency, the U.S. military’s only medical combat support agency. Director Army Lt. Gen. (Dr.) Ronald Place said the evolution, growth and success the agency has experienced since also comes with greater expectations, greater demand and ever-increasing responsibility going forward.

Recommended Content:

Military Health System Transformation | Defense Health Agency

Defense Health Agency Formally Establishes Low Country Medical Market

Article
9/3/2021
Military personnel uncasing the DHA Low Country Market colors

The Low Country Market was introduced Sept. 2 in an establishment ceremony hosted by the Defense Health Agency (DHA) and Winn Army Community Hospital.

Recommended Content:

Military Health System Transformation | DHA Health Care Market Structure | Direct Reporting Markets | Multi-Service Markets: Our Pathway to the Health Care Market Structure

New Flag and Patch Symbolize Growth at the Defense Health Agency

Article
8/19/2021
Service members from the Army, Air Force and Navy display the new Defense Health Agency patch following a reflagging and repatching ceremony at Defense Health Agency Headquarters in Falls Church.

The DHA will reveal a new flag and seal in a ceremony August 20 to signify the unity of all services under one joint combat support agency.

Recommended Content:

Defense Health Agency | Military Health System Transformation | Combat Support

Reform, COVID-19 Have Been Catalysts for Change in Military Medicine

Article
8/16/2021
Dr. Terry Adirim speaking to an audience at a conference

Healthcare is about taking care of people, so no amount of change or innovation is ever sufficient if modernization does not lead to helping patients, says acting ASDHA at HIMSS21 in Las Vegas.

Recommended Content:

Coronavirus | Coronavirus and the COVID-19 Vaccine | Military Health System Transformation
<< < 1 2 3 4 5  ... > >> 
Showing results 1 - 15 Page 1 of 12

DHA Address: 7700 Arlington Boulevard | Suite 5101 | Falls Church, VA | 22042-5101

Some documents are presented in Portable Document Format (PDF). A PDF reader is required for viewing. Download a PDF Reader or learn more about PDFs.