MARC Record from Library of Congress

LEADER: 03177cam a2200409 i 4500
001 2013041120
003 DLC
005 20150127083428.0
008 131018s2014 tnua b 001 0 eng
010 $a 2013041120
020 $a9780826520029 (hardback : alk. paper)
020 $a9780826520036 (paperback : alk. paper)
020 $z9780826520043 (ebook)
040 $aDLC$beng$cDLC$erda$dDLC
042 $apcc
043 $an-us-tn
050 00 $aKFT187.H4$bA3 2014
082 00 $a368.4/2009768$223
084 $aHEA028000$aMED036000$aLAW093000$2bisacsh
100 1 $aBennett, Christina Juris,$d1982-$eauthor.
245 10 $aTennCare, one state's experiment with Medicaid expansion /$cChristina Juris Bennett.
264 1 $aNashville, Tennessee :$bVanderbilt University Press,$c[2014]
300 $axii, 241 pages :$billustrations ;$c24 cm
336 $atext$2rdacontent
337 $aunmediated$2rdamedia
338 $avolume$2rdacarrier
520 $a"A history of the struggle among competing stakeholders in one of the oldest and most controversial experiments in US health care policy, a precursor to ObamacareIn 1993, Tennessee launched a reform initiative designed to simultaneously expand the proportion of residents with health insurance and curtail cost increases. It was guided by principles that nearly match those that guided the creation of the Affordable Care Act, also known as Obamacare. Like the ACA, TennCare used corporations, rather than a single government payer, to implement the plan, and it relied on a mix of managed care, market competition, and government regulation. While many states cut back on their Medicaid enrollments from 1993 to 2001, TennCare grew from 750,000 to 1.47 million enrollees. The state was less successful in controlling costs, however. Each major stakeholder group (the state, the managed care organizations, the providers, and the enrollees and their advocates) pushed back against parts of the state's strategy that adversely affected their interests, and they eventually dismantled the mechanisms of cost constraint. The author lays out the four stakeholder perspectives for each period in the history of TennCare and provides a link to difficult-to-access primary documents"--$cProvided by publisher.
520 $a""This book tells the story of TennCare, Tennessee's Medicaid program. It provides a common understanding of the program's events and how the four major stakeholding groups viewed those events. Using that common story, the book encourages public policy analysis of Tennessee's experiences to better construct ACA Medicaid Expansion programs"--Provided by publisher"--$cProvided by publisher.
504 $aIncludes bibliographical references and index.
610 20 $aTennCare (Program)
650 0 $aHealth insurance$xLaw and legislation$zTennessee.
650 0 $aHealth care reform$zTennessee.
650 0 $aMedicaid$xLaw and legislation$zTennessee.
610 10 $aUnited States.$tPatient Protection and Affordable Care Act.
650 7 $aHEALTH & FITNESS / Health Care Issues.$2bisacsh
650 7 $aMEDICAL / Health Policy.$2bisacsh
650 7 $aLAW / Medical Law & Legislation.$2bisacsh