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    Monday, January 10, 2005

    TennCare Saved: TennCare, the most generous state-sponsored health insurance plan in the country, gets reform instead of cancellation:

    The plan for “basic TennCare” preserves full coverage for all 612,000 children on the program and maintains a reasonable level of benefits for 396,000 adults who are eligible for Medicaid, the state and federal program for individuals and families with low incomes. As many as 323,000 adults who are not eligible for Medicaid will lose TennCare coverage — although 24% of those enrollees still will be covered under Medicare, the federal program for people who are older or who have disabilities.

    ...In addition to reducing benefits and enrollment for adults, Bredesen announced TennCare is taking initial steps toward returning to a managed-care model that will require managed-care organizations (MCOs) — more commonly known as HMOs — to assume more financial risk in the delivery of TennCare benefits.

    ....The State also is pursuing a range of other cost-savings measures, including new care-and disease-management practices that will improve the quality of care while reducing costs.


    But will it be enough?

     

    posted by Sydney on 1/10/2005 08:20:00 PM 0 comments

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