TRICARE, the U.S. military’s health care system, is patterned after civilian-sector health maintenance organizations, making it in effect the only nationwide managed care system in the U.S. Each TRICARE region or regional business office should establish a subcommittee or process action team of clinical engineering leaders to develop cooperation and business process improvements. Results of these team efforts should be tied directly to capital-equipment acquisition, developed and implemented by the command and local regional contracting. One approach is for teams to collect data on maintenance cost centers, identify high-cost activities, and develop management strategies to achieve the goals of the program. Typical high-cost centers include the following areas: