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Military Health System

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.

Market Structure

DHA has established 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. 

Infrastructure Changes

Congress has directed the Department of Defense to submit a report on restructuring military hospitals and clinics to increase focus on military and medical force readiness. The DOD is nearing completion of its analysis, which has focused on both the role of each hospital and clinic to support military readiness and on the department's solemn obligation to provide outstanding health care for its 9.6 million beneficiaries.

Manpower Changes

The Department’s FY20 budget proposal recommended the realignment of approximately 12,000 uniformed billets from the MHS into operational forces by Fiscal Year 2027. 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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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.

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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.

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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.

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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.

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Military Health System Transformation | MHS GENESIS: The Electronic Health Record | 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.

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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.

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Defense Health Agency Formally Establishes Low Country Medical Market

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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.

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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.

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

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8/16/2021
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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.

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DOD's Whole of Government Approach to COVID is Working, Says Adirim

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8/13/2021
Dr. Terry Adirim, acting assistant secretary of defense for health affairs, right, speaks during a panel discussion.

Dr. Terry Adirim, said she has been impressed by the DOD’s COVID-19 response since taking over as ASDHA, and that adaptation and innovation have played key parts in that response.

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Puget Sound Military Health System Certified by Defense Health Agency

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8/6/2021
Photo of a shuttle bus

The Puget Sound market leaders are responsible for managing all health care for its military population within Western Washington.

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MHS Minute - July 2021

Video
8/2/2021
MHS Minute - July 2021

The Defense Health Agency continues to establish new health care markets across the U.S. Markets are designed to increase access to care for beneficiaries and improve coordination, standardization, and best practices across the MHS. Watch this month's MHS Minute to learn more!

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New Markets, MHS Transformation and You: What Does it All Mean?

Article
7/27/2021
Team members of the Fort Belvoir Community prepare for the start of a new day

With ten new markets launching, U.S. Public Health Service Capt. Tracy Farrill, talks about what this means for beneficiaries.

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San Antonio Market to Standardize, Optimize Local Healthcare

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7/19/2021
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The Defense Health Agency’s San Antonio Market is the seventh market to stand up over the past year, and is designed to standardize, optimize local healthcare.

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Military Health System Transformation Will Improve Care & Innovation

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7/6/2021
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MHS Innovation Must Be Backed by Best Practices, Standardization

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Last Updated: March 07, 2022
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