US Family Health Plan

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The US Family Health Plan (USFHP) [1] is a U.S. Department of Defense-sponsored healthcare plan that serves military family members exclusively. Current regional coverage includes: northeastern United States, southeast Texas and southwest Louisiana, and the Puget Sound area of Washington State.

Services[edit]

USFHP [2] delivers full TRICARE Prime [3] benefits to more than 115,000 beneficiaries, including the family members of active-duty military, activated Guard and Reserve, and military retirees and their family members. The US Family Health Plan is distinguished by a national member satisfaction ranking that, for 2010, was 28 points higher on a 100-point scale [4] than the national average for satisfaction with health plans, based on the 224 plans documented by the National Committee for Quality Assurance (NCQA) in its Quality Compass 2010 Public Report [5].

Based on the report, 62.7 percent of health plan members nationally report high satisfaction with their plans (ranking them an 8, 9 or 10 on a scale of 1 to 10). By contrast, 45% more (91%) of US Family Health Plan members report high satisfaction with their plan.

Coverage[edit]

The US Family Health Plan provides a full continuum of care, from preventive and wellness programs to more intensive disease and case management initiatives for members with chronic or multiple conditions. It currently offers more than 40 disease and case management programs across all of its sites.

Enrollment in the US Family Health Plan is offered through the following community-based hospital and physician networks, known as Designated Providers: [6]

  • Johns Hopkins Medicine (1-800-801-9322) – serving Maryland, Washington D.C., and parts of Pennsylvania, Virginia, Delaware and West Virginia
  • Martin’s Point Health Care (1-888-241-4556) – serving Maine, New Hampshire, Vermont, upstate and western New York, and the northern tier of Pennsylvania
  • Brighton Marine Health Center (1-800-818-8589) – serving Massachusetts, including Cape Cod; Rhode Island; and northern Connecticut
  • St. Vincent Catholic Medical Centers (1-800-241-4848) – serving New York City, Long Island, southern Connecticut, New Jersey, Philadelphia and area suburbs
  • CHRISTUS Health (1-800-678-7347) – serving southeast Texas and southwest Louisiana
  • Pacific Medical Centers (1-888-958-7347) – serving the Puget Sound area of Washington State.

History[edit]

The Designated Providers of the US Family Health Plan have been delivering healthcare to military beneficiaries for 27 years. In 1981, Congress enacted the Omnibus Reconciliation Act [7] designating certain former U.S. Public Health Service facilities as Uniformed Services Treatment Facilities (USTFs). The following year, the Department of Defense assumed responsibility for the USTF program from the Department of Health and Human Services. In 1993, the USTFs developed a managed care plan, called the Uniformed Services Family Health Plan, and in 1996, became “TRICARE Designated Providers”—the first DoD-sponsored, full-risk managed health care plan and the first to serve the military 65 and older population (other than on a limited demonstration basis). The Plan began offering the TRICARE Prime benefit the following year. In 2001, the name was shortened to US Family Health Plan.

Awards[edit]

Having long served military families, the US Family Health Plan in 2008 was awarded an Emmy Award from the National Academy of Television Arts & Sciences for a 2007 public service announcement series, “Now is Our Time to Serve”[8]. This joint public service initiative [9] with the non-profit National Military Family Association (NMFA) urged viewers to “support, befriend, remember and appreciate” America’s military family members.

References[edit]

http://www.tricare.mil/pressroom/contractornews.aspx?fid=121
http://www.emmyonline.tv/mediacenter/public_0708_winners.html
http://www.armytimes.com/news/2008/11/military_emmy_militaryfamilies_112108w/
http://www.usminstitute.org/newsletters/2008-10-10.html
http://www.riverdalepress.com/full.php?sid=5264&current_edition=2008-07-17

External links[edit]