TennCare, One State's Experiment with Medicaid Expansion by Christina Bennett PDF

By Christina Bennett

A heritage of the fight between competing stakeholders in a single of the oldest and such a lot debatable experiments in US overall healthiness care coverage, a precursor to ObamacareIn 1993, Tennessee introduced a reform initiative designed to concurrently extend the share of citizens with medical insurance and curtail expense raises. It used to be guided via rules that just about fit those who guided the production of the cheap Care Act, sometimes called Obamacare. just like the ACA, TennCare used businesses, instead of a unmarried govt payer, to enforce the plan, and it trusted a mixture of controlled care, industry pageant, and executive regulation.

While many states in the reduction of on their Medicaid enrollments from 1993 to 2001, TennCare grew from 750,000 to 1.47 million enrollees. The nation was once much less winning in controlling expenses, although. every one significant stakeholder staff (the kingdom, the controlled care organisations, the services, and the enrollees and their advocates) driven again opposed to elements of the state's approach that adversely affected their pursuits, and so they finally dismantled the mechanisms of rate constraint.

The writer lays out the 4 stakeholder views for every interval within the historical past of TennCare and gives a hyperlink to difficult-to-access basic documents.

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TennCare, One State's Experiment with Medicaid Expansion by Christina Bennett

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