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<p>United States health care system and the Military Health System (MHS) have long been faced with escalating health care cost. Implementing a managed care strategy, a system designed tointegrate financing and delivery of appropriate health care services, has been viewed as the answer.As a result of implementing managed care, the MHS has transitioned from a workload-based financing methodology to a capitation methodology. Initially, the MHS implemented \"modified capitation\" financing. Effective FY-1998, the MHS began phasing-in the latest version of capitation, enrollment-based capitation (EBC). Under EBC, military treatment facility (MTF) Commanders' performance will be tracked and scored on an EBC Scorecard. The purpose of this thesis is to present a baseline assessment, describing new skills, roles and tools which comptrollers of Navy MTF are adopting to improve their MTF's performance under theindices of the EBC Scorecard.
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Lucas, Jennette.</div>
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