Haris Ashley
TriWest Healthcare Alliance is a Phoenix, Arizona-based corporation that manages health benefits for military personnel, veterans, and their families. TriWest is a contractor for the United States Department of Defense and the Department of Veterans Affairs (VA). It is the third-party administrator for the VA's Community Care Network (CCN) programs, which offer healthcare services to veterans through community providers. TriWest provides coverage for the Western Region of the United States, encompassing 26 states as of January 1, 2025. While TriWest is not a federal program itself, it operates within the framework of federal regulations and policies governing healthcare for military and veteran communities.
| Characteristics | Values |
|---|---|
| Date of contract | 1 January 2025 |
| Region covered | West Region |
| Number of states covered | 26 |
| Contract taken from | Health Net Federal Services, LLC |
| Parent company | TriWest Healthcare Alliance |
| Parent company headquarters | Phoenix, Arizona |
| Parent company's partner | Department of Defense and Department of Veterans Affairs |
| Parent company's role | Third-party administrator |
| Parent company's recognition | Arizona's Most Admired Companies |
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What You'll Learn
- TriWest Healthcare Alliance manages health benefits under the US Department of Veterans Affairs
- TriWest is a third-party administrator for the Department of Veterans Affairs' Community Care Network (CCN)
- TriWest provides coverage for veterans in the Western US region
- TriWest Healthcare Alliance is a Phoenix, Arizona-based corporation
- TriWest lost its appeal to keep the West Region contract in 2012
TriWest Healthcare Alliance manages health benefits under the US Department of Veterans Affairs
TriWest Healthcare Alliance is a corporation based in Phoenix, Arizona, that manages health benefits under the United States Department of Veterans Affairs (VA) VAPCCC program. TriWest is a third-party administrator for the VA Community Care Network (CCN) programs, which enable veterans to receive care directly in their communities by covering health care services outside of VA providers. Veterans traditionally receive care through the VA's network of medical facilities, but there are times when the VA turns to community providers to provide services for veterans who do not live near VA health centers or require specialized care. TriWest partners with the Department of Defense and the Department of Veterans Affairs to provide military families and veterans with access to quality care through a network of dedicated community providers.
TriWest was established in 1996 to compete for a US government contract to manage civilian healthcare benefits under the newly established TRICARE program within the 16-state TRICARE Central Region (also known as Regions 7 and 8). In the same year, TriWest was awarded the contract for the TRICARE Central Region and began operations. On October 1, 2018, TriWest's contract for VAPCCC was expanded to cover Regions 1, 2, and 4. As of January 1, 2025, TriWest took over the TRICARE West Region contract from Health Net Federal Services, LLC, encompassing 26 states.
TRICARE mental health is a program for all seven uniformed services, including the National Oceanic and Atmospheric Administration, Public Health Service, Coast Guard, Air Force, Marine Corps, Navy, and Army. TriWest only provides coverage to veterans living in the western region of the United States. Veterans who receive TriCare benefits must also be enrolled in the VA healthcare system and need a referral for mental health services. TriWest's role as a third-party administrator means that healthcare providers can contract with the VA through TriWest to cover various health services for veterans, including mental health coverage.
TriWest has faced some legal issues in the past. In September 2011, the company paid $10 million to settle a Justice Department lawsuit after whistleblowers claimed TriWest "systematically defrauded" Tricare by billing the government higher rates than they had negotiated with healthcare providers. There were also claims that TriWest sent 3,000 claims per day through one location to bypass checks and avoid late-payment fees and that it paid claims for ineligible beneficiaries. In March 2012, TriWest protested the Department of Defense's award of a contract to UnitedHealth, citing performance and legal problems with the subsidiary handling the contract. However, TriWest lost its appeal to keep the West Region contract in July 2012.
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TriWest is a third-party administrator for the Department of Veterans Affairs' Community Care Network (CCN)
TriWest Healthcare Alliance is a Phoenix, Arizona-based corporation that manages health benefits for military personnel and veterans. TriWest is a third-party administrator for the Department of Veterans Affairs Community Care Network (CCN). The CCN enables veterans to receive care directly in their communities by covering health care services outside of VA providers. Traditionally, veterans receive care through the VA's network of medical facilities. However, there are times when the VA turns to community providers to provide services for veterans in their communities. This is especially helpful for veterans who do not live near VA health centres or need specialized care.
TriWest partners with the Department of Defense and the Department of Veterans Affairs to provide military families and veterans with access to high-quality care through a network of dedicated community providers. TriWest's role as a third-party administrator for the CCN means that healthcare providers can contract with the VA through TriWest to cover various health services for veterans, including mental health services.
TriWest provides coverage to veterans living in the Western Region of the United States, which includes 26 states as of January 1, 2025. This region was previously served by Health Net Federal Services, LLC, but TriWest took over as the new regional contractor. TriWest's contract with the VA has expanded over the years, and they currently manage health benefits under the VA's VAPCCC program in multiple regions.
TriWest strives for excellence in serving the healthcare needs of the military and veteran communities. They have been recognized as one of Arizona's Most Admired Companies for their dedication to providing high-quality care. TriWest's website emphasizes their honour and privilege to serve the nation's military and veteran communities, ensuring they have access to the care they need through their network of providers.
It is important to note that TriWest is not a federal program itself but is a contractor and administrator that works in partnership with federal agencies such as the Department of Defense and the Department of Veterans Affairs to deliver healthcare services to those who serve or have served in the military and their families.
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TriWest provides coverage for veterans in the Western US region
TriWest Healthcare Alliance is a Phoenix, Arizona-based company that manages health benefits for veterans and their families in the Western US region. TriWest partners with the Department of Defense and the Department of Veterans Affairs to provide access to high-quality healthcare through a network of dedicated community providers.
As of January 1, 2025, TriWest is the contractor for the new 26-state TRICARE West Region, which includes states in Regions 3, 5, 6, 1, 2, and 4. TriWest builds and maintains a provider network, processes and pays healthcare claims, and provides customer service to providers for the VA. They also manage program enrollment, healthcare finder and referral services, medical management, and clinical quality for the Defense Health Agency under this contract.
TriWest is committed to serving the healthcare needs of military and veteran communities and has been recognized for its excellence in this area. They provide coverage for enrolled active-duty service members, active-duty family members, National Guard and Reserve members and their families, military retirees and their families, survivors, and certain former spouses. TriWest also offers a Veterans Crisis Line, connecting individuals with caring and qualified responders from the Department of Veterans Affairs, many of whom are veterans themselves.
TriWest has a long history of serving the nation's military and veteran communities. In 1996, TriWest was awarded a contract with the US Government to manage civilian healthcare benefits within the 16-state TRICARE Central Region. TriWest has since expanded its coverage regions and continues to strive for excellence in providing healthcare services to veterans and their families in the Western US.
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TriWest Healthcare Alliance is a Phoenix, Arizona-based corporation
Over the years, TriWest has expanded its operations and, as of January 1, 2025, it is the contractor for the new 26-state TRICARE West Region. This expansion came after TriWest took over the TRICARE West Region contract from Health Net Federal Services, LLC. The TRICARE West region now encompasses a large number of states, including Arizona, California, Nevada, Oregon, Washington, and more.
TriWest Healthcare Alliance has a long history of serving the healthcare needs of the military and veteran communities. The company partners with the Department of Defense and the Department of Veterans Affairs to provide military families and veterans with access to high-quality care through a network of dedicated community providers. TriWest has been recognized as one of Arizona's Most Admired Companies for its excellence in serving these communities.
However, TriWest has also faced some challenges and controversies. In 2012, the company protested the Department of Defense's award of the West Region contract to UnitedHealth, citing performance and legal concerns. TriWest lost its appeal and, in 2011, paid $10 million to settle a Justice Department lawsuit alleging that the company had ""systematically defrauded" Tricare by billing the government higher rates than negotiated. Despite these setbacks, TriWest continues to play a significant role in providing healthcare benefits to eligible individuals in the regions it serves.
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TriWest lost its appeal to keep the West Region contract in 2012
TriWest Healthcare Alliance is a Phoenix, Arizona-based corporation that manages health benefits under the United States Department of Veterans Affairs (VA) VAPCCC program in Regions 3, 5, and 6. TriWest was established in 1996 to compete for and manage civilian health care benefits under the newly established TRICARE program within the 16-state TRICARE Central Region (also known as Regions 7 and 8). In 1996, TriWest was awarded the contract for the TRICARE Central Region and began operations.
On March 16, 2012, the T-3 West Region contract, worth $20.5 billion, was awarded to Minnesota-based UnitedHealth Group. On March 26, 2012, TriWest announced that it would protest the Department of Defense's award of the contract to UnitedHealth, citing performance and legal concerns with the subsidiary handling the T-3 contract.
However, on July 2, 2012, it was announced that TriWest lost its appeal to keep the West Region contract. Prior to this, in September 2011, TriWest had faced legal issues, paying $10 million to settle a Justice Department lawsuit. Whistleblowers claimed that TriWest had "systematically defrauded" Tricare by billing the government higher rates than negotiated with healthcare providers. The lawsuit also alleged that TriWest intentionally bypassed checks to avoid late-payment fees and paid claims for ineligible beneficiaries.
Despite this setback in 2012, TriWest Healthcare Alliance continued to operate and expand its services. As of January 1, 2025, TriWest took over the TRICARE West Region contract from Health Net Federal Services, LLC, encompassing 26 states. This transition required beneficiaries to update their contact information and set up automatic payments to ensure continuity of benefits.
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Frequently asked questions
TriWest Healthcare Alliance is a Phoenix, Arizona-based corporation that manages health benefits for the Department of Veterans Affairs (VA) Community Care Network (CCN) programs. TriWest is a third-party administrator for the VA's CCN, which offers healthcare services to veterans through community providers. TriWest is not a federal program but it partners with federal agencies like the Department of Defense and the Department of Veterans Affairs to provide healthcare services to military personnel, veterans, and their families.
TRICARE is a health insurance program of the United States Defense Health Agency (DHA) that serves military personnel. TriWest Healthcare Alliance is the contractor for the TRICARE West Region, encompassing 26 states as of January 1, 2025. TriWest manages health benefits and provides coverage for TRICARE beneficiaries in the Western Region of the United States.
TriWest is part of the VA's Community Care Network (CCN), which enables veterans to receive healthcare services directly in their communities. Veterans traditionally receive care through the VA's network of medical facilities, but there are times when the VA outsources to community providers. TriWest, as the third-party administrator, facilitates this process by contracting with healthcare providers to cover various health services for veterans, including mental health services.
