Steffan Lyson
Photo from TriWest Healthcare Alliance Official Website
TriWest Healthcare Alliance Corp. is one of the health care providers tasked to manage high-quality health care services under the Department of Veterans Affairs. The company administers programs and plans for the well-being of veterans, active-duty soldiers, and communities. Here are the top TriWest Healthcare Alliance government contracts.
Table of Contents
1. DHA Finalized the $65 Billion Contract Award for the TRICARE West Program (T-5)
- Contracting activity: Defense Health Agency
- Contract type: Cost-plus-award-fee, firm-fixed-price, and fixed-price type contract
- Value: $65 billion
- Contract date: December 22, 2022
TriWest Healthcare Alliance received a $65 billion contract to provide managed care support (MCS) for the TRICARE program in the West Region (T-5). The company was tasked to assist the Defense Health Agency with integrated healthcare delivery system operations, combining its resources and the military’s direct medical care system.
TRICARE West Region covered the health, medical, and administrative support services to eligible uniformed personnel, retirees, and family members in 26 states.Work for the program included a base period of 12 months and eight-year option periods, including incentives and performance guarantees. The transition-in period for the contract began on February 1, 2023.
2. VA Contracted TriWest Healthcare Alliance for Administrative Services in Region 4 of the Community Care Network
- Contracting activity: Department of Veterans Affairs
- Value: $26 billion
- Contract date: August 8, 2019
The Department of Veterans Affairs finalized a $26 billion contract to serve as the third-party administrator for Region 4 of the Community Care Network. The contract aimed to increase healthcare access for veterans in 13 states and three U.S. territories, including American Samoa, Guam, and the Northern Mariana Islands.
As part of the VA’s modernization efforts, the company was tasked to offer customer service, case management, and disease control measures. The new program was based on feedback from veterans and experience from the previous Veterans Choice Program.
3. VA Finalized a Contract for Administrative Services in Region 5 of the Community Care Network, Covering Alaska
- Contracting activity: Department of Veterans Affairs
- Value: $5 billion
- Contract date: October 1, 2020
In addition to Region 4 of the Community Care Network, the Department of Veterans Affairs awarded TriWest Healthcare Alliance Corp. to administer Region 5 of CCN, covering the state of Alaska. Under the $5 billion contract, the contractor provided management care support for eligible Alaskan veterans, active duty personnel, and their families.
TriWest Healthcare Alliance’s CCN Region 5 contract responsibilities outlined the maintenance of community healthcare providers, payment of claims, and customer service. The scope of work also included appointment scheduling, comprehensive care coordination, and disease management services.
4. TriWest Provided MCS for the Third Iteration of the DoD’s TRICARE in the West Region
- Contracting activity: Department of Defense
- Contract type: Cost-plus-fixed-fee award
- Value: $3 billion
- Contract date: July 14, 2009
TriWest received a $3 billion contract to assist in the managed care support operations of the third iteration of TRICARE West Region (T-3). Work included the management of provider networks, medical management, enrollment, claims processing, data access, and other administrative services.
TriWest Healthcare Alliance’s contract had a potential value of $17 billion. The contract had a 10-month base period, a transition-in period, and five one-year option periods for integrated healthcare delivery.
For the third iteration of TRICARE West Region, the Department of Defense awarded three contractors to cover the North and South Regions of the United States. Altogether, the cumulative value of all contracts amounted to $55 billion.
5. VA Awarded TriWest Healthcare Alliance for VA Patient-Centered Community Care
- Contracting activity: Department of Veterans Affairs
- Value: $4.3 billion
- Contract date: September 4, 2013
Under the $4.3 billion contract from the Department of Defense, TriWest Healthcare Alliance was tasked to administer the VA Patient-Centered Community Care (VAPC3) to half of the veterans in the United States. VAPC3 improved healthcare network access for veterans closer to where they live.
VAPC3 handled Regions 3, 5, and 6, which included Veterans Integrated Services Network (VISNs) 9, 15, 16, 17, 18, 20, 21, and 22. TriWest Healthcare Alliance’s VAPC3 contract provided high-quality healthcare services, such as patient appointments, referral management, medical documentation tracking, claims payment, and other medical and behavioral specialty care.
Frequently Asked Questions
What is TriWest Healthcare Alliance Corp.?
Photo from Triwest Healthcare Alliance Official Website
TriWest Healthcare Alliance Corporation administers the healthcare needs of the military and veteran communities across the United States. The company works closely with federal agencies, primarily the Department of Veterans Affairs and the Department of Defense, to provide high-quality health services nationwide.
David J. McIntyre, Jr. has headed TriWest as the President and Chief Executive Officer since its founding in 1996. With its work for the veteran communities, the company has received several awards and recognitions from the Phoenix Business Journal, the U.S. Veterans Magazine, the U.S. Department of Labor, and more.
What does Triwest Healthcare Alliance Corp. do?
TriWest Healthcare Alliance Corp. is a third-party government contractor for healthcare services under the VA and DoD. The company administers Community Care Network, TRICARE, Patient-Centered Community Care, and other healthcare programs that federal agencies may not provide directly to veterans and their families.
Where is TriWest Healthcare Alliance headquarters?
TriWest Healthcare Alliance’s leadership team manages approximately 1,700 employees in its headquarters in Phoenix, Arizona.
TriWest Healthcare Alliance Government Contracts: “On a Mission to Serve”
TriWest Health Alliance government contracts have been integral to the company’s mission to serve veterans, active-duty soldiers, and communities. It has improved healthcare access closer to the heroes that serve and once served the United States.
