Blog Archives

UHC Appeals Process for Medicare Advantage and TennCare Network Cuts

TMA has identified a possible guideline in UHC Appeals Process for Medicare Advantage and TennCare network cuts. TMA issued an

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Posted in Government Health Insurance, Headlines, insurance, Insurance Issues and Solutions, Insurance News, Legal, Legal News, Medicare Insurance News, News, TennCare Insurance News, United Healthcare

TennCare’s Health Care Innovation Initiative

The State of Tennessee has launched the Health Care Innovation Initiative and will issue innovation initiative reform reports to Principal Accountable

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Posted in Government Health Insurance, Headlines, insurance, Insurance News, News, TennCare Insurance News

Tennessee Payment Reform Initiative Questioned

In February, TMA Past President, B. Winfred Ruffner, MD, along with TMA’s Vice President, Yarnell Beatty and Assistant General Council,

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Posted in Blue Cross Blue Shield News, Headlines, Health Insurance Exchange News, insurance, Insurance News, Legal, Legal News, Medicare Insurance News, News, Physician Information, TennCare Insurance News

TennCare News and Advocacy for February 2014

Payment Reform Initiative For basic information as to what this is, please see last month’s report. On February 26, TMA

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Posted in Government Health Insurance, Insurance News, News, TennCare Insurance News

TennCare News and Advocacy for January 2014

Payment Reform Initiative The TennCare program is a recent recipient of a federal State Innovation Model (SIM) grant to facilitate

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Posted in Government Health Insurance, Insurance News, News, TennCare Insurance News

TennCare’s Budget Cuts for 2015

Tennessee’s Health Care Finance and Administration (HCFA) and TennCare officials outlined their proposed budget and subsequent budget cuts during a

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Posted in Government Health Insurance, Headlines, insurance, Insurance News, Insurance Plan Programs, News, TennCare Insurance News

TennCare News and Advocacy for December 2013

Payment Reform Initiative The TennCare program is a recent recipient of a federal State Innovation Model (SIM) grant to facilitate

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Posted in Government Health Insurance, Insurance News, News, TennCare Insurance News

TN Payment Reform Initiative Delay

Organized medicine is responsible for the TN Payment Reform Initiative Delay. Due in part to the advocacy efforts of TMA and other

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Posted in Government Health Insurance, Headlines, health reform, Health System Reform, insurance, News, TennCare Insurance News

TN Payment Reform Initiative Impacts Medicaid Reimbursement

Physicians can learn all about the Tennessee Payment Reform Initiative, which will change Medicaid reimbursement (TennCare) for providers, in a

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Posted in Government Health Insurance, Headlines, insurance, Insurance Issues and Solutions, Insurance News, Insurance Plan Programs, Legal, Legal News, News, Payment Issues, TennCare Insurance News

TennCare Pay Increase for Primary Care Physicians Effective Jan. 1

Effective January 1, 2013, qualified primary care physicians as detailed by CMS regulation are to receive a rate increase through

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Posted in Government Health Insurance, Headlines, insurance, Insurance Issues and Solutions, Insurance News, News, Payment Issues, Physician Information, TennCare Insurance News

TMA and TNA: Medicaid Expansion an Investment in the Future

The TMA and the Tennessee Nurses Association (TNA) have joined forces to urge state officials to opt for Medicaid expansion

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Posted in General Health System Reform News, Government Advocacy News, Government Health Insurance, Headlines, health reform, Health System Reform, Health System Reform News, insurance, Insurance News, News, Press Releases, TennCare Insurance News

Alert: Some HHS Activities Continue, Some Cease Under Government Shutdown

Some Department of Health and Human Services (HHS) programs and healthcare services will continue under a federal government shutdown, while

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Posted in General Health System Reform News, Government Advocacy News, Government Health Insurance, Headlines, Health System Reform News, Legal News, Medicare Insurance News, Member Alerts, News, TennCare Insurance News

TennCare to Cover Facet Injections With Limits

TennCare has reversed its decision to stop paying for Facet joint injections starting October 1, thanks to the advocacy of

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Posted in Government Health Insurance, Headlines, Insurance News, News, TennCare Insurance News

TennCare Payment Reform Emphasizes Outcomes, Care Delivery

TimeEqualsMoney

The Tennessee Medical Association is actively monitoring the progress of TennCare’s new payment reform initiative, set to begin in early

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Posted in Government Health Insurance, Headlines, Insurance News, News, TennCare Insurance News
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