TMA Asks General Assembly to Pause Episodes of Care, Fix Problems

October 26, 2017

The Tennessee Medical Association has asked the state legislature to pause the rollout of the TennCare episodes of care initiative until or unless the TennCare Bureau addresses fundamental flaws in its design and implementation.

TMA President-Elect Dr. Matt Mancini of Knoxville laid out TMA’s specific requests in a letter sent today to Sen. Rusty Crowe, Chair of the Senate Health and Welfare Committee. The letter reiterated specific points Dr. Mancini made during his testimony before the Committee on Oct. 4, including serious flaws in the program design and questions about its effectiveness despite four years of repeated feedback from the medical community.

Dr. Mancini and TMA go on to ask the General Assembly to support legislation that would pause the implementation of any new retrospective episodes of care beyond the 20 that are currently in a performance period until specific measures are taken to improve the transparency, accuracy and effectiveness of the program.

See TMA’s full position statement on episodes of care, along with a summary of its advocacy efforts, at tnmed.org/episodes.