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TennCare: Tennessee's answer to runaway Medicaid costs.
Manag Care Q. 1999 Spring; 7(2):6-14.MC

Abstract

TennCare was implemented in Tennessee on January 1, 1994, as the state's replacement program for Medicaid. Created through a demonstration waiver under Section 1115(a) of the Social Security Act, TennCare is unlike any other state Medicaid program in the nation because it includes coverage of uninsured and uninsurable Tennesseans. By contracting with managed care organizations (MCOs) to administer the Medicaid benefit package to TennCare enrollees, the state virtually privatized the program and dramatically shifted the state's responsibility from one of total administration to an oversight function only. Amid provider lawsuits, MCO contract controversy, and general chaos surrounding the new program, the implementation of TennCare created one of the most significant health care events in the state's history. This article provides an overview of the TennCare program and its impact on enrollees, providers, and the state budget.

Authors+Show Affiliations

Managed Care Consulting Associates, Franklin, TN, USA.No affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

10537643

Citation

Baggett, P, et al. "TennCare: Tennessee's Answer to Runaway Medicaid Costs." Managed Care Quarterly, vol. 7, no. 2, 1999, pp. 6-14.
Baggett P, Harkey JB, Alexander JR. TennCare: Tennessee's answer to runaway Medicaid costs. Manag Care Q. 1999;7(2):6-14.
Baggett, P., Harkey, J. B., & Alexander, J. R. (1999). TennCare: Tennessee's answer to runaway Medicaid costs. Managed Care Quarterly, 7(2), 6-14.
Baggett P, Harkey JB, Alexander JR. TennCare: Tennessee's Answer to Runaway Medicaid Costs. Manag Care Q. 1999;7(2):6-14. PubMed PMID: 10537643.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - TennCare: Tennessee's answer to runaway Medicaid costs. AU - Baggett,P, AU - Harkey,J B,Jr AU - Alexander,J R, PY - 1999/10/28/pubmed PY - 2001/3/28/medline PY - 1999/10/28/entrez SP - 6 EP - 14 JF - Managed care quarterly JO - Manag Care Q VL - 7 IS - 2 N2 - TennCare was implemented in Tennessee on January 1, 1994, as the state's replacement program for Medicaid. Created through a demonstration waiver under Section 1115(a) of the Social Security Act, TennCare is unlike any other state Medicaid program in the nation because it includes coverage of uninsured and uninsurable Tennesseans. By contracting with managed care organizations (MCOs) to administer the Medicaid benefit package to TennCare enrollees, the state virtually privatized the program and dramatically shifted the state's responsibility from one of total administration to an oversight function only. Amid provider lawsuits, MCO contract controversy, and general chaos surrounding the new program, the implementation of TennCare created one of the most significant health care events in the state's history. This article provides an overview of the TennCare program and its impact on enrollees, providers, and the state budget. SN - 1064-5454 UR - https://www.unboundmedicine.com/medline/citation/10537643/TennCare:_Tennessee's_answer_to_runaway_Medicaid_costs_ L2 - https://medlineplus.gov/managedcare.html DB - PRIME DP - Unbound Medicine ER -