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The U.S. Department of Veterans Affairs (VA) relies on the Enrollee Health Care Projection Model (EHCPM) to project veteran enrollment, enrolled veterans' use of health care services, and the cost of providing those services. Senior VA leadership and regional leadership of the VA's Veterans Integrated Service Networks (VISNs) use projections produced by the model to understand the dynamics of demand for health care services in the VISN service delivery areas and to plan the VA's appropriation request. There is also interest in using the model as a platform for a variety of strategic planning and policy analysis activities. This evaluation of the EHCPM examines its accuracy and validity, identifies potential model enhancements, and assesses the risks and benefits posed by the VA's reliance on the model for budgeting and planning.

Veterans --- Medical care --- Costs --- Forecasting. --- United States. --- Appropriations and expenditures.

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Powerful pharmaceuticals are of increasing clinical and economic importance to managed care organizations. This report describes the processes by which managed care organizations evaluate pharmaceutical technologies and suggests pathways for organizing improvement.

Managed care plans (Medical care). --- Pharmaceutical technology. --- Technology assessment. --- Pharmaceutical technology --- Technology assessment --- Managed care plans (Medical care) --- Health Care Economics and Organizations --- Health Care Evaluation Mechanisms --- Technology --- Pharmacy --- Investigative Techniques --- Thinking --- Insurance, Health --- Delivery of Health Care --- Technology, Pharmaceutical --- Decision Making --- Managed Care Programs --- Technology Assessment, Biomedical --- Insurance --- Technology, Industry, and Agriculture --- Health Care --- Mental Processes --- Patient Care Management --- Health Occupations --- Quality of Health Care --- Occupations --- Psychological Phenomena --- Financing, Organized --- Health Services Administration --- Health Care Quality, Access, and Evaluation --- Psychiatry --- Economics --- Decision making --- Health Care Economics and Organizations. --- Health Care Evaluation Mechanisms. --- Technology. --- Pharmacy. --- Investigative Techniques. --- Thinking. --- Insurance, Health. --- Delivery of Health Care. --- Technology, Pharmaceutical. --- Decision Making. --- Managed Care Programs. --- Technology Assessment, Biomedical. --- Insurance. --- Technology, Industry, and Agriculture. --- Mental Processes. --- Patient Care Management. --- Health Occupations. --- Quality of Health Care. --- Occupations. --- Psychological Phenomena. --- Financing, Organized. --- Health Services Administration. --- Health Care Quality, Access, and Evaluation. --- Psychiatry. --- Economics. --- Decision making.

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In January 2004, the Military Health System (MHS) began implementation of the Armed Forces Health Longitudinal Technology Application (AHLTA), DoD's global electronic health record. AHLTA will ultimately be used by all providers in the military's direct care system at the point of care. The authors describe a four-part framework they recommend that DoD adopt in measuring AHLTA's contribution to MHS performance.

Medicine, Military --- Medical informatics --- Information storage and retrieval systems --- Information services. --- Medical care.