Primary Care Transformation

Success in Delivery System Transformation

TennCare is seeing positive results from several ambitious changes it has made to how health care is paid for and delivered in Tennessee. These reports from TennCare on its Delivery System Transformation programs provide the most complete picture to date of how the state’s innovative programs are resulting in improvements in the care that is being received by TennCare members as well as significant savings for Tennessee taxpayers. The three programs are Tennessee Health Link, Patient-Centered Medical Homes, and Episodes of Care.

Tennessee's Primary Care Transformation strategy assists providers in promoting better quality care, improving population health, and reducing the cost of care.

Patient-Centered Medical Home (PCMH): PCMH is a comprehensive care delivery model designed to improve the quality of primary care services for TennCare members, the capabilities of and practice standards of primary care providers, and the overall value of health care delivered to the TennCare population.

Tennessee has built on existing PCMH efforts by providers and payers in the state to create a robust PCMH program that features alignment across critical elements. To date, approximately 40% of TennCare Members (over 770,000) are attributed to one of the 83 PCMH-participating provider organizations at over 480 locations throughout the state.

Tennessee Health Link: Tennessee Health Link is a program offered by 18 mental and physical health providers that coordinate health care services for TennCare members with the highest behavioral health needs.

Contact us at payment.reform@tn.gov for more information.