A government purchaser perspective : TennCare—Strengthening the safety net
✍ Scribed by Wendy J. Long; Denise Kirsch
- Publisher
- John Wiley and Sons
- Year
- 1998
- Tongue
- English
- Weight
- 84 KB
- Volume
- 82
- Category
- Article
- ISSN
- 0008-543X
No coin nor oath required. For personal study only.
✦ Synopsis
tem for three population groups: Medicaid eligibles, uninsurable individuals, and people who lacked access to insurance through their place of employment. Tennessee Department of Health, Bureau of METHODS. Under the TennCare program, the State contracts with ten managed TennCare, Nashville, Tennessee.
care organizations to provide a comprehensive benefit package to each enrollee.
Preventive services are exempt from copayment or deductible requirements. Each patient is assigned to a primary care provider who is responsible for assuring that the enrollee receives preventive services.
RESULTS.
More than 400,000 previously uninsured and uninsurable persons now receive health care coverage through the TennCare program. An extensive quality assurance program monitors managed care organization service delivery, with particular emphasis on prevention and access. Effective case management, combined with an enrollment cap, have enabled the program to grow at a predictable rate, without exceeding the annual rate of growth of state revenues.