TennCare, One State's Experiment with Medicaid Expansion
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.
"Bennett offers a detailed case study of medical system reform in the state of Tennessee viewed through the perspective of the Affordable Care Act . . . Readers interested in state-level politics and policy as well as health care reform will find this book useful. . . . Recommended."