Monthly Archives: June 2013

What Constitutes a Semi-Private Room under the Demonstration?

According to the TRICARE Management Activity (TMA) Demo patients are not entitled to use private rooms at Approved hospitals unless the hospital certifies that they have no Semi-Private Rooms. A recent incident involving the wife of a retiree who was … Continue reading

Posted in Closed Network, International SOS, Tricare Management Activity (TMA), Tricare Overseas Program Philippines | 10 Comments

The Real Story on Quality of Care under the Demonstration

The TRICARE Management Activity (TMA) likes to claim, “You will have access to providers who deliver high-quality medical care.” when they brag about their failing project. We all know based on a very long history of examples that TMA tends … Continue reading

Posted in Closed Network, Emergency Care Access, International SOS, Tricare Management Activity (TMA), Tricare Overseas Program Philippines | 5 Comments

The Demo; Best of all possible worlds and the worst of all possible worlds

What would be the perfect world for a provider under the Demonstration? Could it be one where the TRICARE Management Activity (TMA) and International SOS (ISOS) build an environment where they tell, no direct, providers to increase their fees for … Continue reading

Posted in Closed Network, CMAC Table, International SOS, Tricare Management Activity (TMA), Tricare Overseas Program Philippines | 7 Comments