Sound concept, unhealthy in practice ... but at great expense to providers and patients.
Those states considering implementation of a TennCare-type program should learn from Tennessee's mistakes. Enough lead time should be allowed for the development of the program and for patients and providers to learn about the new program. It should be actuarially should and have strong oversight with provider input. Finally, it should be done in an open forum to allow public accountability.
Tennessee Hospital Association, Nashville, USA.
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Becker
D000206:Actuarial Analysis; D002204:Capitation Fee; D004469:Economics, Hospital / Q000639:trends; D008329:Managed Care Programs / Q000458:organization & administration* / Q000592:standards; D008484:Medicaid / Q000458:organization & administration* / Q000592:standards; D016730:Program Development / Q000379:methods; D015397:Program Evaluation; D013221:State Health Plans / Q000191:economics / Q000331:legislation & jurisprudence / Q000458:organization & administration*; D013714:Tennessee; D017664:Uncompensated Care; D014481:United States