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TennCare director tells committee program is fiscally stable, covering 1.4 million and producing shared savings

2512562 · March 6, 2025
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Summary

TennCare Director Steven Smith briefed the House Insurance Committee on March 25, describing TennCare’s enrollment (~1.4 million, about 20% of state population), an $18.6 billion budget, nearly $1 billion in shared-savings over the first three years of the TennCare 3 waiver, and reserve levels with roughly $300 million unobligated.

TennCare Director Steven Smith and agency leaders told the House Insurance Committee on March 25 that the Medicaid program now covers about 1.4 million Tennesseans (roughly 20% of the state population), operates with a budget exceeding $18.6 billion and has generated nearly $1 billion in shared savings in the first three years of the TennCare 3 waiver.

Smith described the program’s evolution and said TennCare has improved both fiscal outcomes and quality measures. “TennCare has never been more successful than it is today,” Smith said, noting expanded services that include a comprehensive adult dental benefit and investments to reduce waiting lists for long‑term services and supports. He attributed recent fiscal stability to managed care, value‑based payment strategies and the shared‑savings structure established…

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