A measure that would allow Tennessee to approach Congress about forming its own health care system has failed this year. The proposal sponsored by Republican Rep. Mark Pody of Lebanon failed with a 9 - 9 House Insurance and Banking Committee vote Tuesday.


The state’s hospitals are playing out the “what if’s” as lawmakers consider whether to expand Medicaid as part of the federal health care overhaul. Their study says 90,000 Tennessee jobs could be lost if the expansion does not occur.


Doctors who treat TennCare patients will get a New Year's pay raise.  Practitioners in family medicine, general internal medicine, pediatrics or a related subspecialty are now going to be reimbursed at Medicare rates, more than 25 percent above what they were being paid.  TennCare officials say the boost will give qualifying Tennessee doctors an extra $55 million over the next two years.

Obion Co. Woman Arrested for TennCare Fraud

Oct 22, 2012

Tennessee's Office of the Inspector General has charged an Obion County woman with Medicaid fraud. During a drug round-up, police arrested Cynthia Joan Hale of Hornbeak for allegedly using TennCare, the state’s Medicaid managed care program, to get and sell morphine.


TennCare officials say it’s getting more difficult for low-income seniors to qualify for nursing homes and other services. Officials say under old rules, elderly people could qualify for up to $55,000 to pay for a nursing home, adult day care or assisted living if they weren’t able to care for themselves. Under rules that began on July 1, TennCare will take an overall assessment of a person’s need before that level of funding is allocated.

The Tennessee Supreme Court has ruled the state can go after the houses and property of people who have died, even property left to family members, if money is owed for end-of-life care.