WellPoint buying Amerigroup in $5B deal

Impact on local TennCare ops unclear
Jul 9, 2012 1:17 PM

State House approves hospital revenue fee

The Tennessee House of Representatives voted yesterday to renew a revenue tax on hospitals that's designed to avert cuts in TennCare. Jeff Woods has the story for The City Paper.

Apr 29, 2011 11:58 AM

Will the state's hospital assessment pass?

The Commercial Appeal reports there's some tension in the General Assembly about whether Democrats will support the hospital assessment fee again this year. The fee would, like last year, would be assesed against hospitals' revenues in order to draw down mathing federal funds and fill TennCare's budget hole. Read the story here.

Apr 15, 2011 8:10 AM

Bed head

The hospital assessment - the "bed fee" or "bed tax," if you prefer - looks like the only way to plug the TennCare hole. Or at least the only way that's going to be proposed.

Mar 21, 2011 7:28 AM

TennCare awards liability services contract

New York-based HMS has been awarded a contract by the Bureau of TennCare to provide third party liability services, including estate recovery, cost avoidance, Medicare crossover claims review, and more. The company also will provide Improper Medicaid Payment Audit and Recovery services in a contract lasting until Jan. 31, 2014.
“We look forward to continuing our partnership with the Bureau of TennCare, where we have demonstrated our understanding of the unique features associated with TennCare and the managed care environment in which it operates” said Maria Perrin, HMS Executive Vice President for Government Services. “We are especially pleased to assist the State in complying with the mandate of the Affordable Care Act for expansion of the Recovery Audit Contractor (RAC) program to Medicaid.”
HMS has recovered more than $180 million for Tennessee, and generated more than $1 billion in cost savings.
Feb 23, 2011 12:03 PM
 |

Hospitals to fill $870M TennCare budget gap

Hospital Association will ask legislature to approve 'revenue assessment' for second year in a row
Feb 10, 2011 10:16 AM

Counsel cuts

Counseling covered under TennCare for hospice patients may get the axe under proposed budget cuts.
Feb 4, 2011 7:58 AM

Transfusion

The Tennessee Hospital Association agreed once again to prop up TennCare:
THA President Craig Becker said the group's board agreed to ask Gov. Bill Haslam and the Legislature to extend a hospital "assessment" fee, enacted last year, for an additional 12 months. In addition, hospitals have agreed to raise the fee, now at 3.52 percent of hospitals' net patient revenues, to 4 percent or a little more, Becker said. It currently raises about $290 million annually, and the increase would push that to $400 million or $430 million per year, Becker said. The money would be used by the state to draw federal matching funds — providing a total of about $1.2 billion for the estimated $8 billion program. Nothing is final yet, Becker said.
Feb 4, 2011 7:12 AM

TennCare cuts proposed, hospital fee renewal likely

The state is planning to cut $300 million from TennCare's budget by limiting doctor and hospital visits, a drastic budgetary move that Tennessee's hospitals may try to halt for the second year in a row by continuing a self-imposed revenue tax. The Knoxville News Sentinel has the story. SEE ALSO: Feds approve Tennessee hospital fee from last summer
Jan 31, 2011 9:27 AM
 |

New name for AmeriChoice Medicaid plan

Tennessee Medicaid plan AmeriChoice by UnitedHealthcare has changed its name to UnitedHealthcare Community Plan. The moniker swap, effective Jan. 1, is designed to unify AmeriChoice with other UnitedHealthcare Medicaid health plans, and will not affect current relationships with the network of doctors and other providers who participate in the health plan.
“We are building on the UnitedHealthcare brand and its recognition in the marketplace to make health care simpler and more effective for all those we serve, especially our members and the state of Tennessee,” said Scott Bowers, president, UnitedHealthcare Community Plan of Tennessee. “The change to UnitedHealthcare Community Plan allows us to speak with one voice to our members, care providers, employers and other constituents.”
The health plan serves 58,000 people in Tennessee.
Jan 25, 2011 8:30 AM