From the College of Medicine, University of Tennessee, Memphis (Dr Summitt and Mr Martins), and Robert Herrick Associates, Inc, Nashville, Tenn (Mr Herrick).
TennCare is Tennessee's innovative program that replaces the state's
Medicaid program with a health care system based on managed care and designed
to cover the vast majority of the state's poor and uninsured. The program
provides health care benefits not only to those eligible for Medicaid, but
also to the uninsured poor who do not qualify for Medicaid and those who are
uninsurable because of existing medical conditions. This article describes
the allocation of TennCare graduate medical education funding, which is designed
to address the state's physician workforce priorities regarding specialty
mix and practice location. Under the new TennCare graduate medical education
funding design, funds flow to the state's 4 medical schools and then to the
sites of the residents' training. Allocation to the medical schools is based
primarily on the number of primary care residents in residency programs under
sponsorship of each.
Summitt RL, Herrick RR, Martins M. Addressing a State's Physician Workforce Priorities Through the Funding of Graduate Medical Education: The TennCare Model. JAMA. 1998;279(10):767–771. doi:10.1001/jama.279.10.767
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