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Glossary and Definitions

Acronyms and Abbreviations

  • ALL USERS: Beneficiaries who say they get most of their care from a TRICARE health plan such as Prime, Select, etc...
  • CAHPS: Consumer Assessment of Healthcare Providers and Systems
  • HCSDB: Health Care Survey of DoD Beneficiaries
  • HEDISThe Healthcare Effectiveness Data and Information Set (HEDIS®) is a registered trademark of the National Committee for Quality Assurance (NCQA).HEDIS: Healthcare Effectiveness Data and Information Set
  • MHS: Military Health System
  • MTF: Military Treatment Facility. U.S.
  • NCBD: National CAHPS Benchmarking Database
  • NCQA: National Committee for Quality Assurance
  • PCM: Primary Care Manager
  • [Region] Other: All [Region] non-Army/Navy/Air Force MTFs
  • [Region] Region-Other: MTFs in [Region] without enough observations for reporting
  • Other: All non-Army/Navy/Air Force MTFs
  • USA MHS: MHS in Continental United States, plus Hawaii and Alaska

Terms Related to the Survey

Benchmark

A goal or standard of comparison

Beneficiary Groups

Beneficiary groups classify users according to their relationship to the armed services. To see scores for active duty users, active duty family members, or retirees, select the Enrollment/Beneficiary Group on the Adult Quarterly Beneficiary Reports page. The report for any beneficiary group reflects only the scores for that beneficiary group. Beneficiary groups include only those who say they use a TRICARE plan for most of their health care. Reservists are included with active duty users, and their family members with active duty family members. In the annual reports, regional and MTF level scores are available for active duty beneficiaries. For active duty family members or retirees, reports show scores at the regional level only.

Composite

A score based on a combination of items

Enrollment Groups

Enrollment groups classify users according to their relationship to TRICARE PrimeA managed care option available in Prime Service Areas in the United States; you have an assigned primary care manager who provides most of your care.TRICARE Prime, the MHS's managed care plan. To see scores for Prime enrollees, enrollees with a military PCM, enrollees with a civilian PCM, or TRICARE SelectStarting on January 1, 2018, TRICARE Select replaces TRICARE Standard and Extra. TRICARE Select is a self-managed, preferred provider network plan. TRICARE Select is a fee-for-service option in the United States that allows you to get care from any TRICARE-authorized provider.  Enrollment is required to participate. TRICARE Select users, select the Enrollment/Beneficiary Group on the Adult Quarterly Beneficiary Reports page. The report for any enrollment group reflects only the scores for that group. Prime enrollee scores include only users enrolled for at least 6 months. TRICARE Reserve SelectA premium-based plan for qualified Selected Reserve members and their families.TRICARE Reserve Select is treated as part of TRICARE Select. TRICARE Select users do not include those who use civilian insurance as their primary source of coverage. In the annual reports, regional and MTF level scores are available for Prime enrollees and enrollees with a military PCM. For Purchased CareThe TRICARE Health Program is often referred to as purchased care. It is the services we “purchase” through the managed care support contracts.Purchased Care Users, reports show scores at the regional level only.

MTF Service Affiliation

The Beneficiary Reports present scores according to the service of beneficiaries' MTFs. These are the MTFs to which the beneficiaries are enrolled. If beneficiaries are not enrolled, their MTF is their assigned catchment area. Beneficiaries who are not enrolled or assigned a catchment area are in the "other" category.

The MTF scores in TRICARE Beneficiary Reports combine results from "parent" and "child" facilities. MTF scores are shown only if enough beneficiaries from that site respond to meet report precision requirements.

MTF's are assigned based on enrollment for enrollees with military PCM's, and by catchment area of residence for non-enrollees and enrollees with civilian PCM's. Clinics are usually combined with parent facilities. Sometimes several facilities are combined into one. For combination rules see the HCSDB Adult Sample Design.

TRICARE Regions

TRICARE is managed in three separate health care regions: East, West, and Overseas. >>Learn More

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