Physicians' experiences with Medicaid managed care

the Tennessee American College of physicians survey on TennCare.

James Bailey, A. J. Bush, P. D. Bertram, G. W. Somes

Research output: Contribution to journalArticle

6 Citations (Scopus)

Abstract

Despite widespread introduction of Medicaid managed care (MMC), physicians have not been surveyed regarding its impact on patient care. This study documented physician experiences with MMC in Tennessee, where a statewide experimental managed care program (TennCare) delivers services through 12 capitated managed care organizations (MCOs). Practicing Tennessee American College of Physician (ACP) members (n = 1,181) were questioned regarding recent experience with the TennCare program, assessment of the program, and suggestions for improvement. The results, derived from 306 physician respondents (response rate 26%), were as expected, based on findings of a prior administrative focus group and independent surveys. Physicians' experiences were similar regardless of practice type. Most physicians rated the TennCare program as either fair (43%) or poor (42%) overall. The majority cited administrative complexity as a major problem that frequently adversely affected patient care. Physician experience suggests that administrative procedures and medication formularies should be streamlined and standardized to improve patient care.

Original languageEnglish (US)
Pages (from-to)313-316
Number of pages4
JournalTennessee medicine : journal of the Tennessee Medical Association
Volume91
Issue number8
StatePublished - Jan 1 1998

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Medicaid
Managed Care Programs
Physicians
Patient Care
Formularies
Surveys and Questionnaires
Focus Groups
Organizations

All Science Journal Classification (ASJC) codes

  • Medicine(all)

Cite this

Physicians' experiences with Medicaid managed care : the Tennessee American College of physicians survey on TennCare. / Bailey, James; Bush, A. J.; Bertram, P. D.; Somes, G. W.

In: Tennessee medicine : journal of the Tennessee Medical Association, Vol. 91, No. 8, 01.01.1998, p. 313-316.

Research output: Contribution to journalArticle

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