Analysis of an Alternative Military Healthcare Benefit Design

Abstract

The Military Compensation and Retirement Modernization Commission was established by the Congress in 2013 to perform a systematic review of military compensation to address rising costs and other trends. Their recommendation for reforming the TRICARE health care program was sweeping, and differed greatly from earlier proposals that focused on increasing beneficiary cost shares. Specifically, the commission proposed overhauling the current benefit delivery model and replacing it with a premium-based insurance model offering a menu of DoD-sponsored private health plans. The analysis presented here is based on work that supported the commission by estimating the budgetary impact of its proposed reforms. Results indicate that movement towards the premium-based model would produce an annual budgetary cost savings in the $2 billion to $4 billion range, with a best savings estimate of $3.2 billion.     

Flow shop scheduling with earliness,tardiness, and intermediate inventory holding costs

We consider the problem of scheduling customer orders in a flow shop with the objective of minimizing the sum of tardiness, earliness (finished goods inventory holding), and intermediate (work‐in‐process) inventory holding costs. We formulate this problem as an integer program, and based on approximate solutions to two different, but closely related, Dantzig‐Wolfe reformulations, we develop heuristics to minimize the total cost. We exploit the duality between Dantzig‐Wolfe reformulation and Lagrangian relaxation to enhance our heuristics. This combined approach enables us to develop two different lower bounds on the optimal integer solution, together with intuitive approaches for obtaining near‐optimal feasible integer solutions. To the best of our knowledge, this is the first paper that applies column generation to a scheduling problem with different types of strongly ????‐hard pricing problems which are solved heuristically. The computational study demonstrates that our algorithms have a significant speed advantage over alternate methods, yield good lower bounds, and generate near‐optimal feasible integer solutions for problem instances with many machines and a realistically large number of jobs. © 2004 Wiley Periodicals, Inc. Naval Research Logistics, 2004.     

Book reviews

Red Banner: the Soviet Military System in Peace and War. By Christopher Donnelly. Jane's Information Group, Coulsdon, UK (1988), 288 pp., £35.00

Images of T. E. Lawrence. By S. E. Tabachnick and C. Matheson. Jonathan Cape, London (1988); The Letters of T. E. Lawrence. Edited by Malcolm Brown. Dent, London (1988); T. E. Lawrence. By J. Wilson. National Portrait Gallery Publications, London (1988); Lawrence and the Arab Revolts. By D. Nicolle. Osprey, London (1989)

Liddell Hart and the Weight of History. By John Mearsheimer. Brassey's, London (1989), £15.95

Science and Mythology in the Making of Defence Policy. Edited by Margaret Blunden and Owen Greene. Brassey's, London (1989), £27.50/$44.00

Warfare in the Twentieth Century. Edited by Colin McInnes and G. D. Sheffield. Unwin Hyman, London (1988), 239 pp., £25.00     

Book reviews

Third World Military Expenditure: Determinants and Implications. By Robert McKinlay. Frances Pinter, London (1989)

The UK Defence Industrial Base: Development and Future Policy Options. By Trevor Taylor and Keith Hayward. Brassey's, London, for Royal United Services Institute (1989), ISBN 0-08-036713-5, £22.50

Mutiny. By Lawrence James. Buchan & Enright, London (1987), ISBN 0-907675-70-0, £12.95; Scapegoat! Famous Courts Martial. By John Harris. Severn House, London (1988), ISBN 0-7278-2103-2, £12.95; In Glass Houses. By Robert Boyes. Military Provost Staff Corps Association, Colchester (1986), ISBN 0-9513467-0-9, £6.50 (paperback)

The Nuclear Weapons World: Who, How and Where. Edited by Patrick Burke. Frances Pinter, London (1988), ISBN 086187-705-5, £50.00

Merchants of Treason—America's Secrets for Sale. By Thomas B. Allen and Norman Polmar. Robert Hale, London (1988), ISBN 0-7090-3543-8, £14.95 ($21.95); Intelligence and Intelligence Policy in a Democratic Society. Edited by Stephen J. Cimbala. Transnational Publishers, Dobbs Ferry, NY (1987), ISBN 0-941320-44-8, $37.50; Catching Spies—Principles and Practices of Counterespionage. By H. H. A. Cooper and Lawrence J. Redlinger. Paladin Press, Boulder, CO (1988), ISBN 0-87364-466-2, $24.95

The BattleshipRoyal Sovereignand Her Sister Ships. By Peter C. Smith. William Kimber, Wellingborough (1988), ISBN 0-7183-0704-6, £12.95; Air Power at Sea, 1945 to Today. By John Winton. Sidgwick & Jackson, London (1987), £9.95     

Book Reviews

Strategic Air Defense. Edited by Stephen J. Cimbala. Scholarly Resources, Wilmington, DE (1989), ISBN 0–8420–2285–6, $40.00

NATO's Defence of the North. Brassey's Atlantic Commentaries No. 1. Edited by Eric Grove. Brassey's, London (1989), ISBN 0–08–037339–9, £7.50

Maritime Strategy and the Balance of Power: Britain and America in the Twentieth Century. Edited by John B. Hattendorf and Robert S. Jordan. Macmillan, London (1989), ISBN 0–333–43789–6, £45.00

Superpowers at Sea: an Assessment of the Naval Arms Race. By Richard Fieldhouse and Shunji Taoka. SIPRI, Oxford (1989), ISBN 0–19–829135–3

Security at Sea: Naval Arms Control. Edited by Richard Fieldhouse. Oxford University Press, Oxford (1990), ISBN 0–19–829130–2, £25.00

Strategy in the Southern Oceans: a South American View. By Virginia Gamba‐Stonehouse. Pinter, London (1989), ISBN 0–86187–017–4, £30.00

The Defence Industrial Base and the West. Edited by D. G. Haglund. Routledge, London (1989), ISBN 0–415–00923–5, £30.00

Defense and Détente: US and West German Perspectives on Defense Policy. Edited by Joseph I. Coffey and Klaus von Schubert. Westview Press, Boulder, CO, ISBN 0–8133–7722–6, $36.50     

Book reviews

War, Culture and the Media: Representations of the Military in 20th Century Britain. Edited by Ian Stewart and Susan L. Carruthers, Trowbridge: Flicks Books, (1996), ISBN 0-948911-86-7 (pbk), £14.95.

The Future of Europe. By Peter Coffey, Aldershot: Edward Elgar, (1995), ISBN 1-85278-586-1 (hardback), £39.95, ISBN 1-85278-587-X (pbk), £12.95.

Global Dangers: Changing Dimensions of International Security. Edited by Sean M. Lynn-Jones, Steven E. Miller, London: the MIT Press, (1996), ISBN O-262-62097-9 (pbk), £13.50;.

New Studies in Post-Cold War Security. Edited by K.R. Dark, Aldershot: Dartmouth Publishing Company, (1996), ISBN 1-85521-728-7 (hardback), £42.50.

Enlarging NATO - The Russian Factor. By Richard L. Kugler with Marianna V. Kozintseva, Santa Monica, CA: National Defense Research Institute and Rand Corporation, (1996), ISBN 0-8330-2357-8, $20.00.     

RETROSPECT AND PROSPECT: TRENDS IN COST AND THEIR IMPLICATIONS FOR UK AEROSPACE

This paper, intended to stimulate debate, suggests that we are at a turning point in the history of the UK military aerospace industry. It argues that there is urgent need for a fresh vision as to how the UK military aerospace industry can both prosper and make its maximum contribution to the defence of Britain. Further, the resulting plans and policies must emphasise the robustness of defence capabilities in a future in which the only thing we can be certain is that it will be very different from the present – especially whenever defence most matters.     

The effectiveness of the longest delivery time rule for the flow shop delivery time problem

In the flow shop delivery time problem, a set of jobs has to be processed on m machines. Every machine has to process each one of the jobs, and every job has the same routing through the machines. The objective is to determine a sequence of the jobs on the machines so as to minimize maximum delivery completion time over all the jobs, where the delivery completion time of a job is the sum of its completion time, and the delivery time associated with that job. In this paper, we prove the asymptotic optimality of the Longest Delivery Time algorithm for the static version of this problem, and the Longest Delivery Time among Available Jobs (LDTA) algorithm for the dynamic version of this problem. In addition, we present the result of computational testing of the effectiveness of these algorithms. © 2003 Wiley Periodicals, Inc. Naval Research Logistics, 2003