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Physician participation and nonparticipation in Medicaid managed care: the TennCare experience.

Publication ,  Journal Article
Sloan, FA; Conover, CJ; Rankin, PJ
Published in: Southern medical journal
November 1999

TennCare is a significant state health reform effort, channeling all Medicaid recipients into managed care. We examined physician attitudes about TennCare.In 1997, we surveyed a stratified random sample of Tennessee physicians using predominantly Likert-type scale questions. All physicians surveyed were involved in patient care and were selected from seven specialties: general practice, family practice, general internal medicine, obstetrics/gynecology, neurosurgery, general surgery, and pediatrics. We asked about participation, satisfaction, perceptions of quality, and appropriateness of care.Major reasons for nonparticipation included bureaucracy and low compensation. Overall, dissatisfaction with TennCare was high (72% not at all or not very satisfied), relating to reimbursement issues and constraints on obtaining services, particularly pharmaceuticals. More physicians (45.9%) thought quality had declined under TennCare than believed it improved (12.6%).Despite strong negative opinions about TennCare, physician participation is high (85.6%) because of a sense of professional responsibility.

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Published In

Southern medical journal

DOI

EISSN

1541-8243

ISSN

0038-4348

Publication Date

November 1999

Volume

92

Issue

11

Start / End Page

1064 / 1070

Related Subject Headings

  • United States
  • Tennessee
  • Quality of Health Care
  • Physicians
  • Medicaid
  • Managed Care Programs
  • Male
  • Humans
  • General & Internal Medicine
  • Female
 

Citation

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Sloan, F. A., Conover, C. J., & Rankin, P. J. (1999). Physician participation and nonparticipation in Medicaid managed care: the TennCare experience. Southern Medical Journal, 92(11), 1064–1070. https://doi.org/10.1097/00007611-199911000-00004
Sloan, F. A., C. J. Conover, and P. J. Rankin. “Physician participation and nonparticipation in Medicaid managed care: the TennCare experience.Southern Medical Journal 92, no. 11 (November 1999): 1064–70. https://doi.org/10.1097/00007611-199911000-00004.
Sloan FA, Conover CJ, Rankin PJ. Physician participation and nonparticipation in Medicaid managed care: the TennCare experience. Southern medical journal. 1999 Nov;92(11):1064–70.
Sloan, F. A., et al. “Physician participation and nonparticipation in Medicaid managed care: the TennCare experience.Southern Medical Journal, vol. 92, no. 11, Nov. 1999, pp. 1064–70. Epmc, doi:10.1097/00007611-199911000-00004.
Sloan FA, Conover CJ, Rankin PJ. Physician participation and nonparticipation in Medicaid managed care: the TennCare experience. Southern medical journal. 1999 Nov;92(11):1064–1070.

Published In

Southern medical journal

DOI

EISSN

1541-8243

ISSN

0038-4348

Publication Date

November 1999

Volume

92

Issue

11

Start / End Page

1064 / 1070

Related Subject Headings

  • United States
  • Tennessee
  • Quality of Health Care
  • Physicians
  • Medicaid
  • Managed Care Programs
  • Male
  • Humans
  • General & Internal Medicine
  • Female