Page:United States Statutes at Large Volume 105 Part 2.djvu/458

 105 STAT. 1410 PUBLIC LAW 102-190—DEC. 5, 1991 facilities and covered beneficiaries who live outside such catchment areas. (3) An evaluation of the use by covered beneficiaries of inpatient and outpatient health care services, stated in terms of use per member and variations in that per member use by armed force, clinical service, and geographic areas, and a comparison of that use with utilization in civilian indemnity plans. Blue Cross and Blue Shield plans, health maintenance organizations, and with utilization guidelines prepared by the medical community, in order to— (A) identify any systematic problems in either the overuse or underuse of health care services by beneficiaries of the military medical care system or any excesses or deficiencies in the availability of health and dental care services in facilities of the uniformed services; (B) analyze the relationship between the demand for health care and the availability of military medical resources; and (C) plan new methods for influencing or managing peacetime use of health care services, including redesigned budgetary and financial incentives and programs of utilization review. (4) The costs of the present system during fiscal year 1992 and the projected costs of a reconfigured system during each of the fiscal years and periods referred to in paragraph (1). (5) An evaluation of the quality and availability of preventive health and dental care. (6) An evaluation of the adequacy of existing regulations to ensure that the existing and future availability of appropriate health care for disabled active and reserve members of the Armed Forces is adequate. (7) An assessment of the quality and availability of mental health services for members of the Armed Forces and their dependents, including a comparison of services available in various demonstration sites. (8) An assessment of the qualifications of the personnel involved in the Department of Defense review of the utilization of mental health benefits provided under the Civilian Health and Medical Program of the Uniformed Services. (9) An evaluation of the efficacy of the actions taken by the Secretary to ensure that individuals carrying out medical or financial evaluations under the system make such disclosures of personal financial matters as are necessary to ensure that financial considerations do not improperly affect such evaluations. (10) An evaluation of the adequacy of the existing appeals process and of existing procedures to ensure the protection of patient rights. (11) The optimal military and Department of Defense civilian staffing plan for the next five years to achieve the most costeffective delivery of health care services to the beneficiary population and a strategy to achieve that goal in light of reductions in military spending and the size of the Armed Forces. (12) Any other information related to the review required by subsection OJXD that the Secretary determines to be appropriate.

�