In July 1996, Tennessee initiated a managed mental health and substance
abuse program called TennCare Partners. This publicly funded "carve-out" experiment
started chaotically and soon deteriorated into a crisis. Many patients did
not receive care or lost continuity of care, and the traditional "safety net"
mental health system nearly disintegrated. This qualitative case study sought
to ascertain the impact of the TennCare Partners program. It points out that
the program's difficulties stemmed directly from a flawed design that spread
funds previously earmarked for severely mentally ill patients across the entire
Medicaid population. States contemplating similar reforms should strive to
protect vulnerable patients by risk-adjusting capitation payments and by focusing
resources on care for severely mentally ill persons. States should also minimize
program complexity and ensure the accountability of managed care networks
for their patients' behavioral health care needs.
Some tools below are only available to our subscribers or users with an online account.
Download citation file:
Web of Science® Times Cited: 75
Customize your page view by dragging & repositioning the boxes below.
More Listings atJAMACareerCenter.com >
Enter your username and email address. We'll send you a link to reset your password.
Enter your username and email address. We'll send instructions on how to reset your password to the email address we have on record.
Athens and Shibboleth are access management services that provide single sign-on to protected resources. They replace the multiple user names and passwords necessary to access subscription-based content with a single user name and password that can be entered once per session. It operates independently of a user's location or IP address. If your institution uses Athens or Shibboleth authentication, please contact your site administrator to receive your user name and password.