Since the inception of Tennessee’s managed Medicaid program in 1994, state officials have been attempting to balance cost with health care services for the state’s most vulnerable and sickest population.
Through waivers and health care reform, the state’s safety-net insurance program has evolved widely over the years, but the basics remain the same: Tennessee pays commercial insurers and other care management organizations on a per-capita basis to manage Medicaid beneficiaries’ health care while attempting to drive down spending and costs.
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