Experimental treatment a thorny issue for TennCare

Article Abstract:

The use of experimental treatments for life-threatening diseases has been an issue of contention for Tennessee's Medicaid managed care program, TennCare. The state of Tennessee has been routinely criticized for providing too many medical services without adequate funding. The Tennessee Medical Association (TMA) has criticized TennCare for refusing to offer patient care in order to save money. TMA is also concerned about the possible use of "gag rules" in Tennessee, which prevent physicians from informing patients about treatments that are not covered under their health care plan.

Health Care, Health Care and Social Assistance, HEALTH SERVICES, Medicaid, Economic aspects, Finance, Health care industry, Tennessee Medical Association

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Tennessee's new governor orders review of TennCare

Article Abstract:

Tennessee governor Don Sundquist will seek changes to his state's Medicaid managed care plan, which is called TennCare. The plan, which was instituted in 1994, seeks to add uninsured Tennesseans to Medicaid rolls after first placing all Medicaid enrollees into managed care plans. However, the TennCare plan has resulted in a number of funding problems that have caused many health care provider groups in the state to question the viability of the plan.

Health Care Services, Health care reform, Sundquist, Don

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