9-1 Final Project Two Submission_ Policy Analysis and Testimony Transcript (1).docx - 9-1 FINAL PROJECT TWO SUBMISSION POLICY ANALYSIS AND TESTIMONY

9-1 Final Project Two Submission_ Policy Analysis and Testimony Transcript (1).docx

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9-1 FINAL PROJECT TWO SUBMISSION: POLICY ANALYSIS AND TESTIMONY TRANSCRIPT 1 9-1 Final Project Two Submission: Policy Analysis and Testimony Transcript By Laura Gleaton Southern New Hampshire University Policy
9-1 FINAL PROJECT TWO SUBMISSION: POLICY ANALYSIS AND TESTIMONY TRANSCRIPT 2 Tennessee's Health Care Innovation Initiative is changing the way health care is paid for in Tennessee, moving from paying for volume to paying for value. The mission is to reward health care providers for high quality and efficient treatment of medical conditions and helping to maintain people's health over time. The Tennessee Health Care Innovation Initiative has three strategies, primary care transformation, episodes of care and long-term services and supports. According to TN.gov at , TennCare is the state of Tennessee’s Medicaid program which provides health insurance to approximately 1.4 million low-income Tennesseans including pregnant women, children, caretaker relatives of dependent children and older adults, and adults with disabilities. With a satisfaction rating above 90 percent since 2009 TennCare provides health insurance, including long-term services and supports, through the use of managed care. Development Identified stakeholders would include the patient, the physician and Tennessee Medicaid Agency. The patient will be affected by the initiative because they may not be able to visit the doctor as often as they think that they need. The Physicians will be affected by the initiative because they will not receive the financial receipts. The physician will be paid per value as opposed to per visit. Tennessee Medicaid will definitely benefit from the change. Tennessee Medicaid program will save money for the state. According to TN.gov at , “Since December 2016 TennCare has partnered
9-1 FINAL PROJECT TWO SUBMISSION: POLICY ANALYSIS AND TESTIMONY TRANSCRIPT 3 with a statewide network of community mental health providers to improve care coordination for members with significant behavioral health needs. This program, called Tennessee Health Link, which serves 70,000 TennCare members has reduced inpatient hospital admissions by 11 percent through one-on-one interaction with these members from 2013-2018.” Also, the state’s innovative programs are resulting in improvements in the care that is being received by TennCare members as well as significant savings for Tennessee taxpayers. TennCare, in partnership with the Tennessee Hospital Association, is now sending alerts in real time to primary care providers in PCMH and Tennessee Health Link when their patients go to the hospital or emergency room. The Care Coordination Tool (CCT) allows providers to better detect gaps in care, proactively reach out to patients after a discharge, and “treat the whole patient” more effectively by sharing information with other providers.

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