Security Assistance; and Logistics - Federation of American Scientists

Observation 23. U.S. Government-Provided Health CareServices to Iraqi NationalsApproximately 65 to 70 percent of the inpatient care workload of U.S. military medicaltreatment facilities located in Iraq was provided to Iraq Security Forces and Iraqi civilianpatients, at an annual cost to the U.S. of approximately of $30 million to $36 million.Further, management controls for wartime theater medical care costs for DoD deployablemedical systems are not in place.This occurred because medical expense record keeping systems were not established atU.S. military medical treatment facilities to document all direct and indirect inpatient andoutpatient costs for health care treatment provided to individual Iraqi military, police, andcivilians.Further, processes were not established with the Ministries of Defense, Interior, andHealth to reimburse the U.S. Government for all future costs for health care treatmentprovided to individual Iraqi military, police, and civilians at U.S. military medicaltreatment facilities. In addition, management controls for wartime theater medical care inDoD deployable medical systems have not been fully developed.As a result, the U.S. Government is unnecessarily expending tens of millions of dollars inun-reimbursed costs for health care treatment provided to individual Iraqi military,police, and civilians at U.S. military medical treatment facilities.Applicable CriteriaDoD 6010.13-M. DoD 6010.13-M, “Medical Expense and Performance ReportingSystem for Fixed Military Medical and Dental Treatment Facilities Manual,” April 7,2008, states the purpose of the Medical Expense and Performance Reporting System is toprovide a uniform system of health care managerial accounting for the MHS.The Medical Expense and Performance Reporting System provides detailed uniformperformance indicators, common expense classification by work center/cost center,uniform reporting of personnel utilization data by work centers, a labor cost assignmentmethodology, and includes procedures for the uniform reporting of expense and laborhour data for fixed military medical and dental treatment facilities.DoD Instruction 6015.23. DoDI 6015.23, “Delivery of Healthcare at MilitaryTreatment Facilities: Foreign Service Care; Third-Party Collection; BeneficiaryCounseling and Assistance Coordinators (BCACs),” October 30, 2002, implementspolicy, assigns responsibilities and prescribes procedures on provisions of care in thedelivery of health care at military treatment facilities in MHS.DoD Directive 3000.05. DoDD 3000.05, “Military Support for Stability, Security,Transition, and Reconstruction (SSTR) Operations,” November 28, 2005, provides165