Catalyst for Payment Reform

Blazing a Trail in Bundled Payment: TennCare Reveals 2019 Program Results

Blazing a Trail in Bundled Payment: TennCare Reveals 2019 Program Results

The 2019 results are in! TennCare reported an estimated $45.2 million in savings across 45 different episodes.

Jessica Hill, Director, Strategic Planning & Innovation at TennCare, presents TennCare’s 2019 cost and quality results for the many episodes of care Tennessee’s Medicaid program has implemented since 2014, when it first embarked on an ambitious plan to use episode-based payment with health care providers across the state. Flash forward to 2020, the Episodes of Care Program now rewards high quality and cost-effective acute and specialist-driven care across more than 40 distinct episodes, like perinatal care, acute asthma exacerbation, and chronic obstructive pulmonary disease (COPD).

This event is part of CPR’s Fall 2020 Webinar Series: Timely Topics with Innovative Purchasers.

Originally recorded on October 22, 2020.

For more insights on this topic, check out our 2020 Press Release: Catalyst for Payment Reform Releases Bundled Payment Resources, with links to CPR’s marketplace report, evaluation and specification guide to help employers-purchasers assess health plans and vendors offering bundled payment programs. More information about the TennCare bundled payment program can be found on this blog post.

Please note that these and other CPR resources are always free to those who purchase health care on behalf of a population. If this description matches your role, be sure to create or log into your account for free access.



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