It will be interesting to see how it works. I published a study in Military Medicine about a decade ago that found that low reimbursement rates created a lot of problems with access to mental health services for the families of activated reserve component troops (see Avery GH and MacDermid Wadsworth SM. (2011) Access to Mental Health Services for Indiana Reserve Component TRICARE Enrollees. Military Medicine 176(3): 261-264). Providers in areas without permanent bases tended to participate as an altruistic gesture despite reimbursement not meeting practice costs based on a prior expectation of peacetime demand for service utilization, and dropped out because a geographically-defined unit mobilization would significantly increase demand for those money-losing services. This aggravated an already inadequate Tricare mental health network.
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