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Published byReina Yarnall Modified over 10 years ago
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P a c i f i c TAOP Operations Chief, Program Operations 2008 TAOP Conference Seoul, Korea Today’s Challenges, Tomorrow’s Solutions
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P a c i f i c The elephant in the room
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P a c i f i c TAOP Office DoD Field Activity of the USD/P&R operating under the authority, direction, & control of ASD/HA Management of the TRICARE health plan Oversight of integrated healthcare delivery system Interacts w/ officials & representatives of Congressional committees, ASD/HA, Office of General Counsel, Services SGs, DVA, & other agencies & organizations to ensure understanding, integration, & implementation of DoD policy concerning TRICARE & MHS transformation
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P a c i f i c TAOP Office Oversight of healthcare and support contracts –TGRO –IM/IT –Customer service –Health benefit advisor personnel –Case management –Enrollment & marketing functions Collaborate w/ & assist MTF commanders and operational forces w/ delivering healthcare services Responsible for medical & dental care delivery in areas not serviced by an MTF or DTF for AD, ADFMs, & USAFR & ANG on active duty requiring emergent/urgent care
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P a c i f i c TAOP Office Work w/ISOS to identify sites to serve AD & their families for healthcare & ensure providers meet established contractual requirements for quality & credentialing.
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P a c i f i c TAOP Office Our staff consists of professional, administrative, and technical personnel engaged in implementing and evaluating policies, standards, systems, & procedures necessary to deliver the comprehensive TRICARE healthcare benefit: Business Operations Clinical Operations Program Operations
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P a c i f i c Program Ops Division Clinical Ops Division Business Ops Division Director Customer Service Branch SEA Vacant Obligatory Org Chart
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P a c i f i c Business Operations TAOP Website Management Responsible for resource management, administrative, contracting and information technology matters in TAOP
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P a c i f i c Clinical Operations Coordinate delivery of TRICARE benefits to beneficiaries Clinical oversight of contracts Provide guidance to higher local command authorities & MTF commanders Interpret/implement HA & TMA policies Improve screening processes for EFMP enrollees
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P a c i f i c Clinical Operations Coordinate healthcare services w/ medical directors from ISOS for remote to care for permanently assigned AD & ADFMs & traveling/deployed AD who require urgent or emergent healthcare Work closely w/ Service liaisons, DoD & DoS providers, & senior military leadership Partner w/ ISOS to oversee quality of care provided by HN facilities/providers Provide support/assistance in medical evacuations w/ Services & ISOS
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P a c i f i c Program Operations Oversee implementation of TRICARE policies & benefits Coordinate development, implementation & oversight of proposed overseas healthcare contract Responsible for daily program operations of TAOP Supervise remote operations Provide interpretation/guidance of TMA policies, health benefits, claims resolution assistance, & TRICARE guidance/consultation to MTF commanders, TRICARE officers, health benefits advisors, & enrollment clerks Supervise Regional Customer Service Center
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P a c i f i c Program Operations Administer & serve as the COR of administrative services contract, providing TRICARE beneficiary supports services, enrollment, & marketing & education Chair TPEC meetings MTF Support TMA policies can be found at http://manuals.tricare.osd.mil/ Policy directly related to Supplemental Health Care funding or MTF issues are not mandated by TMA Policy. The CFR does provide some guidance found at www.tricare.mil
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P a c i f i c
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