A review copy of this case is available free of charge to educators and trainers. Please
create an account
or sign in
to gain access to this material.
Permission to Reprint
Each purchase of this product entitles the buyer to one digital file and use.
If you intend to distribute, teach, or share this item, you must purchase
permission for each individual who will be given access.
Learn more about
purchasing permission to reprint.
Abstract: 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.