Altarum provides specialized services – program and portfolio management; healthcare analytics; revenue cycle management; project management and, planning, programming, budgeting and execution (PPBE) for clients such as the VA, Department of Defense (DoD) Military Health System (MHS), TRICARE Management Activity (TMA), Department of Health and Human Services (DHHS), Centers for Medicare & Medicaid Services (CMS), National Institutes of Health (NIH) and Centers for Disease Control and Prevention (CDC).
We developed a prospective payment system (PPS) to support the TRICARE Management Activity, Office of the Chief Financial Officer.  The PPS prospectively predicts the reimbursement required by the Coast Guard to the Military Health Systems (MHS) for care received by Coast Guard members and their beneficiaries within the MHS.

This new process allows for an annual payment with a six month adjustment, if needed, instead of a transactional based process if time a Coast Guard members of or one of their beneficiaries receives care saving paperwork and man-hours.