Budget experts: Move Tricare beneficiaries to Obamacare

quote:

---

The Defense Department could slash its enormous health care budget by requiring Tricare beneficiaries not on active duty to get health care coverage through Affordable Care Act exchanges, according to several current and former congressional budget experts.

In the past several budget cycles, the Pentagon has sought to reduce its $52 billion health budget by asking Congress to approve cost-savings measures that include increased Tricare fees for retirees, fees for Tricare For Life beneficiaries and cost-shares for active-duty families.

Some proposals, such as reducing prescription costs by promoting use of military and mail-order pharmacies, have been implemented, but for the most part, Congress has resisted changes to the status quo for those who use the military health system and its private health care network.

But, the budget analysts said, the Defense Department could realize tremendous savings if it tapped into the resources offered by the general, civilian health care system and coverage available through federal or state exchanges.

"It's a little radical, but should we be thinking about how some of the military system might transition some of their people to the Affordable Care Act exchanges, especially in sparsely populated areas of the country?" said Alice Rivlin, former director of the Congressional Budget Office and the Office of Management and Budget who now serves as a senior fellow in economic studies at the Brookings Institution.

---