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Updated: Jun 16, 2026

Inverse Probability of Treatment Weighting (Propensity Score) using the Military Health System Data Repository and National Death Index
Published on: January 8, 2020
The army health hazard assessment program's medical cost-avoidance model
Gary M Bratt1, Timothy A Kluchinsky, Patrick Coady
1Logistics Management Institute, Belcamp, Maryland, USA.
The updated Medical Cost-Avoidance Model (MCAM) now uses specific cost factors for individual health hazards, improving the Army
Area of Science:
- Military Health
- Occupational Health
- Health Hazard Assessment
Background:
- The Medical Cost-Avoidance Model (MCAM) was initially developed in 1997 by the Logistics Management Institute.
- The original MCAM estimated medical costs linked to uncontrolled health hazards in army materiel systems.
Purpose of the Study:
- To present an updated version of the MCAM.
- To refine the model for greater specificity in cost estimation related to health hazards.
Main Methods:
- The revised MCAM incorporates individual cost factors for distinct health hazard categories.
- This contrasts with the earlier model, which used a single cost factor for all hazards.
Main Results:
- The Army's Health Hazard Assessment (HHA) Program utilizes the MCAM for assessing 18 types of health hazards in materiel acquisition.
- The need for a hazard-type specific MCAM was identified to refine cost assessments.
Conclusions:
- The revised MCAM provides hazard-type specific cost factors.
- This enhancement will aid the HHA program in prioritizing health hazards that impact soldier health and readiness.
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