How well does TennCare, Tennessee's Medicaid managed care program, meet the needs of blind/disabled Supplemental Security Income (SSI) enrollees? People with disabilities have extensive health care needs and greater barriers to accessing care, so efforts to reduce service use may decrease their health and independence. On the other hand, managed care plans may better coordinate care. Computer-assisted telephone surveys of urban SSI and other urban TennCare enrollees were conducted to assess these issues. SSI enrollees in TennCare had mixed experiences, and they faced problems in areas particularly important to people with disabilities. Relative to other TennCare enrollees, SSI enrollees had similar or slightly worse access to care and satisfaction. A significant minority of SSI enrollees reported unmet needs for care, such as not getting referrals to specialists, prescription drugs, and special medical equipment. Lack of care coordination was a problem for some SSI enrollees.
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April 2021
OHSU-PSU School of Public Health, Portland 97239, OR, USA; OHSU Institute on Development and Disability, Department of Pediatrics, School of Medicine, Portland, 97239, OR, USA.
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Department of Surgery, Division of Colon and Rectal Surgery, Boston Medical Center, FGH Building 820 Harrison Avenue, Room 5008, Boston, MA, 02118, USA.
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Med Care
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*Division of Infectious Diseases, Brigham and Women's Hospital †Department of Population Medicine, Harvard Medical School, Harvard Pilgrim Health Care Institute, Boston, MA ‡University of Oklahoma Health Sciences Center, College of Public Health §Oklahoma Foundation for Medical Quality, Oklahoma City, OK ∥Division of Infectious Diseases, Health Policy Research Institute, University of California Irvine School of Medicine, Irvine, CA.
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