{"id":78473,"date":"2025-04-03T20:35:05","date_gmt":"2025-04-03T20:35:05","guid":{"rendered":"https:\/\/one.sightlinemg.com\/navytimes\/uncategorized\/2025\/04\/03\/defense-officials-considering-cuts-to-military-treatment-facilities\/"},"modified":"2026-08-08T16:37:17","modified_gmt":"2026-08-08T16:37:17","slug":"defense-officials-considering-cuts-to-military-treatment-facilities","status":"publish","type":"post","link":"https:\/\/one.sightlinemg.com\/navytimes\/news\/your-navy\/2025\/04\/03\/defense-officials-considering-cuts-to-military-treatment-facilities\/","title":{"rendered":"Defense officials considering cuts to military treatment facilities"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\">Defense Health Agency officials are examining <a href=\"https:\/\/www.militarytimes.com\/news\/your-military\/2024\/01\/25\/pentagon-plans-to-fix-chronically-understaffed-medical-facilities\/\" target=\"_blank\">military treatment facilities<\/a> across the military medical system, facility by facility, to determine their fate \u2014 which could include closing some facilities or downgrading some hospitals to clinics.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The process is in the \u201cpre-decisional\u201d stage, said DHA officials, speaking during a panel discussion at the Association of Defense Communities National Summit in Arlington, Virginia, on Monday. \u201cWe have to match our resources against the mission set that we have,\u201d said Dr. Michael Malanoski, DHA\u2019s deputy director.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u201cThere will be some changes in services across the system,\u201d he said. The process of evaluating the military treatment facilities started \u201cmany, many moons ago,\u201d he added.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">No decisions have been made yet at DHA, according to Rear Adm. Matthew Case, acting assistant director for health care administration at DHA. Any changes would have to be approved by Defense Department leadership, and Congress would have to be notified by law.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The issue is resources, Case and Malanoski said. The <a href=\"https:\/\/www.militarytimes.com\/pay-benefits\/military-benefits\/health-care\/2025\/03\/11\/military-medical-system-unprepared-for-future-conflict-experts-say\/\" target=\"_blank\">priority is readiness<\/a>, especially at the largest facilities, where staff provide combat casualty care support, Case said. Those facilities, such as Walter Reed National Military Medical Center in Bethesda, Maryland, and Tripler Army Medical Center in Hawaii, must be ready to receive casualties, he said.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The Defense Health Agency has been fighting to keep its military treatment facilities staffed in recent years, as a <a href=\"https:\/\/www.militarytimes.com\/news\/your-military\/2024\/01\/25\/pentagon-plans-to-fix-chronically-understaffed-medical-facilities\/\" target=\"_blank\">shortage of medical personnel<\/a> has affected facilities nationwide.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">At the same time, officials are evaluating the situation in communities around military installations, recognizing there are locations in \u201cmedical deserts,\u201d where not enough care is available in the civilian community for military beneficiaries.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u201cSo we have to go \u2018rack and stack\u2019 of what the capabilities are,\u201d Case said.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">A rigorous analysis \u201cfacility by facility, location by location\u201d is underway, Case said.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u201cWe\u2019re looking at not only is there an adequate Tricare network, but how [civilian medical facilities] are doing on Leapfrog scores,\u201d he said. Those scores, compiled by a national nonprofit organization, collect and evaluate medical facilities\u2019 information about quality and safety.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u201cWhere are our patients going? What are the scores in those facilities? Are those facilities doing better than we are?\u201d Case said.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">At Monday\u2019s panel discussion, a member of the Fort Leonard Wood, Missouri, community asked about the status of the study, saying the community is concerned about the future of its military hospital because it is in a medical desert.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u201cWhen is this going to happen, and what should we be doing to provide input to you?\u201d he asked panelists.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Senators Josh Hawley, R-Mo., and Robert Marshall, R-Kansas, have written to DHA officials demanding answers to whether the medical facilities at Fort Leonard Wood, Fort Leavenworth, Kansas, and Fort Riley, Kansas, were being considered for downgrades.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Although Case said he couldn\u2019t speak specifically to Fort Leonard Wood\u2019s military treatment facility, he said, \u201cYou have a beautiful, relatively new facility, but being able to man that properly is a challenge for us.\u201d<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Meanwhile, the military medical system has been working to attract patients back to military treatment facilities after forcing many military beneficiaries to seek outside care in the private sector. That push is being driven<b> <\/b>by both costs and medical readiness. DOD\u2019s overall health care costs have risen as patients have migrated to the civilian sector. That decline in patients has also spurred the military services to seek more private-sector training opportunities to keep their medical staff\u2019s clinical skills current.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Officials are examining facilities across the military medical system, which could mean closing some facilities or downgrading some hospitals to 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By:"},"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v26.0 (Yoast SEO v28.1) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Defense officials considering cuts to military treatment facilities - Navy Times<\/title>\n<meta name=\"description\" content=\"Officials are examining facilities across the military medical system, which could mean closing some facilities or downgrading some hospitals to clinics.\" \/>\n<meta name=\"robots\" content=\"noindex, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Defense officials considering cuts to military treatment facilities\" \/>\n<meta property=\"og:description\" content=\"Officials are examining facilities across the military medical system, which could mean closing some facilities or downgrading some hospitals to 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