Perceived impact of TennCare reform on patients' health in a medical teaching practice.

Stephanie A. Connelly, Laura Sprabery, James Bailey

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

From 1994-2005, TennCare, Tennessee's innovative Medicaid managed care program, dramatically expanded coverage to around 1.3 million Tennesseans (roughly 23 percent of the state population) by employing cost savings achieved through capitation and managed care. Rising healthcare costs and a static state budget resulted in program downsizing that started in mid-2005. This cross-sectional survey sought to document the perspectives of TennCare enrollees before disenrollment about the likely impacts of changes in TennCare coverage and benefits. In February 2005, a convenience sample of 89 patients served by an internal medicine resident staffed teaching practice in Memphis, TN, participated in a survey to assess their perspectives about the potential impact of the upcoming disenrollment and benefits limitations. Ninety percent or more expressed concerns that loss of TennCare would lead to health problems, difficulty with paying for prescriptions and difficulty finding alternative health insurance. This survey suggests that before disenrollment, most people served by TennCare believed that loss of TennCare would have serious negative consequences on their health. Further studies are needed to assess the true impact of the disenrollment and benefit cuts and the effectiveness of alternative safety net services for vulnerable Tennessee citizens.

Original languageEnglish (US)
JournalTennessee medicine : journal of the Tennessee Medical Association
Volume99
Issue number3
StatePublished - Jan 1 2006

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Managed Care Programs
Teaching
Cost Savings
Medicaid
Health
Budgets
Health Insurance
Internal Medicine
Health Care Costs
Prescriptions
Cross-Sectional Studies
Safety
Population
Surveys and Questionnaires

All Science Journal Classification (ASJC) codes

  • Medicine(all)

Cite this

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title = "Perceived impact of TennCare reform on patients' health in a medical teaching practice.",
abstract = "From 1994-2005, TennCare, Tennessee's innovative Medicaid managed care program, dramatically expanded coverage to around 1.3 million Tennesseans (roughly 23 percent of the state population) by employing cost savings achieved through capitation and managed care. Rising healthcare costs and a static state budget resulted in program downsizing that started in mid-2005. This cross-sectional survey sought to document the perspectives of TennCare enrollees before disenrollment about the likely impacts of changes in TennCare coverage and benefits. In February 2005, a convenience sample of 89 patients served by an internal medicine resident staffed teaching practice in Memphis, TN, participated in a survey to assess their perspectives about the potential impact of the upcoming disenrollment and benefits limitations. Ninety percent or more expressed concerns that loss of TennCare would lead to health problems, difficulty with paying for prescriptions and difficulty finding alternative health insurance. This survey suggests that before disenrollment, most people served by TennCare believed that loss of TennCare would have serious negative consequences on their health. Further studies are needed to assess the true impact of the disenrollment and benefit cuts and the effectiveness of alternative safety net services for vulnerable Tennessee citizens.",
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N2 - From 1994-2005, TennCare, Tennessee's innovative Medicaid managed care program, dramatically expanded coverage to around 1.3 million Tennesseans (roughly 23 percent of the state population) by employing cost savings achieved through capitation and managed care. Rising healthcare costs and a static state budget resulted in program downsizing that started in mid-2005. This cross-sectional survey sought to document the perspectives of TennCare enrollees before disenrollment about the likely impacts of changes in TennCare coverage and benefits. In February 2005, a convenience sample of 89 patients served by an internal medicine resident staffed teaching practice in Memphis, TN, participated in a survey to assess their perspectives about the potential impact of the upcoming disenrollment and benefits limitations. Ninety percent or more expressed concerns that loss of TennCare would lead to health problems, difficulty with paying for prescriptions and difficulty finding alternative health insurance. This survey suggests that before disenrollment, most people served by TennCare believed that loss of TennCare would have serious negative consequences on their health. Further studies are needed to assess the true impact of the disenrollment and benefit cuts and the effectiveness of alternative safety net services for vulnerable Tennessee citizens.

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