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Committee asks MCOs to present TennCare-specific data; remaining agenda rolled to next week
Summary
After hearing insurer and provider testimony, the Insurance Committee asked for TennCare-specific breakouts and signaled it will summon managed-care organizations for a deeper review; remaining agenda items were postponed and the committee adjourned.
Chairman Sabida Kumar and committee members closed the hearing after two presentations and said they would pursue further information from payers. Members specifically requested that Blue Cross provide a TennCare-specific breakdown of the claims-edit metrics and that MCOs appear at a future meeting to address whether the patterns shown by Blue Cross hold for Medicaid managed-care organizations.
The chair announced the committee's remaining agenda items were postponed until the following week and adjourned the session.
No votes or formal actions were taken during the Feb. 3 hearing; committee members framed next steps as information-gathering ahead of further oversight.
