LEADER 03879oam 22006614a 450 001 9910787813203321 005 20230608175401.0 010 $a0-8265-2003-0 010 $a0-8265-0293-8 010 $a0-8265-2004-9 035 $a(CKB)2670000000569053 035 $a(SSID)ssj0001352832 035 $a(PQKBManifestationID)11798005 035 $a(PQKBTitleCode)TC0001352832 035 $a(PQKBWorkID)11313774 035 $a(PQKB)10573325 035 $a(MiAaPQ)EBC3040167 035 $a(OCoLC)892425947 035 $a(MdBmJHUP)muse41801 035 $a(EXLCZ)992670000000569053 100 $a20131018d2014 uy 0 101 0 $aeng 135 $aurcnu|||||||| 181 $ctxt 182 $cc 183 $acr 200 10$aTennCare, One State's Experiment with Medicaid Expansion$fChristina Juris Bennett 210 1$aNashville, Tennessee :$cVanderbilt University Press,$d2014. 210 3$aBaltimore, Md. :$cProject MUSE,$d2014 210 4$dİ2014. 215 $a1 online resource (257 pages) $cillustrations 300 $aIncludes index. 311 $a0-8265-2002-2 311 $a1-322-15446-5 320 $aIncludes bibliographical references and index. 330 $a""This book tells the story of TennCare, Tennessee's Medicaid program. It provides a common understanding of the program's events and how the four major stakeholding groups viewed those events. Using that common story, the book encourages public policy analysis of Tennessee's experiences to better construct ACA Medicaid Expansion programs"--Provided by publisher"--$cProvided by publisher. 330 $a"A history of the struggle among competing stakeholders in one of the oldest and most controversial experiments in US health care policy, a precursor to ObamacareIn 1993, Tennessee launched a reform initiative designed to simultaneously expand the proportion of residents with health insurance and curtail cost increases. It was guided by principles that nearly match those that guided the creation of the Affordable Care Act, also known as Obamacare. Like the ACA, TennCare used corporations, rather than a single government payer, to implement the plan, and it relied on a mix of managed care, market competition, and government regulation. While many states cut back on their Medicaid enrollments from 1993 to 2001, TennCare grew from 750,000 to 1.47 million enrollees. The state was less successful in controlling costs, however. Each major stakeholder group (the state, the managed care organizations, the providers, and the enrollees and their advocates) pushed back against parts of the state's strategy that adversely affected their interests, and they eventually dismantled the mechanisms of cost constraint. The author lays out the four stakeholder perspectives for each period in the history of TennCare and provides a link to difficult-to-access primary documents"--$cProvided by publisher. 606 $aLAW / Medical Law & Legislation$2bisacsh 606 $aMEDICAL / Health Policy$2bisacsh 606 $aHEALTH & FITNESS / Health Care Issues$2bisacsh 606 $aMedicaid$xLaw and legislation$zTennessee 606 $aHealth care reform$zTennessee 606 $aHealth insurance$xLaw and legislation$zTennessee 615 7$aLAW / Medical Law & Legislation. 615 7$aMEDICAL / Health Policy. 615 7$aHEALTH & FITNESS / Health Care Issues. 615 0$aMedicaid$xLaw and legislation 615 0$aHealth care reform 615 0$aHealth insurance$xLaw and legislation 676 $a368.4/2009768 686 $aHEA028000$aMED036000$aLAW093000$2bisacsh 700 $aBennett$b Christina Juris$f1982-$01529476 801 0$bMdBmJHUP 801 1$bMdBmJHUP 906 $aBOOK 912 $a9910787813203321 996 $aTennCare, One State's Experiment with Medicaid Expansion$93773738 997 $aUNINA