
We Send Them to War. Do We Care for Them When They Come Home? | Jim Maguire & Joanne Frederick
We send our soldiers to the front lines, but when they come home, does the healthcare system follow through? Jim Maguire and Joanne Frederick of Government Market Strategies explain why veterans and military families are struggling to get care, and how to fix it. Most people don't realize there are two completely separate systems. The Military Health System (TRICARE) covers about 9.5 million active duty members, families, and retirees. The Veterans Health Administration covers about 9 million veterans. Both are stretched thin. When military and VA facilities can't meet the demand, patients are sent out into the community, where they compete with everyone else for limited appointments. That's especially hard in rural areas, where many veterans live. On top of that, reimbursement rates are often lower than what private insurance and even Medicaid pay. Claims get delayed or never paid, so many doctors simply don't want to take these patients. Then there's the paperwork. Joanne estimates that roughly 15,000 pages of law, regulations, and manuals govern these contracts, and "no one really knows what they say." Using AI, she broke those documents down and found that they contradict each other. That project took two weeks, compared with a year and a half for a team of 20 doing it by hand. Jim and Joanne also share Patriot Health, their plan to modernize a TRICARE contract model that has barely changed since the 1990s. It would bring in more providers, more competition, and lower costs for taxpayers, while keeping the force ready for conflicts in the Middle East and beyond. If you're a veteran, a service member, or love someone who is, this episode is for you. WHAT YOU'LL LEARN: The difference between the Military Health System (TRICARE) and the VA Why veterans and military families face long waits for care, especially in rural areas How low reimbursement rates and unpaid claims push doctors away Why an "adequate" provider network on paper doesn't mean you can get an appointment How a "game of telephone" from Congress to contract creates a bureaucratic mess How the Iran conflict and long deployments are pulling military doctors away from families at home What Patriot Health is and how it could modernize military healthcare How AI turned an 18-month, 20-person project into two weeks of work How the Oracle health record could follow service members from enlistment through veteran life What to do if you've been denied care: patient advocates, VSOs, and your congressional representative Why veterans juggling VA, Medicare, Medicaid, and private insurance need a better system Jim Maguire is co-founder of Government Market Strategies (GMS). He has spent his career in government contracting and healthcare finance and operations. He has served as CFO of National Government Services and the Indiana Medicaid health plan MDwise, and as chief operating officer of Cerner Government Services, where he led the electronic health record rollout across the Department of Defense and the VA. Joanne Frederick is co-founder of GMS. She has more than 30 years of experience building and growing a consultancy that supports military health, VA care, Medicare, and Medicaid programs. Her first TRICARE contract dates back to 1992. Contact / Follow Jim Maguire & Joanne Frederick: GMS website: https://marketstrategiesonline.com/ Jim Maguire LinkedIn: https://www.linkedin.com/in/jimmaguireva/ Joanne Frederick LinkedIn: https://www.linkedin.com/in/joannemfrederick/ Veteran Resources Mentioned in This Episode: VA Patient Advocate Program: https://www.va.gov/health/patientadvocate/ Veterans of Foreign Wars (VFW): https://www.vfw.org Disabled American Veterans (DAV): https://www.dav.org TRICARE: https://www.tricare.mil Find your congressional representative: https://www.house.gov/representatives/find-your-representative Know a veteran or military family who needs to hear this? Share this episode, and subscribe to Cut to the Chase: Podcast with Gregg Goldfarb for new episodes every week. Want more conversations that cut through the noise on science, climate, and the issues shaping our future? Subscribe to Climate Change Environment Science & the Law with Gregg Goldfarb for new episodes every week.









