@article{CHENG2026, 
author = {Li CHENG and Fei CHANG and Lihua LIU and Lin LI},
title = {Analysis and prospect of the US military health funding control mechanism},
year = {2026},
journal = {Military Medical Sciences},
volume = {50},
number = {7},
pages = {541-547},
keywords = {US military, health funding, funding control mechanism, value-based healthcare},
url = {https://www.sciopen.com/article/10.7644/j.issn.1674-9960.2026-00057},
doi = {10.7644/j.issn.1674-9960.2026-00057},
abstract = {ObjectiveTo analyze the organizational structure, core mechanisms and implementation effects of the US military health funding control, explore its limitations and future reform directions.MethodsUsing literature research and empirical analysis methods, this study systematically sorted out the organizational structure adjustment and whole-process control measures of the US military health funding control, and analyzed its implementation effects and existing problems combined with relevant audit reports and budget data.ResultsThe US military has established a centralized control organizational structure with the Defense Health Agency (DHA) as the core. Through measures such as full-cycle management of medical insurance funds, standardization of clinical practice, and supply chain control, it has achieved phased results in stabilizing the budget and improving the efficiency of resource recovery. However, it still faces predicaments such as funding spillover caused by manpower shortage, misalignment between combat readiness and daily medical functions, and high short-term costs of informatization transformation.ConclusionThe US military health funding control is characterized by "intensive management, whole-process control and value-oriented transformation". Its reform directions such as medical service repatriation and high-reliability organization construction have reference significance for optimizing the health funding control system of the Chinese military.}
}