The State of Tennessee has launched the Tennessee Health Care Innovation Initiative, a state-wide initiative to transition its healthcare payment system to better reward patient-centered, high-quality, high-value health care outcomes for all Tennesseans. The Tennessee Health Care Innovation Initiative is led by the state Division of Healthcare Finance and Administration (the division of state government that includes TennCare) but includes a broad coalition of stakeholders with close involvement from many leading healthcare providers. The state is currently finalizing its strategy and beginning phased implementation for 2014. Tennessee is pursuing two complementary payment strategies: First, a retrospective episode-based payment strategy to reward providers for providing high-quality and efficient care for acute medical and behavioral treatments and conditions. Second, a Patient-Centered Medical Home (PCMH) strategy to reward health care providers who care for their patients on an ongoing basis, promote prevention, treat chronic conditions, and coordinate care over time. 


Primary Care Innovations and PCMH Activity

Dual Eligible 2703 SPA CPC CPC+ PCMH QHP PCMH Legislation Private Payer

Multi-Payer Programs

Program Name Payer Type Coverage Area Parent Program Outcomes
Tennessee Comprehensive Primary Care Plus Multi-Payer Statewide CMS Comprehensive Primary Care Plus (CPC+)

State Facts:

Uninsured Population:
Total Medicaid Spending FY 2013: 
$8.7 Billion 
Overweight/Obese Adults:
Poor Mental Health among Adults: 
Medicaid Expansion: 

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