Case #1490.0

Tennessee's Medicaid Revolution: TennCare

Publication Date: January 01, 1999
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In 1994, Tennessee underwent a massive reconfiguration of its fee-for-service Medicaid program, replacing the old system with TennCare. These efforts were pioneered by Democratic Governor Ned McWherther, and Commissioner of Finance and Administration David Manning. The transition included a mass shift from HMO to PPO healthcare plans. Despite initial resistance TennCare represented a massive change in the psychology of health care in the state. The effects are still evident, as Tennessee has the lowest percentage of uninsured people in the country.

Learning Objective:
This case examines the masterful political leadership that enabled Tennessee to go from the 17th worst Medicaid state in the country, to a coverage pioneer.

Other Details

Case Author:
Monica E Friar
Faculty Lead:
Monica E. Friar
Pages (incl. exhibits):
United States