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A Critical Case Study Of Program Fidelity In Tenncare, Carole R. Myers Dr.
A Critical Case Study Of Program Fidelity In Tenncare, Carole R. Myers Dr.
Carole R. Myers, PhD, RN Associate Professor
Purpose: The purpose of this study was to evaluate the fidelity of the design of Tennessee’s Medicaid managed care program in comparison to the actual program operation. Program fidelity is a broad measurement of how true the implemented program is to the intended program (Heflinger & Northrup, 2000). Background: In the span of only 15 years, the introduction of managed care and other market-based strategies from the private sector precipitated a transformation of the delivery of Medicaid services in the United States. These monumental changes remain poorly understood. The implementation of managed care in Tennessee’s Medicaid program is an excellent …