Managed Care and Low-Income Populations: Four Years' Experience with Tenncare

May 1, 1999

Authors: Anna Aizer, Marsha Gold, and Cathy Schoen

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Overview

This update of a 1994 case study on Tennessee's TennCare Medicaid managed care program—one of a series of updates Mathematica Policy Research, Inc. (MPR) is developing for seven earlier case studies—examines the program's effect on low-income populations in the state. In focusing on how the program has matured and what impact it has had on access to care and the safety net, the report revisits issues identified earlier in the series. It is based largely on interviews conducted during a weeklong site visit to Tennessee in January 1998; other sources include MPR's earlier work on TennCare(Gold, Frazer, and Schoen 1995).

Two separate MPR reports focus on special aspects of Tennessee's experience with Medicaid managed care. One reviews in more detail the process of expanding TennCare to speical needs populations, including aged, blind, and disabled individuals and those needing behavioral health care. The other describes the translation to managed care, with a focus on health plans.

Citation

Managed Care and Low-Income Populations: Four Years' Experience with Tenncare, Anna Aizer, Marsha Gold, and Cathy Schoen, The Commonwealth Fund, May 1999