The evolution of the Military Health System (MHS) from a traditional model to a system of managed care precipitated a fundamental shift in the design and delivery of health care. This paper will propose the elements of a health system that delivers health promotion and preventive medicine as a focal point, describe the transition of the MHS to a prevention model, and discuss the work that needs to be done to achieve an accountable, comprehensive prevention-oriented system. The MHS has the opportunity to emerge as a model health care delivery system.

The views expressed in this paper are those of the author and do not necessarily reflect the views of the Department of Defense or any of its agencies. This document may not be released for open publication until it has been cleared by the appropriate military service or government agency.