Tennessee Medicaid (TennCare) believes that a strong primary care system is the backbone of a thriving healthcare delivery system. Their primary care transformation strategy emphasizes the crucial role of primary care providers in preventing illness, managing chronic conditions, coordinating care with other providers, and engaging members in the community. The Tennessee Health Link program aims to coordinate healthcare services for TennCare members with the highest behavioral health needs, integrating behavioral and physical health services to improve member outcomes, enhance provider accountability and flexibility, and control costs for the state.
In this session, TennCare will share their model design, highlighting the importance of stakeholder engagement in the design and updates, the challenges faced, and the lessons learned. They will discuss their approach to using NCQA HEDIS measures and total cost of care to gauge success, their collaboration with Managed Care Organizations (MCOs), and recent evaluation findings.

You Will Learn:

• The key elements of TennCare’s primary care transformation strategy.
• How the Tennessee Health Link program coordinates care for members with high behavioral health needs.
• The importance of stakeholder engagement in the design and update of their model.
• Challenges faced and lessons learned during implementation.
• How NCQA HEDIS measures and total cost of care are used to measure success.
• TennCare’s approach to collaborating with MCOs.
•  Insights from recent evaluation findings.