title: The role of managed care: the national and Tennessee experiences.
abstract: The United States is the only developed country with no national health care policy. What exists is a national health insurance system. The problem with this system arises when paying for health care for the poor, who often require the most expensive type of care for acute or episodic ailments. Managed care, though not a panacea, has the potential of providing the organization to effectively control costs and change the existing health care paradigm from one of fee-for-service inpatient care to one of ambulatory care, home-based care, and physician office-based procedures. An example of a state-based initiative that has cut medical costs is Tennessee's TennCare. Under TennCare, approximately 1.2 million Tennesseans are covered, nearly 400,000 of whom were previously uninsured. Such programs, both state and national, must now look to including prevention and wellness care to effectively change the underlying epidemiology of illness among the poor.
authors.affiliation: Tennessee Managed Care Network, Nashville 37228, USA.
authors.forename: A J
authors.initials: AJ
authors.lastname: Cebrun
mesh_terms: D000293:Adolescent; D001741:Black or African American; D002648:Child; D002669:Child Welfare; D002675:Child, Preschool; D005260:Female; D017048:Health Care Costs; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D008329:Managed Care Programs / Q000458:organization & administration*; D008484:Medicaid / Q000458:organization & administration*; D017057:Medically Uninsured; D013221:State Health Plans / Q000191:economics / Q000458:organization & administration*; D013714:Tennessee; D014481:United States