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Physicians' experiences with Medicaid managed care: the Tennessee American College of physicians survey on TennCare.
Tenn Med. 1998 Aug; 91(8):313-6.TM

Abstract

Despite widespread introduction of Medicaid managed care (MMC), physicians have not been surveyed regarding its impact on patient care. This study documented physician experiences with MMC in Tennessee, where a statewide experimental managed care program (TennCare) delivers services through 12 capitated managed care organizations (MCOs). Practicing Tennessee American College of Physician (ACP) members (n = 1,181) were questioned regarding recent experience with the TennCare program, assessment of the program, and suggestions for improvement. The results, derived from 306 physician respondents (response rate 26%), were as expected, based on findings of a prior administrative focus group and independent surveys. Physicians' experiences were similar regardless of practice type. Most physicians rated the TennCare program as either fair (43%) or poor (42%) overall. The majority cited administrative complexity as a major problem that frequently adversely affected patient care. Physician experience suggests that administrative procedures and medication formularies should be streamlined and standardized to improve patient care.

Authors+Show Affiliations

University of Tennessee, Department of Medicine, Memphis 38103, USA.No affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

9697403

Citation

Bailey, J E., et al. "Physicians' Experiences With Medicaid Managed Care: the Tennessee American College of Physicians Survey On TennCare." Tennessee Medicine : Journal of the Tennessee Medical Association, vol. 91, no. 8, 1998, pp. 313-6.
Bailey JE, Bush AJ, Bertram PD, et al. Physicians' experiences with Medicaid managed care: the Tennessee American College of physicians survey on TennCare. Tenn Med. 1998;91(8):313-6.
Bailey, J. E., Bush, A. J., Bertram, P. D., & Somes, G. W. (1998). Physicians' experiences with Medicaid managed care: the Tennessee American College of physicians survey on TennCare. Tennessee Medicine : Journal of the Tennessee Medical Association, 91(8), 313-6.
Bailey JE, et al. Physicians' Experiences With Medicaid Managed Care: the Tennessee American College of Physicians Survey On TennCare. Tenn Med. 1998;91(8):313-6. PubMed PMID: 9697403.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Physicians' experiences with Medicaid managed care: the Tennessee American College of physicians survey on TennCare. AU - Bailey,J E, AU - Bush,A J, AU - Bertram,P D, AU - Somes,G W, PY - 1998/8/11/pubmed PY - 1998/8/11/medline PY - 1998/8/11/entrez SP - 313 EP - 6 JF - Tennessee medicine : journal of the Tennessee Medical Association JO - Tenn Med VL - 91 IS - 8 N2 - Despite widespread introduction of Medicaid managed care (MMC), physicians have not been surveyed regarding its impact on patient care. This study documented physician experiences with MMC in Tennessee, where a statewide experimental managed care program (TennCare) delivers services through 12 capitated managed care organizations (MCOs). Practicing Tennessee American College of Physician (ACP) members (n = 1,181) were questioned regarding recent experience with the TennCare program, assessment of the program, and suggestions for improvement. The results, derived from 306 physician respondents (response rate 26%), were as expected, based on findings of a prior administrative focus group and independent surveys. Physicians' experiences were similar regardless of practice type. Most physicians rated the TennCare program as either fair (43%) or poor (42%) overall. The majority cited administrative complexity as a major problem that frequently adversely affected patient care. Physician experience suggests that administrative procedures and medication formularies should be streamlined and standardized to improve patient care. SN - 1088-6222 UR - https://www.unboundmedicine.com/medline/citation/9697403/Physicians'_experiences_with_Medicaid_managed_care:_the_Tennessee_American_College_of_physicians_survey_on_TennCare_ L2 - https://medlineplus.gov/managedcare.html DB - PRIME DP - Unbound Medicine ER -