The TRICARE Management Activity (TMA) and their contractor have been very busy reversing critical policies to the detriment of beneficiaries which has proven to be true with almost all policy changes TMA implements in the Philippines.
Further one could, given the recent changes, conclude the claims of Philippine fraud and the closing down of providers for that alleged fraud over the last ten years was simply a tool to remove the competition so TMA and their contractor could take over the lucrative business of doubled and tripled fees at the expense of beneficiaries and the American taxpayer and where they can mandate it for beneficiaries. Much of what is happening under the Demonstration looks suspiciously like what Health Visions and others were doing.
For the details read Newsletter, Policy Changes and Reversals that Dramatically Increase the Cost of Care under the Demo.
Also see the report on the ISOS Teleconference of 28 February 2012.