Voice of the Customer: Factors Impacting Beneficiary Choice of Programs in TRICARE by Jessica Korona-Bailey MPH, Miranda Lynn Janvrin MPH, Luke Juman MPH, Tracey Perez Koehlmoos PhD, MHA

“…We sought to identify how to recruit TRICARE beneficiaries into new pilot programs challenged by low recruitment. …”
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Insider Threats to the Military Health System: A Systematic Background Check of TRICARE West Providers by David Bychkov

“… Abstract BackgroundTo address the pandemic, the Defense Health Agency (DHA) expanded its TRICARE civilian provider network by 30.1%. In 2022, the DHA Annual Report stated that TRICARE’s provider directories were only 80% accurate. …”
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Peer Review of “Insider Threats to the Military Health System: A Systematic Background Check of TRICARE West Providers”

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Peer Review of “Insider Threats to the Military Health System: A Systematic Background Check of TRICARE West Providers”

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Access to Total Knee Arthroplasty for Military Insured Patients by Payton Yerke Hansen, BS, Brandon Macknofsky, BS, Cara E. Busheme, BS, MS, Clyde K. Fomunung, BS, MBA, Alessia C. Lavin, MD, Carlos A. Fernandez, MD, Vani Sabesan, MD

Subjects: “…Tricare…”
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Author’s Reponse to Peer Reviews of “Insider Threats to the Military Health System: A Systematic Background Check of TRICARE West Providers” by David Bychkov

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Health Care Use and Costs for Participants in a Diabetes Disease Management Program, United States, 2007-2008 by Timothy M. Dall, MS, Mary Roary, PhD, Wenya Yang, MPA, Shiping Zhang, MS, Yaozhu J. Chen, MPA, David R. Arday, MD, MPH, Cynthia J. Gantt, PhD, Yiduo Zhang, PhD

“…IntroductionThe Disease Management Association of America identifies diabetes as one of the chronic conditions with the greatest potential for management. TRICARE Management Activity, which administers health care benefits for US military service personnel, retirees, and their dependents, created a disease management program for beneficiaries with diabetes. …”
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Trends in Well-Child Visits and Routine Vaccination among Children of U.S. Military Members: An Evaluation of the COVID-19 Pandemic Effects by Kyle Sexton, Apryl Susi, Elizabeth Lee, Elizabeth Hisle-Gorman, Michael Rajnik, Jayasree Krishnamurthy, Cade M. Nylund

“…The purpose of this study was to determine the impact of COVID-19 pandemic disruption on childhood health maintenance: well-child visits and scheduled vaccinations. We queried the TRICARE Management Activity’s Military Health System (MHS) database for outpatient well-child visits and vaccinations for all children 0 to 23 months of age eligible for TRICARE healthcare. …”
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Does universal insurance influence disparities in high-quality hospital use for inpatient pediatric congenital heart defect care within the first year of diagnosis? by Amber El-Amin, Tracey Koehlmoos, Dahai Yue, Jie Chen, Peyman Benharash, Luisa Franzini

“…To assess for racial and SES disparities in inpatient pediatric CHD care that may persist despite universal insurance coverage, we performed a cross-sectional study of the HQH use for children treated for CHD in the TRICARE system, a universal healthcare system for the U.S. …”
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Reductions in sustained prescription opioid use within the US between 2017 and 2021 by Andrew J. Schoenfeld, Satish Munigala, Jonathan Gong, Roman J. Schoenfeld, Amanda Banaag, Christian Coles, Tracey P. Koehlmoos

“…We sought to develop national estimates of the prevalence of sustained prescription opioid use for a time period spanning the COVID-19 pandemic (2017–2021). We used TRICARE claims data (fiscal year 2017–2021) to identify patients who were prescription opioid non-users prior to receipt of a new opioid medication. …”
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Temporal trends in anticoagulation management for US active duty personnel with atrial fibrillation by Andrea Nichole Keithler, Andrew S Wilson, Alexander Yuan, Jose M Sosa, Kelvin N V Bush

“…Design and setting A retrospective investigation of Tricare pharmacy AC prescriptions within the San Antonio Military Health System from January 2004 to July 2019 for AD individuals diagnosed with AF was performed.Participants 386 AD personnel with non-valvular AF were analysed (mean age 35.0±9.4 years; mean body mass index, 28.3±4.3 kg/m2; 93% male; 57% Caucasian, 94% paroxysmal AF).Outcomes The temporal trends of systemic AC prescriptions were the primary outcome measures. …”
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Changes in body mass index and behavioral health among adolescents in military families during the COVID-19 pandemic: a retrospective cohort study by Tracey Pérez Koehlmoos, Cathaleen Madsen, Amanda Banaag, Terry Adirim

“…Military Health System during the COVID-19 pandemic; one for changes in Body Mass Index (BMI) and the second for changes in behavioral health diagnoses, using TRICARE claims data. Beneficiaries (160,037) ages 13 to 15 years in fiscal years 2017–2018, were followed up during October 2020 to June 2021. …”
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The Massachusetts Infertility Insurance Mandate: not nearly enough by Katherine G. Koniares, M.D., Alan S. Penzias, M.D., James Roosevelt, Jr., J.D., Eli Y. Adashi, M.D., M.S.

“…Result(s): Public health plans (Medicare, MassHealth [state Medicaid], TRICARE, and the Federal Employees Health Benefits Program) are exempted from the Massachusetts Infertility Insurance Mandate by dint of federal or state statute. …”
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Digoxin and Standard-of-Care Therapy for Heart Failure Patients with COVID-19: Analysis of Data from the US Military Health System (MHS) Data Repository by Amanda L. Banaag, Harvey B. Pollard, Tracey P. Koehlmoos

“…Methods To test this hypothesis, we conducted a cross-sectional study by using the US Military Health System (MHS) Data Repository to identify all MHS TRICARE Prime and Plus beneficiaries aged 18–64 years with a heart failure (HF) diagnosis during the period April 2020 to August 2021. …”
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Segmentation analysis of the unvaccinated US adult population 2 years into the COVID-19 pandemic, 1 December 2021 to 7 February 2022 by Israel Agaku, Theodore Long, Caleb Adeoye, Naa Adjeley Anamor Krow

“…The likelihood of vaccine aversion was higher among those self-employed (APR=1.11, 95% CI 1.02 to 1.22) or working in a private company (APR=1.09, 95% CI 1.01 to 1.17) than those unemployed; living in a detached, single-family house than in a multiunit apartment (APR=1.15, 95% CI 1.04 to 1.26); and insured by Veterans Affairs/Tricare than uninsured (APR=1.22, 95% CI 1.01 to 1.47). …”
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Trends in breast cancer screening during the COVID‐19 pandemic within a universally insured health system in the United States, 2017–2022 by Vivitha Mani, Amanda Banaag, Satish Munigala, Ada Umoh, Andrew J. Schoenfeld, Christian L. Coles, Tracey Perez Koehlmoos

“…Methods In this retrospective open cohort study, we used the Military Health System Data Repository to identify female TRICARE beneficiaries ages 40–64 at average risk for breast cancer between FY2018 and FY2022, broken down into prepandemic (September 1, 2018–February 28, 2020), early pandemic (March 1, 2020–September 30, 2020), and late pandemic periods (October 1, 2020–September 30, 2022). …”
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Disparities in the use of colorectal cancer screening in a universally insured population during the COVID‐19 pandemic by Satish Munigala, Andrew J. Schoenfeld, Vivitha Mani, Amanda Banaag, Ada Umoh, Christian L. Coles, Tracey Perez Koehlmoos

“…Methods We performed a retrospective cross‐sectional study using all eligible TRICARE beneficiaries aged 45–64 years between FY 2018 and 2021. …”
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Military healthcare system mitigates racial disparities for severe maternal morbidity from preeclampsiaAJOG Global Reports at a Glance by Kathleen Lundeberg, DO, Rachel Tindal, MD, Patrizia C. Grob, DO, Jameaka Hamilton, MD, Veronica M. Gonzalez-Brown, MD, Erin Keyser, MD

“…CONCLUSION: Although women of color still experience overall severe maternal morbidity at higher rates than their White counterparts, TRICARE may have equalized the risk of severe maternal morbidity for deliveries complicated by pre-eclampsia.…”
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Does psychological distress predict risk of orthopaedic surgery and postoperative opioid prescribing in patients with hip pain? A retrospective study by Kent F. Sutton, Grant H. Cabell, Lucas W. Ashley, Trevor A. Lentz, Brian D. Lewis, Steven A. Olson, Richard C. Mather

“…In multivariable analysis, younger patients, those with TRICARE/other government insurance, and those with a high psychological distress phenotype had higher odds of surgery. …”
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Financial and Clinical Impact of Virtual Care During the COVID-19 Pandemic: Difference-in-Differences Analysis by Robert J Walter, Stephen D Schwab, Matt Wilkes, Daniel Yourk, Nicole Zahradka, Juliana Pugmire, Adam Wolfberg, Amanda Merritt, Joshua Boster, Kevin Loudermilk, Sean J Hipp, Michael J Morris

“…MethodsThis was a retrospective difference-in-differences (DiD) evaluation that compared 8 military treatment facilities (MTFs) with and 39 MTFs without a VC program. Tricare Prime beneficiaries diagnosed with COVID-19 (Medicare Severity Diagnosis Related Group 177 or International Classification of Diseases–10 codes U07.1/07.2) who were eligible for care within the MHS and aged 21 years and or older between December 2020 and December 2021 were included. …”
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