Cost effectiveness of civilian-run outpatient clinics in the Naval Hospital Oakland and Silas B. Hayes Army Community Hospital catchment areas

Abstract

Rising health care costs coupled with ever increasing CHAMPUS use have spawned the creation of a number of corrective programs. The civilian-run outpatient clinics (NAVCARE in the Navy, PRIMUS in the Army) are one such effort to curb health care costs by contracting outpatient services to private corporations. It is hoped that these clinics will attract patients away from the CHAMPUS program by offering a wide range of free primary and preventive care services to dependents and retirees. This thesis will examine the civilian-run outpatient clinics in the Naval Hospital Oakland and Silas B. Hays Army Community Hospital catchment areas to evaluate their success in expanding availability of services while maintaining a cost effective edge over Military Treatment Facilities and CHAMPUS.