Download or read book TennCare and Disproportionate Share Hospitals written by Chinyere Ogbonna and published by University Press of America. This book was released on 2007 with total page 114 pages. Available in PDF, EPUB and Kindle. Book excerpt: The economic recession and the rising healthcare costs experienced by many states in the U.S. is leading us towards the enactment of legislation that will reform the way that healthcare is provided and paid for within the individual states. TennCare was developed in Tennessee as a bold healthcare reform strategy that would simultaneously contain rapidly rising Medicaid costs while expanding insurance for a large, uninsured Tennessee population. The implementation of TennCare in January 1994 instituted the move of Tennessee's Medicaid patients into managed care health plans. This study describes the design, rationale, implementation strategy, and issues of the reform program, as well as offering in depth insight regarding the effects of the reform strategy on disproportionate share hospitals, i.e. hospitals that serve a large portion of Medicaid and uninsured patients. Data spanning ten years of pre- and post-Tenncare were analyzed to determine the effects of TennCare on the hospitals. Dr. Ogbonna provides a template for dealing with policy, managerial, and administrative issues of rising healthcare costs in Tennessee and the nation in general.

Download or read book TennCare One State s Experiment with Medicaid Expansion written by Christina Juris Bennett and published by Vanderbilt University Press. This book was released on 2014-09-29 with total page 308 pages. Available in PDF, EPUB and Kindle. Book excerpt: 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 Obamacare. In 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.

Download or read book United States Statutes at Large written by United States and published by . This book was released on 2007 with total page 1478 pages. Available in PDF, EPUB and Kindle. Book excerpt: Volumes for 1950-19 contained treaties and international agreements issued by the Secretary of State as United States treaties and other international agreements.

Download or read book Teaching Hospitals and Medicare Disproportionate Share Hospital Payments written by United States. Congress. House. Committee on Ways and Means. Subcommittee on Health and published by . This book was released on 1997 with total page 132 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Compilation of the Social Security Laws written by United States and published by . This book was released on 2007 with total page 1260 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Examining the Impact of Illegal Immigration on the Medicaid Program and Our Healthcare Delivery System written by United States. Congress. House. Committee on Energy and Commerce and published by . This book was released on 2006 with total page 172 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book United States Code written by United States and published by . This book was released on 2008 with total page 1524 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Federalism and Health Policy written by Alan Weil and published by The Urban Insitute. This book was released on 2003 with total page 448 pages. Available in PDF, EPUB and Kindle. Book excerpt: The balance between state and federal health care financing for low-income people has been a matter of considerable debate for the last 40 years. Some argue for a greater federal role, others for more devolution of responsibility to the states. Medicaid, the backbone of the system, has been plagued by an array of problems that have made it unpopular and difficult to use to extend health care coverage. In recent years, waivers have given the states the flexibility to change many features of their Medicaid programs; moreover, the states have considerable flexibility to in establishing State Children's Health Insurance Programs. This book examines the record on the changing health safety net. How well have states done in providing acute and long-term care services to low-income populations? How have they responded to financial incentives and federal regulatory requirements? How innovative have they been? Contributing authors include Donald J. Boyd, Randall R. Bovbjerg, Teresa A. Coughlin, Ian Hill, Michael Housman, Robert E. Hurley, Marilyn Moon, Mary Beth Pohl, Jane Tilly, and Stephen Zuckerman.

Download or read book The Mismeasure of Education written by Jim Horn and published by IAP. This book was released on 2013-07-01 with total page 286 pages. Available in PDF, EPUB and Kindle. Book excerpt: With new student assessments and teacher evaluation schemes in the planning or early implementation phases, this book takes a step back to examine the ideological and historical grounding, potential benefits, scholarly evidence, and ethical basis for the new generation of test based accountability measures. After providing the political and cultural contexts for the rise of the testing accountability movement in the 1960s that culminated almost forty years later in No Child Left Behind and Race to the Top, this book then moves on to provide a policy history and social policy analysis of value-added testing in Tennessee that is framed around questions of power relations, winners, and losers. In examining the issues and exercise of power that are sustained in the long-standing policy of standardized testing in schools, this work provides a big picture perspective on assessment practices over time in the U. S.; by examining the rise of value-added assessment in Tennessee, a fine-grained and contemporary case is provided within that larger context. The last half of the book provides a detailed survey of the research based critiques of value-added methodology, while detailing an aggressive marketing campaign to make value-added modeling (VAM) a central component of reform strategies following NCLB. The last chapter and epilogue place the continuation of test-based accountability practices within the context of an emerging pushback against privatization, high stakes testing, and other education reforms. This book will be useful to a wide audience, including teachers, parents, school leaders, policymakers, researchers, and students of educational history, policy, and politics.

Download or read book Voices from the Inside written by Chinyere Ogbonna and published by Rowman & Littlefield. This book was released on 2009 with total page 278 pages. Available in PDF, EPUB and Kindle. Book excerpt: Voices from the Inside takes readers into the cells of a maximum security prison to reveal the personal accounts of over sixty women that are incarcerated for drug crimes. The stories will shock and entertain, and will certainly help readers to see more than the statistics behind drug offenses. Research included in this book examines the history of prohibition in the United States, with special emphasis on alcohol and drug prohibition, and analyzes empirical data pertaining specifically to the incarceration of female drug offenders in Tennessee. Personal interviews with these women regard the criminal justice processes both before and after their incarceration. This book is a must-read for those seeking to understand the impact of current drug policies on individuals and the community, as well as why these policies are not working.

Download or read book Health Care Financing Review written by and published by . This book was released on 2000 with total page 836 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Compilation of the Social Security Laws Including the Social Security Act as Amended and Related Enactments Through January 1 2009 written by United States and published by . This book was released on 2009 with total page 1292 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Compilation of the Social Security Laws Vol 1 Part 2 January 1 2009 111 1 Committee Print WMCP 111 3 written by and published by . This book was released on 2010 with total page 1286 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Medicare and Medicaid Guide written by and published by . This book was released on 1969 with total page 2618 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Transformation of the Medicaid Program written by United States. Congress. House. Committee on Commerce. Subcommittee on Health and the Environment and published by . This book was released on 1996 with total page 360 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Journal of the House of Representatives of the United States written by United States. Congress. House and published by . This book was released on 2008 with total page 1148 pages. Available in PDF, EPUB and Kindle. Book excerpt: Some vols. include supplemental journals of "such proceedings of the sessions, as, during the time they were depending, were ordered to be kept secret, and respecting which the injunction of secrecy was afterwards taken off by the order of the House".

Download or read book Dissertation Abstracts International written by and published by . This book was released on 2001 with total page 658 pages. Available in PDF, EPUB and Kindle. Book excerpt: