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Perceived impact of TennCare reform on patients' health in a medical teaching practice.
Tenn Med. 2006 Mar; 99(3):33-6, 42.TM

Abstract

From 1994-2005, TennCare, Tennessee's innovative Medicaid managed care program, dramatically expanded coverage to around 1.3 million Tennesseans (roughly 23 percent of the state population) by employing cost savings achieved through capitation and managed care. Rising healthcare costs and a static state budget resulted in program downsizing that started in mid-2005. This cross-sectional survey sought to document the perspectives of TennCare enrollees before disenrollment about the likely impacts of changes in TennCare coverage and benefits. In February 2005, a convenience sample of 89 patients served by an internal medicine resident staffed teaching practice in Memphis, TN, participated in a survey to assess their perspectives about the potential impact of the upcoming disenrollment and benefits limitations. Ninety percent or more expressed concerns that loss of TennCare would lead to health problems, difficulty with paying for prescriptions and difficulty finding alternative health insurance. This survey suggests that before disenrollment, most people served by TennCare believed that loss of TennCare would have serious negative consequences on their health. Further studies are needed to assess the true impact of the disenrollment and benefit cuts and the effectiveness of alternative safety net services for vulnerable Tennessee citizens.

Authors+Show Affiliations

Department of Medicine, University of Tennessee Health Science Center, Memphis, USA. sconnel1@utmem.eduNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

16706089

Citation

Connelly, Stephanie A., et al. "Perceived Impact of TennCare Reform On Patients' Health in a Medical Teaching Practice." Tennessee Medicine : Journal of the Tennessee Medical Association, vol. 99, no. 3, 2006, pp. 33-6, 42.
Connelly SA, Sprabery LR, Bailey JE. Perceived impact of TennCare reform on patients' health in a medical teaching practice. Tenn Med. 2006;99(3):33-6, 42.
Connelly, S. A., Sprabery, L. R., & Bailey, J. E. (2006). Perceived impact of TennCare reform on patients' health in a medical teaching practice. Tennessee Medicine : Journal of the Tennessee Medical Association, 99(3), 33-6, 42.
Connelly SA, Sprabery LR, Bailey JE. Perceived Impact of TennCare Reform On Patients' Health in a Medical Teaching Practice. Tenn Med. 2006;99(3):33-6, 42. PubMed PMID: 16706089.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Perceived impact of TennCare reform on patients' health in a medical teaching practice. AU - Connelly,Stephanie A, AU - Sprabery,Laura R, AU - Bailey,James E, PY - 2006/5/19/pubmed PY - 2006/6/28/medline PY - 2006/5/19/entrez SP - 33-6, 42 JF - Tennessee medicine : journal of the Tennessee Medical Association JO - Tenn Med VL - 99 IS - 3 N2 - From 1994-2005, TennCare, Tennessee's innovative Medicaid managed care program, dramatically expanded coverage to around 1.3 million Tennesseans (roughly 23 percent of the state population) by employing cost savings achieved through capitation and managed care. Rising healthcare costs and a static state budget resulted in program downsizing that started in mid-2005. This cross-sectional survey sought to document the perspectives of TennCare enrollees before disenrollment about the likely impacts of changes in TennCare coverage and benefits. In February 2005, a convenience sample of 89 patients served by an internal medicine resident staffed teaching practice in Memphis, TN, participated in a survey to assess their perspectives about the potential impact of the upcoming disenrollment and benefits limitations. Ninety percent or more expressed concerns that loss of TennCare would lead to health problems, difficulty with paying for prescriptions and difficulty finding alternative health insurance. This survey suggests that before disenrollment, most people served by TennCare believed that loss of TennCare would have serious negative consequences on their health. Further studies are needed to assess the true impact of the disenrollment and benefit cuts and the effectiveness of alternative safety net services for vulnerable Tennessee citizens. SN - 1088-6222 UR - https://www.unboundmedicine.com/medline/citation/16706089/Perceived_impact_of_TennCare_reform_on_patients'_health_in_a_medical_teaching_practice_ L2 - https://medlineplus.gov/medicaid.html DB - PRIME DP - Unbound Medicine ER -