Looks at the evolution of TennCare, Tennessee's controversial Medicaid Managed care program, and provides lessons relevant to sates using managed care for expanding health care for low-income people while containing costs.

Provider risk sharing was common throughout the 1990s. Recent evidence suggests waning interest, although no information exists that is specific to Medicaid. This article examines risk-sharing arrangements in Medicaid managed care through a survey of participating plans in 11 states conducted in...

Previous efforts by Congress to expand the role of private plans in Medicare have met with limited success. Although the same fate may befall Medicare Advantage, the political environment has changed, and powerful political interests now support Medicare privatization. Only time will tell...

With higher payments and expanded private-plan authority, Medicare Advantage (MA) has caused the market to grow. One in three Medicare beneficiaries with Part D now gets this coverage through MA. Analysis of the sources of and reasons for enrollment growth suggest a troubling report card....

For Medicaid and SCHIP managed care programs to succeed, they must attract enough and the right kinds of plans and providers to meet access and care goals. A 2001 survey of participating plans in 11 large states revealed that they appear supportive of both programs and for the most part are able...

With higher payments and expanded private-plan authority, Medicare Advantage (MA) has caused the market to grow. One in three Medicare beneficiaries with Part D now gets this coverage through MA. Analysis of the sources of and reasons for enrollment growth suggest a troubling report card....