Sec. 736. Establishment of high performance military-civilian integrated health delivery systems
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Not later than January 1, 2018, the Secretary of Defense shall establish military-civilian integrated health delivery systems through partnerships with other health systems, including local or regional health systems in the private sector and the Veterans Health Administration— to improve access to health care for covered beneficiaries; to enhance the experience of covered beneficiaries in receiving health care; to improve health outcomes for covered beneficiaries; to share resources between the Department of Defense, the Department of Veterans Affairs, and the private sector, including such staff, equipment, and training assets as may be required to carry out such integrated health delivery systems; and to transfer health care services from military treatment facilities to other health systems that are not essential for the maintenance of operational medical force readiness skills of health care providers of the Department.
Each military-civilian integrated health delivery system established under paragraph
(a)shall do the following: Deliver high quality health care as measured by leading health quality measurement organizations such as the National Committee for Quality Assurance and the Agency for Healthcare Research and Quality. Achieve greater efficiency in the delivery of health care by identifying and implementing within each such system improvement opportunities that guide patients through the entire continuum of care, thereby reducing variations in the delivery of health care and preventing medical errors and duplication of medical services. Improve population-based health outcomes by using a team approach to deliver case management, prevention, and wellness services to high-need and high-cost patients. Focus on preventive care that emphasizes— early detection and timely treatment of disease; periodic health screenings; and education regarding healthy lifestyle behaviors. Coordinate and integrate health care across the continuum of care, connecting all aspects of the health care received by the patient, including the patient’s health care team. Facilitate access to health care providers, including— after-hours care; urgent care; and through telehealth appointments, when appropriate. Encourage patients to participate in making health care decisions. Use evidence-based treatment protocols that improve the consistency of health care and eliminate ineffective, wasteful health care practices. Improve coordination of behavioral health services with primary health care. In establishing military-civilian integrated health delivery systems through partnerships under subsection (a), the Secretary shall seek to enter into memoranda of understanding or contracts between military treatment facilities and health maintenance organizations, healthcare centers of excellence, public or private academic medical institutions, regional health organizations, integrated health systems, accountable care organizations, and such other health systems as the Secretary considers appropriate. Memoranda of understanding and contracts entered into under paragraph
(1)shall ensure that covered beneficiaries are eligible to enroll in and receive medical services under the private sector components of military-civilian integrated health delivery systems established under subsection (a). The Secretary shall incorporate value-based reimbursement methodologies, such as capitated payments, bundled payments, or pay for performance, into memoranda of understanding and contracts entered into under paragraph
(1)to reimburse entities for medical services provided to covered beneficiaries under such memoranda of understanding and contracts. In this section, the term covered beneficiary has the meaning given that term in section 1072 of title 10, United States Code.