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

Format:

Book

Author/Creator:

Bennett, Christina Juris, 1982- author.

Language:

English

Subjects (All):

Medicaid--Law and legislation--Tennessee.

Medicaid.

Health care reform--Tennessee.

Health care reform.

Health insurance--Law and legislation--Tennessee.

Health insurance.

United States. Patient Protection and Affordable Care Act.

United States.

TennCare (Program).

Physical Description:

1 online resource (257 pages) : illustrations

Edition:

1st ed.

Manufacture:

Baltimore, Md. : Project MUSE, 2014

Place of Publication:

Nashville, Tennessee : Vanderbilt University Press, 2014.

Language Note:

English

Summary:

""This book tells the story of TennCare, Tennessee's Medicaid program. It provides a common understanding of the program's events and how the four major stakeholding groups viewed those events. Using that common story, the book encourages public policy analysis of Tennessee's experiences to better construct ACA Medicaid Expansion programs"--Provided by publisher"-- Provided by publisher.

"A history of the struggle among competing stakeholders in one of the oldest and most controversial experiments in US health care policy, a precursor to ObamacareIn 1993, Tennessee launched a reform initiative designed to simultaneously expand the proportion of residents with health insurance and curtail cost increases. It was guided by principles that nearly match those that guided the creation of the Affordable Care Act, also known as Obamacare. Like the ACA, TennCare used corporations, rather than a single government payer, to implement the plan, and it relied on a mix of managed care, market competition, and government regulation. While many states cut back on their Medicaid enrollments from 1993 to 2001, TennCare grew from 750,000 to 1.47 million enrollees. The state was less successful in controlling costs, however. Each major stakeholder group (the state, the managed care organizations, the providers, and the enrollees and their advocates) pushed back against parts of the state's strategy that adversely affected their interests, and they eventually dismantled the mechanisms of cost constraint. The author lays out the four stakeholder perspectives for each period in the history of TennCare and provides a link to difficult-to-access primary documents"-- Provided by publisher.

Contents:

Cover

Title Page

Contents

Acknowledgments

Preface

Introduction

1. From Medicaid to TennCare: 1965-1993

2. Implementing the Plan: Getting TennCare Running: 1994-1998

3. The Disintegration of Control: 1998-2002

4. Keeping the Program Alive: 2002-2005

5. Rebuilding the System: 2005-2010

Epilogue: 2010-Present

Conclusion

Appendix: Methods for Teaching This Case Study

Notes

Index.

Notes:

Includes index.

Includes bibliographical references and index.

Description based on print version record.

ISBN:

9780826520036

0826520030

9780826502933

0826502938

9780826520043

0826520049

OCLC:

892425947