americhoice health insurance tennessee
americhoice health insurance tennessee
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Tenncare cuts under Way Now
Call it coincidence or bad timing, but many doctors in Tennessee began to take a cut 14 percent of TennCare patients see the same day that Governor Phil Bredesen announced cuts in health spending.
BlueCross BlueShield of Tennessee, which operates one of the two companies, managed care that contract with the program of health TennCare to Del, sent a letter of 31 experts reports in December rate cut that took effect on 1 February. Hospitals have received notices of rate payer is reduced.
The cut is not a direct consequence from the state budget proposed by the Governor, but it is a harbinger of difficulties encountered by the state Medicaid program to managed care. State budget cuts could cause more physicians to stop accepting TennCare patients.
"As far as I know that these reductions are because we have experienced losses during 2009," said Mary Thompson, director of media relations for BlueCross BlueShield of Tennessee. "They are separate acts of the State deems necessary for cost control program .
She said Volunteer State Health Plan, the division of the insurance company that contracts with TennCare, was operating at a loss.
"Volunteer State Health Plan initially provided for losses due to the appearance of costs associated with new contract costs for the Great East and West Regions (Tennessee), "Thompson said." However, we anticipate significant losses. We were able to operate at a loss for a short period time last year over 2009, and was able to handle the losses to our financial strength. They simply can not sustain losses during and operation of the program. "
Thompson said the rate cuts vary in hospitals, but experts reductions averaging 14 percent.
Some 12,000 specialists across the state are affected by the cuts.
"The primary care physicians will not be affected "Thompson said.
Brenda H. Jeter, chief financial officer of UT Medical Group Inc., which owns more than 400 medical staff, said the practice had not decided on a plan of action.
"We analyze the financial impact and how it could affect patients "Said Jeter." We work with our doctors. At this stage we are going through the due diligence process on the basis of this proposal. We have also been in contact with our partner hospitals. "
BlueCross BlueShield is one of two insurance companies that recruit with the state to provide benefits for TennCare recipients.
Jeff Smith, a spokesman for AmeriChoice, the other insurance company, said he tried to amend their contracts with physicians.
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