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Book Cover
E-book
Author Bennett, Christina Juris, 1982- author.

Title TennCare, one state's experiment with Medicaid expansion / Christina Juris Bennett
Published Nashville, Tennessee : Vanderbilt University Press, [2014]

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Description 1 online resource (xii, 241 pages) : illustrations
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
Summary "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
""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
Bibliography Includes bibliographical references and index
Notes English
Print version record
Subject TennCare (Program)
United States. Patient Protection and Affordable Care Act.
SUBJECT TennCare (Program) fast
Patient Protection and Affordable Care Act (United States) fast
Subject Health insurance -- Law and legislation -- Tennessee
Health care reform -- Tennessee
Medicaid -- Law and legislation -- Tennessee
HEALTH & FITNESS -- Health Care Issues.
MEDICAL -- Health Policy.
LAW -- Medical Law & Legislation.
BUSINESS & ECONOMICS -- Insurance -- Risk Assessment & Management.
Health care reform
Health insurance -- Law and legislation
Medicaid -- Law and legislation
Tennessee
Form Electronic book
LC no. 2013041120
ISBN 0826520049
9780826520043
9780826502933
0826502938