State lawmakers would also have to authorize this type of expansion. Deidre Malone is the President/CEO of The Carter Malone Group, LLC (CMG), a public relations, marketing, advertising, and government relations firm headquartered in Memphis, TN, and an office in Jackson, MS. Before opening the agency in May 2003, Malone served as Vice President of Marketing Development for ALSAC/St. TennCare’s November 2019 proposal based its modified block grant on the caps established in prior waivers. Although TennCare did not receive the permanent approval it requested, TennCare III represents only the second the time to date that the federal government has given a 10-year approval. Rhodes is also one of fifty colleges included in both editions of The Princeton Review’s list of “Colleges That Create Futures” and continues to be included in each new edition of Colleges That Pay You Back: The 200 Schools That Give You the Best Bang for Your Buck. The live feed would cut in and out, or the voices garbled to the point you couldn’t decipher who was speaking or what was being said. For adult enrollees, TennCare can choose not to cover some prescription medications without losing mandated discounts from the drug industry. Due to COVID -19 all High School Seniors completing their application that cannot complete the letters of recommendation portion will not be penalized and will be included in the process. In this capacity he is responsible for Belmont’s legal affairs as well as its government and community relations, risk management, regulatory compliance, and campus security functions. Rhodes College is accredited by the Southern Association of Colleges and Schools Commission on Colleges to award baccalaureate and master's degrees. He is active in community having served as a Board member for multiple city and statewide not-for-profits and is an active member, with his wife Ashleigh and their five children, of Covenant Presbyterian Church in Nashville. Due to changes in federal policy, the new federal funding cap may pose less financial risk to Tennessee than a renewal of the existing program. Only state spending on these programs would be eligible for a shared savings match, and any changes to this list would require federal approval. At the same time, this agreement will almost certainly face legal challenges in state and federal court. The typical steps for seeking and approving a waiver have accumulated over time in both policy and precedent. She also held the position of Director of Public Relations for St. Jude Children’s Research Hospital. She’s proud to encourage women to run for office and to be one of the founders of Emerge Tennessee and serves on national Emerge board of directors. TennCare has operated under an “1115 waiver” since 1994, which lets it deviate from some federal Medicaid rules. Sheila also serves as an Adjunct Professor at Vanderbilt University, where she teaches in the Law School, and at Belmont University’s College of Law, where she teaches Juvenile Law. As a result, TennCare III’s funding structure likely exposes Tennessee to less financial risk than it would otherwise face (Figure 2). The federal government covers roughly 65% (i.e. (18). Roberts is a graduate of Vanderbilt University Law School, where he was a member of the Vanderbilt Law Review, and of the University of Mississippi, where he graduated with degrees in Accountancy and Economics and was inducted into the University’s Hall of Fame. She is a current member and past chair of the Tennessee Department of Mental Health’s Planning and Policy Council and is an active member of Rotary Club. He was awarded a Life Membership in the National Association of State Budget Officers in 2013. As long as TennCare meets the requirement discussed below, it can add new populations and benefits and change enrollment processes, delivery systems, uncompensated care payments to hospitals, and other elements at will. TennCare III does not address or preclude a comprehensive expansion of eligibility to all adults with incomes under 138% of poverty if state policymakers choose to pursue that. The state had also proposed that the block grant increase when enrollment grows but hold steady when it drops. For example: All Medicaid programs with 1115 waivers must meet “budget neutrality” rules. TennCare III’s funding structure and flexibilities create an unprecedented and complex set of new incentives and opportunities for state policymakers. In this role, he was responsible for, among other things, the day-to-day operations of the $12 Billion annual budget, leading 1,200 employees, providing essential health care services to 1.4 million Tennesseans, and designing/implementing/driving further adoption of nation-leading policies that ensure the long-term fiscal sustainability of the Tennessee Medicaid program. TennCare III: Unpacking Tennessee’s New Medicaid “Block Grant”, Understanding Medicaid and TennCare: Key Concepts and Context to Know, https://www.tn.gov/content/dam/tn/tenncare/documents/tenncarewaiver.pdf, https://www.tn.gov/governor/news/2021/1/8/tennessee-medicaid-block-grant-waiver-amendment-approved-by-federal-government.html, https://www.cms.gov/newsroom/press-releases/cms-administrator-seema-vermas-press-call-remarks-prepared-delivery-tenncare, https://www.tn.gov/tenncare/information-statistics/enrollment-data.html, https://www.tn.gov/content/dam/tn/tenncare/documents/TennCareBlockGrantFAQs.pdf, https://www.optumrx.com/content/dam/openenrollment/pdfs/Tenncare/home-page/preferred-drug-list/Preferred%20Drug%20List%20(PDL).pdf, https://www.medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list/83206, https://insidehealthpolicy.com/daily-news/verma-saddles-biden-cms-new-procedures-axing-1115-demos, https://www.chcs.org/media/VBP-BH-Brief-061917.pdf, https://nashp.org/wp-content/uploads/2017/10/Tennessee-Case-Study.pdf, https://www.chcs.org/media/Promising-State-Innovation-Model-Approaches.pdf, https://nashp.org/wp-content/uploads/2018/01/Tennessee-Case-Study-2018.pdf, https://comptroller.tn.gov/content/dam/cot/sa/advanced-search/2017/tenncarememoandreport.pdf, https://comptroller.tn.gov/content/dam/cot/sa/advanced-search/2018/pa18043.pdf, https://www.tennessean.com/story/news/health/2019/04/02/tennessee-tenncare-coverkids-medicaid-erased-health-care-coverage-for-children/3245116002/, https://www.tennessean.com/story/news/investigations/2019/07/14/tenncare-coverkids-medicaid-children-application-insurance-denied/1387769001/, https://publications.tnsosfiles.com/acts/111/pub/pc0481.pdf, https://www.healthaffairs.org/do/10.1377/hblog20210106.54888/full/, https://www.commonwealthfund.org/blog/2020/how-biden-administration-can-act-strengthen-medicaid, https://ccf.georgetown.edu/2020/11/12/what-can-we-expect-from-biden-administration-on-work-requirement-waivers/, https://www.medicaid.gov/federal-policy-guidance/downloads/smd18009.pdf, https://www.medicaid.gov/federal-policy-guidance/downloads/smd20001.pdf, https://www.tn.gov/content/dam/tn/tenncare/documents2/Amendment42FinalVersion.pdf. 75% study abroad or at off-campus sites in the U.S, Nearly 100% of first-year students live on campus, 52% belong to social fraternities/sororities, 100+ student clubs, organizations, intramural and club sports, 23 men’s and women’s NCAA Division III intercollegiate teams, 52% ranked in top 10% of high school class. Brenda Gadd is the president of Rethink Public Strategies a woman-owned, public affairs firm that brings experience in delivering results in strategic advocacy development and implementation in all levels of government and focuses on engagement tactics such as coalition building, direct and grassroots lobbying, collective impact, messaging, and solutions to public policy needs. Careers in History plus Pre-Law and Pre-Med, Honors, Student Research, and Opportunities for Special Study, What Is a Rhodes History Class Like? He is a graduate of Baylor University and received his MBA from Vanderbilt University. In addition to his work through RCG, Roberts serves as a Board member and Advisory Board member to multiple health care companies and is a Fellow with the Nashville Health Care Council. If you are a local business facing financial hardships due to the pandemic, we have provided links to resources, and where to find help. Historically, waivers and renewals expire after no more than five years. Educational Offerings for Community Partners, Glossary of Admission and Financial Aid Terms, Annual Security & Fire Safety Report (Clery Report), Black Alumni Mentoring Survey for Students, International Student Information in Mandarin, Alumni-Owned Black Business Questionnaire, 94% hold the highest degree possible in their fields, 12-plus academic fields with Pre-Professional Advising. Leslie is currently senior vice president, governmental affairs for OMNIA Partners, Public Sector, the largest group purchasing organization for public and private sectors. Tennessee Medicaid Block Grant Waiver Agreement: Frequently Asked Questions. She retired in 2015 and is married with two married children and two grandchildren. Malone plays an active role in the Memphis community. Memphis, TN 38112 If policymakers want to roll back TennCare III, it could take longer than prior waivers. The Biden administration could rescind the approval, but the Trump administration has taken steps to lengthen that process. He provides advocacy, monitoring and consulting services for several health, social welfare, justice and environmental groups, including: Alzheimer’s Tennessee, Center for Nonprofit Management, League of Women Voters of Tennessee, National Association of Social Workers – Tennessee Chapter, Radnor to River, SchoolHouse Connection, Tennessee Alliance for Legal Services, Tennessee Association for Adult Day Services, Tennessee Association for Children’s Early Education, Tennessee Association of Pastoral Therapists, Tennessee Conservation Voters, and United Ways of Tennessee. The level of shared savings available to Tennessee will depend on its performance on quality measures. Brian earned a bachelor’s degree in history from the University of Florida. For more than 15 years, Brenda has been influencing public policy at the highest levels of state government and politics in Tennessee, helping to shape legislative and budgetary outcomes as well as elections and advocacy campaigns. Brittney joined Sycamore in 2019 with nearly a decade of experience in community engagement and public policy at the Tennessee General Assembly and the Knoxville Utilities Board. She also serves on the boards of Harmony Family Centers and the Prevention Alliance of Tennessee. He joined Sycamore in 2020. Prior to founding RCG, Roberts served as the Chief Executive Officer of the Tennessee Medicaid agency (“TennCare”) as a member of Tennessee Governor Bill Lee’s Cabinet. His congressional experience includes active roles in debates over the Affordable Care Act and the federal budget, and he began his career with an internship at The Heritage Foundation. Ms. Pershing’s numerous honors include the Tennessee Public Health Association’s 2016 Partners and Leadership Award, the 2017 FBI Community Director’s Leadership Award for the Knoxville Field Office, the 2018 Knox Biz Healthcare Heroes Award for her work in addiction and recovery, and recognition from the Tennessee Department of Health for work in prescription drug abuse prevention. Brittney earned a master’s degree in Corporate Communication from Austin Peay State University and a bachelor’s degree from the University of Tennessee at Knoxville. Kristen Keely-Dinger is the President and CEO of The Healing Trust, a private foundation created to provide grants and support to nonprofits that foster healing and health for vulnerable populations in Middle Tennessee. National Association of Schools of Music, 11250 Roger Bacon Drive, Suite 21, Reston, VA 20190-5248, or call 703-437-0700. It also creates new uncertainties for people enrolled in the program. She is a member of the Memphis Regional Chamber, Black Business Association, Mid-South Minority Business Continuum, Public Relations Society of America and PRSA Counselors Academy. He received his undergraduate degree from the University of North Carolina at Chapel Hill and an MBA from the University of Georgia. Research Business Report named Jim as its Market Research Executive of the Year for 2013. They enjoy running and traveling. The board of Directors, the ownership group for the New Tri-State Defender, is also an M1TV Network partner. Opportunities for IS Students, Study Abroad Experiences - In Their Own Words, Mathematical and Computational Reasoning Center, Rhodes College Orchestra And Wind Ensemble, The Jack H. Taylor Scholarship in Physics, Special Thanks to Our Judges Hall of Fame, Tennessee Intercollegiate State Legislature, The Joseph Reeves Hyde Award In Religious Studies. This new source of federal funding would free up as much as 65% (i.e. There is tremendous pressure from Medicaid stakeholders nationwide to overturn many of the new approaches floated by the Trump administration (e.g. For example, Medicaid stakeholders – particularly those with complex health care needs – have long been uneasy about maintaining timely access to the drugs they need under a formulary. While at CNM, the agency expanded to serve more than 800 nonprofits, offering 120 workshops and nearly 100 consulting engagements each year. In addition, Tennessee could use the freed-up state dollars in ways – either health-related or not – that are not eligible for a federal match. In between, he served as the president of the Center for Nonprofit Management. In addition, Rhodes regularly garners accolades from U.S. News and World Report, Forbes and Fiske’s Guide to Colleges. In 2006, Kyle was awarded the Community Service Award by the Jackson/Madison County Sports of Hall. Prior to serving as the TennCare CEO, Roberts served as the agency’s COO and General Counsel. The final agreement takes a different approach – rebasing the caps and allowing for both increases and decreases due to enrollment. Six key differences between the new TennCare III agreement and what a typical TennCare II renewal might have looked like: Tennessee may get more federal Medicaid dollars without spending any new state money. She is a proud board member of the nonpartisan public policy research center The Sycamore Institute, Tennessee Lobbyist Association, Lawyers’ Association of Women’s Marion Griffith chapter, Nashville Cable (women’s leadership organization) and a former chapter director of the New Leaders Council. Now retired, Ed has served on numerous nonprofit boards, including Methodist Le Bonheur Healthcare as chairman, Duke University Divinity School, and Porter-Leath. Meanwhile, state officials can also use new authorities and flexibilities to reduce program costs more easily – freeing up even more state dollars. Kristen has experience in prevention education, community organization, and volunteer administration. At Ambac, Laura worked with wide range of government and nonprofit clients to evaluate and execute publically funded capital projects ranging in size up to $800 million. Having staffed campaigns in various positions since age 11, Leslie is native to the world of election analysis, political insight, booth-manning, and issue advocacy. Rhodes is profiled in The Princeton Review’s popular college guide, The Best 384 Colleges: 2019 Edition, and ranks No. Malone is a former broadcast journalist. adding a new optional benefit). Exemptions are also carved out for drugs to treat HIV/AIDS and opioid use disorder. At the same time, the program will almost certainly face legal challenges in state and federal court. Kyle is a 2017 (Class IV) graduate of Leadership Tennessee. The same legislation that required the Lee administration to submit its initial block grant proposal to the federal government also requires the General Assembly’s approval of the final plan. The Biden administration could rescind the approval, but the Trump administration has taken steps to lengthen that process. In 2011, he assisted current Tennessee Governor Bill Haslam during his transition into state leadership. Full Proposal Due Date: January 28, 2021 by 11:59 PM Eastern Time OVERVIEW The National Fish and Wildlife Foundation (NFWF) and the Wildlife Habitat Council (WHC), in cooperation with the U.S. Environmental Protection Agency (EPA), USDA Forest Service (USFS), U.S. However, almost one year later, … Any major changes to the program associated with the new features of TennCare III will take time to materialize. Traditionally, waivers and waiver renewals have only been approved for 3-5 years at a time. Jim Bryson is the Deputy Commissioner for Parks and Conservation for the State of Tennessee, where he is responsible for all state parks. (7) This new standard for waiver renewals calls for much stricter caps on federal funding to keep Medicaid spending at or below each state’s recent trend. There would be no additional financial incentive to reducing enrollment since the cap falls when enrollment falls by more than 1% below 2019. He also holds a master’s degree in political science from the University of Georgia and a bachelor’s in history from Towson University. She was also recognized as one of the Nashville Business Journal’s 2014 Forty Under 40 award winners and was a member of the 2016-17 class of Leadership Tennessee. As Associate Director of Operations and Engagement at The Sycamore Institute, Brittney provides support for day-to-day management and operations and leads the team’s statewide engagement efforts through community events and symposiums. A Nashville resident since 1969 and member of Tennessee Bar since 1977, Clifton received a BA and JD from Vanderbilt University and Vanderbilt Law School. He is a board member of The Sycamore Institute, The Tennessee Sports Hall of Fame, Complete Tennessee Advisory Board and the Governors Foundation for Health and Wellness. He is a past president of the Tennessee Economic Development Council, past president of Tennessee Chamber of Commerce Executives, and past board member of the Southern Economic Development Council. For most, switching to online meetings was only temporary until restrictions were lifted and regular council meetings could resume. The Stillwater City Council passed an ordinance requiring face coverings in public spaces effective July 11 – May 25, 2021. Key features of the new cap include: [mk_custom_box bg_color=”#c2d7dc” padding_vertical=”20″ padding_horizental=”15″]. Laura maintains a strong connection to her local community through service on nonprofit boards and other volunteer activities. A Certified Prevention Specialist II and a 2014 graduate of the UT Consortium for Social Enterprise Effectiveness, she earned her Bachelor of Science in Human Development and Family Studies as well as her Master’s Degree in Public Health from the University of Tennessee. (14) (15) (16) (17), The TennCare III agreement requires approval from state lawmakers before it takes effect. While in school, Bryce taught graduate level courses in statistical analysis for five years as a summer teaching assistant at the Inter-university Consortium for Political and Social Research. She uses her unique combination of humor, passion, and judicial wisdom to change the way we look at justice in the United States. A city is a large human settlement. Meanwhile, shared savings do not have to be used in the year they are earned. However, the new waiver is unlikely to generate enough savings to fund Tennessee’s 10% share of costs for a full ACA eligibility expansion. Contact the Commission on Colleges at 1866 Southern Lane, Decatur, Georgia 30033-4097 or call 404-679-4500 for questions about the accreditation of Rhodes College. (1) (2) (3) It sets several new precedents for the state-federal Medicaid partnership – including never-before-approved flexibilities and the opportunity to draw down new federal dollars without additional state spending. Even with the maintenance of effort requirement, the resulting uncertainties will likely make people who rely on the program for health care anxious. Tennessee’s per capita Medicaid spending has grown slower than most other states’, so staying below a federal funding limit pegged to the state’s already low spending could have become much harder going forward (Figures 3 and 4). Those arguments, however, may not prevent lawsuits from being filed against the federal government. Those caps relied on national costs and trends that, in the aggregate, were well above what Tennessee actually spends on Medicaid. Since 2013, Leslie has helped to host groups from Israel, Japan, and the Philippines as an ambassador for the American Council for Young Political Leaders. It can be defined as a permanent and densely settled place with administratively defined boundaries whose members work primarily on non-agricultural tasks. A graduate of Jackson State University, she received a Bachelor of Science Degree in Mass Communications and a minor in Marketing. The agreement does not appear to restrict or require reporting on Tennessee’s use of newly available state funds. She began her career in policy as an intern and then bill clerk in the Tennessee General Assembly. RCG is an advisory firm that partners with health plans, providers, and government/health plan vendors to assist them in identifying and operationalizing market opportunities, driving enterprise value, and advancing strategic priorities. Habitat for Humanity, founded in 1976, is a global, Christian-based nonprofit organization that grew out of an intentionally multi-racial community in rural Georgia.Seeking to put God’s love into action, Habitat brings together people of all faiths and people of no faith to build homes, communities and hope. TennCare could tap new and existing flexibilities to produce savings within the funding cap that could potentially affect things like utilization or payment models. Below, we explain six key differences between the TennCare III agreement and what a typical TennCare II renewal might have looked like. Stewart Clifton is an attorney and since 2001 a public policy advocate with a practice focused on nonprofit organizations. She is a 1999 graduate of Leadership Memphis and in 2001 served as Leadership Memphis Alumni Association President and a member of Beta Epsilon Omega Chapter of Alpha Kappa Alpha Sorority, Inc. She serves as Vice President of the Best Media Properties, Inc. She has worked in both chambers of the Tennessee General Assembly, most recently as chief policy officer to the first female Speaker of the House of Representatives, Beth Harwell. Edwin S. “Ed” Roberson is a former CEO of Christ Community Health Services, which provides health care to the underserved in Memphis, and a past partner in the accounting firm of KPMG. However, savings rolled over from the prior waiver do not count. Học viện Nông nghiệp Việt Nam thành lập năm 1956 trá»±c thuộc Bộ Nông nghiệp và Phát triển nông thôn, một trong nhóm 30 trường đại học đứng đầu Đông Nam Á và còn là trường trọng điểm quốc gia Việt Nam đào tạo nhóm ngành nông-lâm-ngÆ° nghiệp tại miền Bắc Việt Nam. Associate Director of Operations and Engagement. For the six years prior, Leslie served as senior advisor and chief lobbyist to Governor Bill Haslam. Approximately 2,010 students represent 45 states (plus D.C.) and 55 countries. TennCare has traditionally used the per member per month (PMPM) approach based on expected monthly enrollee costs, expected spending growth, and actual enrollment. Clifton has served as a founding board member of The Sycamore Institute, a volunteer member of the Tennessee Bar Association government affairs committee, and a board member of Tennessee Interfaith Power and Light. Tennessee would also have to go through the regular approval process to access the 90% federal match for that population. Under TennCare III, federal funding will be limited by an aggregate cap based on state-specific costs, national trends, and certain changes in enrollment. Under the new waiver, however, any reduction in TennCare spending (while still subject to maintenance of effort requirements) could free up about twice as much money in the state budget. Rhodes College is an accredited institutional member of NASM. At the University of Pennsylvania, his research focused on the impact of religious mission on the civic engagement initiatives of urban universities in the northeastern United States. A 35 year resident of Nashville, Jason is committed to the local community and charitable activities and has served as the treasurer of The Healing Trust, president of the board of directors of The Next Door, Inc., a program committee co-chair of Leadership Nashville, and a representative to the Parent Advisory Council of Metro Nashville Public Schools. Both TennCare and the federal government will still need to publicize proposed changes and seek non-binding public comments before they can take effect – including those that do not need federal permission. In this role, she focused on juvenile justice reform and steps to address the growing opioid crisis. Nothing in the TennCare III waiver precludes that, but state and federal officials would have to negotiate if and how it would affect the new funding cap, shared savings, and other items in the waiver. Laura Berlind joined The Sycamore Institute in 2015 as the founding executive director. (1) (2) (3) It sets several new precedents for the state-federal Medicaid partnership – including never-before-approved flexibilities and the opportunity to draw down new federal dollars without additional state spending. See Understanding Medicaid and TennCare: Key Concepts and Context to Know to learn more about how Medicaid works and Tennessee’s history with the program. In 2006, Lewis served as co-chair of Celebrate Nashville commemorating the city’s 200th birthday. About Habitat for Humanity. The organization represents 1100+ business members in Jackson/Madison County and parts of West Tennessee. A member of the Democratic Party, she previously represented Ward 4 as a member of the For two years in a row, Rhodes was named America’s #1 Service-Oriented College by Newsweek magazine. This move streamlines access to OJP's content and services while offering improved Abstracts Database capabilities and enabling future … As Director of External Affairs for The Sycamore Institute, Brian manages all communications, marketing, and outreach to policymakers, journalists, and the public. “comparability” and “statewideness”). (10) (11) (12) (13) In other cases, it has been criticized for how it has handled the implementation of major administrative changes (e.g. Prior to joining TennCare, Roberts was a corporate attorney with the Nashville law firm Sherrard, Roe, Voigt and Harbison, and, before entering law school, he was a CPA with Ernst & Young. The Rhodes experience combines the best of the classroom and the real world—through internships, service, research, and other opportunities in Memphis and far beyond. The agreement’s advantageous federal funding limit mitigates any downside risk and could bring additional federal dollars to Tennessee even without other changes to the program. What Can I Do With A Major In Religious Studies? Kyle Spurgeon is president/CEO of the Jackson Chamber, Jackson, TN. (5) Uses like these would draw down more federal Medicaid funds but would also count towards the state’s spending cap. His career also included a number of government posts including chief of staff to then-Governor Lamar Alexander. The maintenance of effort requirement does limit Tennessee’s ability to reduce its Medicaid spending. The TennCare III waiver does not have to be renegotiated until 2030. Jason joined Belmont University in 1998 after ten years of practicing law in Nashville. (1) Since its inception in 1994, TennCare has been subject to a federal funding limit known as the budget neutrality cap (see text box for more information). In FY 2019, TennCare took up about 21% of all state spending, so there is already a strong incentive to find efficiencies in the program. Laura brings with her almost fifteen years of nonprofit and government finance experience, most recently serving as the CEO of Renewal House, a holistic residential treatment center for women and their children affected by addiction and poverty. Ed has been involved in fundraising for numerous political campaigns in Tennessee, including those of Senators Bill Frist, Fred Thompson, Bob Corker, and Lamar Alexander, and he is a former treasurer of the state Republican Party. Tennessee will no longer need prior federal permission to tap existing flexibilities to change features of the program. Federal regulators can issue these waivers to states so as long as the changes involved promote the objectives of the Medicaid program. Last week, the federal government approved a 10-year renewal of TennCare, Tennessee’s Medicaid program, which was set to expire on June 30, 2021. Barr, and Infocare. She is the proud grandmother of Patrick III “Trey” and Bailee Christian. Laura holds a master’s degree in public policy with a focus on business and government from Harvard’s Kennedy School of Government and a bachelor’s degree from Boston College. It could take several years to accumulate enough savings to launch any of the program priorities TennCare officials have identified.
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