TennCare | Nashville Public Radio

TennCare

Lauren Bishop / CDC

After months of resisting pressure from doctors, Tennessee's Medicaid program is slowing down an initiative meant to make physicians more cost conscious. They've complained about the so-called "episodes of care" payment model since its inception, though doctors initially cooperated with state officials in designing the program.

Com Saluda / via Flickr

Tennessee doctors failed to convince the legislature that the way TennCare is starting to pay them isn’t working. Physicians called it their top priority for the legislative session. Lawmakers have agreed to study the program but not pump the brakes.

TN Photo Services

A plan to add a work requirement to TennCare seems to be in doubt, as the top Republican in the state Senate raises questions about the cost and design of the proposal.

That's delayed a final vote, though Senate Speaker Randy McNally is stopping short of saying the idea is dead.

courtesy Office of Gov. Asa Hutchinson

The Tennessee legislature has designed a budget maneuver to pay for proposed rules around Medicaid. Republican states, including Tennessee, are adding requirements that Medicaid recipients have to work if they can. But enforcement is proving to be costly.

TN Photo Services

Tennessee lawmakers could debate this session whether to add a work requirement to Medicaid, after President Donald Trump's administration said last month that it'd be willing to accept proposals that force enrollees to have a job, be training for one or engage in some sort of volunteer work.

Jiselle Macalaguin / KOMU via Flickr

This week, Tennessee's Medicaid program began enforcing a limit on first-time opioid prescriptions. TennCare patients can only get enough pills for five days. Legislative leaders say similar restrictions are in the works to regulate painkiller prescribing for all Tennesseans.

Amtec Staffing / amtec.us.com

Leaders of the Tennessee General Assembly are jumping at the chance to add a work requirement for TennCare. A new policy from the Trump Administration allows Medicaid programs in each state to pursue new restrictions.

courtesy TennCare

TennCare's 98-page renewal form is making it harder than necessary for low-income Tennesseans to maintain their subsidized government health coverage, according to the Tennessee Comptroller. After conducting an investigation requested by House Speaker Beth Harwell, the state agency has issued a memo suggesting a list of changes.

TN Photo Services (file)

Tennessee's Medicaid program swelled to 1.5 million people after the Affordable Care Act took effect — matching an all-time high set around the year 2000 and meaning nearly a quarter of the state was on TennCare. Numbers have fallen slightly from that peak as the economy has boomed. But TennCare officials say they're finding a new normal. 

TN Photo Services (file)

A major cut in TennCare enrollment more than a decade ago has been linked to delays in diagnosing breast cancer, according to findings published this week in the journal Cancer

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