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All Federal Register documents (rules, proposed rules, notices, presidential documents) from 1994 to present.

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94-21705 Civilian Health and Medical Program of the Uniformed Services (CHAMPUS); Demonstration Project in Europe Notice Military force reductions in Europe have resulted in diminished military medical services for many areas, particularly those where the active duty end strength has fallen below levels which would support a military health clinic. Service members and their families, particularly those in remote areas, have experienced significant access problems in areas where military medical services have either been substantially reduced or eliminated. Although some military families currently use civilian providers, differences in U.S. and local national billing practices have resulted in payment delays which are unacceptable to host nation providers. Because local systems are not conducive to calculation and collection of beneficiary deductibles and cost shares, these payments by beneficiaries are often overlooked or substantially delayed and have become a source of major dissatisfaction among local providers. As a result, some local providers have indicated they are no longer willing to accept CHAMPUS patients while others have begun to require payment for services in advance. This demonstration is proposed for the purpose of testing whether special agreements with host nation medical providers and elimination of CHAMPUS deductible and cost shares can enhance beneficiary access to required care. Although earlier demonstration proposals for Europe limited participation to medically remote or underserved areas, payment issues which have become barriers to access affect all active duty families in Europe who must seek care in host nation hospitals and clinics. For this reason, the demonstration is proposed for the entire region. Demonstration participants will include family members of all active duty personnel in the uniformed services located in countries served by OCHAMPUS EUROPE. Under Title 10, U.S. Code, Section 1092, the Department is authorized to test different methods of financing delivery of health care services under CHAMPUS. 1994-09-02 1994 9 https://www.federalregister.gov/documents/1994/09/02/94-21705/civilian-health-and-medical-program-of-the-uniformed-services-champus-demonstration-project-in   Defense Department 103 Military force reductions in Europe have resulted in diminished military medical services for many areas, particularly those where the active duty end strength has fallen below levels which would support a military health clinic. Service members and...

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