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It could take several years to accumulate enough savings to launch any of the program priorities TennCare officials have identified. There would be no additional financial incentive to reducing enrollment since the cap falls when enrollment falls by more than 1% below 2019. This new source of federal funding would free up as much as 65% (i.e. 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. In addition, Rhodes regularly garners accolades from U.S. News and World Report, Forbes and Fiske’s Guide to Colleges. This field is for validation purposes and should be left unchanged. 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. Her role at Sycamore reflects her longstanding commitment to using data and research to bring together diverse stakeholders and work complex problems. Even with the maintenance of effort requirement, the resulting uncertainties will likely make people who rely on the program for health care anxious. 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. Since TennCare’s last renewal in 2016, federal Medicaid officials made a policy change seen as likely to create new financial risks for TennCare when it came up for renewal this year. with honors at the University of Tennessee, Knoxville, majoring in political science, and earlier was an air traffic controller in the U.S. Air Force. He holds a B.S. State lawmakers would also have to authorize this type of expansion. Malone is a founding member of the Tennessee Public Relations Alliance with MP & F Strategic Communications in Nashville, Moxley Carmichael Public Relations in Knoxville, Q Strategies in Chattanooga, and Hispanic Marketing in Nashville. TennCare can limit coverage of some prescription drugs – a common practice for private insurance and Medicare but never before allowed in Medicaid. the state’s regular FMAP) of the state dollars currently spent on the programs listed below. These flexibilities also create new uncertainties for people already using TennCare and any who may enroll later under the new waiver. The Biden administration could rescind the approval, but the Trump administration has taken steps to lengthen that process. She began her career as a litigator and prosecutor, served as deputy chief of staff to the governor of Indiana, and was elected attorney general of Indiana in 1992. In a press release, TennCare pointed to its initial proposal and recent budget requests, which prioritized things like dental coverage for new and expecting mothers, expanded post-partum coverage, and waitlists for long-term services and supports. Pamela Carter is a retired President of Cummins Distribution Business, a Global Fortune 200 company, and the first African American woman elected as a state attorney general in the United States. ), the University of Michigan (M.S.W), Indiana University School of Law, and Harvard’s Kennedy School. She serves on several boards such as The Equity Alliance Fund, Tennessee Equality Project, as well as the domestic violence center and shelter the Mary Parrish Center. In this role, she leads OMNIA Partners’ nationwide efforts in lobbying, government, and regulatory affairs. 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. Our highest priorities are intellectual engagement, service to others, and honor among ourselves. The shared savings approach increases the ‘value’ to the state budget from spending less on TennCare. Rhodes College is accredited by the Southern Association of Colleges and Schools Commission on Colleges to award baccalaureate and master's degrees. TennCare could tap new and existing flexibilities to produce savings within the funding cap that could potentially affect things like utilization or payment models. 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. Those arguments, however, may not prevent lawsuits from being filed against the federal government. Memphis, TN 38112 He served three terms as president of the Qualitative Research Consultant’s Association, an international association of qualitative research professionals. See Appendix Table 1 for a side-by-side comparison of the new TennCare III waiver, recent federal policy and precedent, and what Tennessee proposed in November 2019. 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. For most, switching to online meetings was only temporary until restrictions were lifted and regular council meetings could resume. 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. 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. (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. 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. 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. Federal Medicaid regulators recently established a new process that gives states at least nine months before federal officials can terminate an approved waiver – during which time states have a window of opportunity to appeal. (18). When she’s not working or volunteering she is back home in East Tennessee hiking the mountains or visiting with family. Going forward, however, the state would also keep about half of the federal savings – which could free up state dollars for other purposes (Figure 5). Karen is a member of the Tennessee Public Health Association, Executive Women’s Association, UT Chancellor’s Associates program Class of 2016, the Women’s Addiction Services Leadership Institute Class of 2014, and the Leadership Knoxville Class of 2013. 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 typical steps for seeking and approving a waiver have accumulated over time in both policy and precedent. The combined experiences of successfully managing a statewide campaign for three state Supreme Court justices in 2014 and serving as the Tennessee Bar Association public policy director, give her a comprehensive understanding of politics and policy from the campaign trail to policy making. They enjoy running and traveling. Rhodes College is an accredited institutional member of NASM. Single Mom Stimulus Grant Winners: Maria Caudillo Delgado, in Austin, Texas, came to the U.S. from Mexico fleeing gang violence when she was 17, now she has three kids ages 8, 4, and 8 months old. About Habitat for Humanity. Ed is active in Germantown United Methodist Church and many community endeavors. 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. Under TennCare III, federal funding will be limited by an aggregate cap based on state-specific costs, national trends, and certain changes in enrollment. This brief will help stakeholders understand the details of the agreement and what it could mean for Tennessee. However, the state would have to allow exceptions when a non-covered drug is deemed medically necessary – a process that has not yet been established. Gabe Roberts is the Founder and Chief Executive Officer of the Roberts Consulting Group (RCG). Any major changes to the program associated with the new features of TennCare III will take time to materialize. Below, we explain six key differences between the TennCare III agreement and what a typical TennCare II renewal might have looked like. Malone is a former broadcast journalist. 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. Kyle is married to Melissa, and together they have five children and one very happy/spoiled dog. This “maintenance of effort” requirement would trigger the traditional federal approval process for any changes that reduce eligibility or benefits relative to December 31, 2020. adding a new optional benefit). Multicultural & international students make up 34% of the student body. In this role, she focused on juvenile justice reform and steps to address the growing opioid crisis. Notice is hereby given that the City of Jackson, Tennessee, Beer Board will meet Tuesday, July 7, 2020 at 8:30 AM in the City Council Chambers at City Hall, 101 East Main Street July 07 , 2020 City Council … Meanwhile, the flexibilities that allow TennCare to quickly add new populations and benefits also lets them roll back those changes faster. 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. Laura Berlind joined The Sycamore Institute in 2015 as the founding executive director. She received the Athena Young Professional award for her leadership, work and service to her community in 2019. In 2006, Lewis served as co-chair of Celebrate Nashville commemorating the city’s 200th birthday. Barr, and Infocare. 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. Before joining the chamber, Spurgeon was vice-president, corporate relations for Jackson Energy Authority. (9). Sheila Calloway is Davidson County’s Juvenile Court Judge, winning election to an eight-year term in 2014. In 2009 and 2015 respectively, he was awarded Community Service Awards by the Mother Liberty CME Church in Jackson and the West Tennessee Healthcare Foundation. TennCare III’s funding structure and flexibilities create an unprecedented and complex set of new incentives and opportunities for state policymakers. Fish and Wildlife Service (USFWS), FedEx, Southern Company and BNSF Railway are pleased to solicit … Leslie Hafner has served in senior leadership roles for multiple Tennessee governors and top lawmakers during an extensive career in and around state and local government. He recently completed two terms as a trustee for The Healing Trust and 10 years of service as chair of the public policy committee and board member of United Ways of Tennessee. 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. He presently serves as chairman of the Tennessee Economic Partnership. 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. The grant was originally weekly. 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. The level of shared savings available to Tennessee will depend on its performance on quality measures. The TennCare III waiver includes legal justifications for many of its more novel and contentious elements – including shared savings and the drug formulary. “comparability” and “statewideness”). Malone is the 1st Vice President of the National Women’s Political Caucus, past President of the Tennessee Women’s Political Caucus, former Vice President of the Shelby County Democratic Party, Past President of the NAACP Memphis Branch, Philanthropic Black Women of Memphis, and is a trustee at Bethlehem Missionary Baptist Church. Rhodes is profiled in The Princeton Review’s popular college guide, The Best 384 Colleges: 2019 Edition, and ranks No. Key features of the new cap include: [mk_custom_box bg_color=”#c2d7dc” padding_vertical=”20″ padding_horizental=”15″]. He was recently named the 2019 Tennessee Chamber of Commerce Executive of the Year. Leslie is currently senior vice president, governmental affairs for OMNIA Partners, Public Sector, the largest group purchasing organization for public and private sectors. In all cases, the shared savings would represent a non-recurring source of funds and would have to be approved during the annual budget process. After graduating from law school in 1994, she worked at the Metropolitan Nashville Public Defender’s Office in both the adult and juvenile systems. While in private practice, he advised and represented nonprofit corporations including numerous colleges and universities. Now retired, Ed has served on numerous nonprofit boards, including Methodist Le Bonheur Healthcare as chairman, Duke University Divinity School, and Porter-Leath. For example: All Medicaid programs with 1115 waivers must meet “budget neutrality” rules. He was awarded a Life Membership in the National Association of State Budget Officers in 2013. While at CNM, the agency expanded to serve more than 800 nonprofits, offering 120 workshops and nearly 100 consulting engagements each year. Any reduction in eligibility or benefits below end-of-2020 levels and certain managed care changes would still need federal sign-off. A veteran public policy communicator who joined Sycamore in 2017, Brian has shaped messaging and public relations efforts for U.S. 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. 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. Candidate in political science at Vanderbilt University, where his studies focused on how institutions shape behaviors and the effects of laws that prevent people with felony convictions from voting. 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. She uses her unique combination of humor, passion, and judicial wisdom to change the way we look at justice in the United States. (14) (15) (16) (17), The TennCare III agreement requires approval from state lawmakers before it takes effect. 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. Meanwhile, shared savings do not have to be used in the year they are earned. In 2018, he was honored by the University of Memphis with the Gene Smith Friend of Lambuth Award. TennCare III creates an unprecedented and complex set of new incentives and opportunities for state policymakers. She also serves on the boards of Harmony Family Centers and the Prevention Alliance of Tennessee. Jim is also Founder/President of The Joseph School, a school for poor and orphaned children in Haiti. Mandy joined The Sycamore Institute in 2016 as the Policy Director. value-based purchasing for behavioral health). In 2011, he assisted current Tennessee Governor Bill Haslam during his transition into state leadership. He is a graduate of Baylor University and received his MBA from Vanderbilt University. Performance Audit Report: Division of TennCare. Stewart Clifton is an attorney and since 2001 a public policy advocate with a practice focused on nonprofit organizations. 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. You will then have the opportunity to complete a general application and, if applicable, apply for specific scholarships. (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. 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. Forum zur Ukraine: Diskussionen, Tipps und Infos zu Reisen, Sprachen, Menschen, Visa, Kultur oder für nette Bekanntschaften in der Ukraine A member of the Democratic Party, she previously represented Ward 4 as a member of the What Can I Do With A Major In Religious Studies? 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. federal medical assistance percentage or FMAP) of Tennessee’s Medicaid costs up to that limit. The state had also proposed that the block grant increase when enrollment grows but hold steady when it drops. Meanwhile, the aggregate cap approach accounts for expected enrollee costs and spending growth but not changes in actual enrollment. Jim has served on the Board of Directors for the Marketing Research Association, the Marketing Research Education Foundation, and as a community board member for the Baptist Healing Trust. 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. —. TennCare has consistently remained below the limit and, since 2002, has been allowed to use any “savings” that accumulate to make up for overages in other years. She is the proud grandmother of Patrick III “Trey” and Bailee Christian. 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. Jude Children’s Research Hospital. The Sycamore Institute Is an Independent, Nonpartisan Public Policy Research Center for Tennessee. 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. She is a regular contributor and a consultant at the Center for Nonprofit Management on Advocacy and a national trainer for Vote Run Lead. At the same time, this agreement will almost certainly face legal challenges in state and federal court. 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. 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. He works closely with Sycamore leadership on organizational strategy and fundraising and with the policy research team on content, editing, and publication. She began her career in policy as an intern and then bill clerk in the Tennessee General Assembly. If the state shows improvement on the measures, it could earn up to 55% of shared savings. Meanwhile, any changes down the road that may negatively affect a TennCare enrollee could trigger a lawsuit against the state. It is unclear if the process of choosing the measures will play out in public. (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). She provides Sycamore’s organizational vision, strategic planning, and day-to-day management. Carter is Chair Elect of the Nashville Symphony Board and serves on the boards of four public companies: CSX Inc., Hewlett Packard Enterprise, Enbridge Inc., and Broadridge Financial Solutions. Exemptions are also carved out for drugs to treat HIV/AIDS and opioid use disorder. She retired in 2015 and is married with two married children and two grandchildren. Malone plays an active role in the Memphis community. For two years in a row, Rhodes was named America’s #1 Service-Oriented College by Newsweek magazine. Deidre and her husband, Dr. Patrick Malone, have two sons, Patrick II and Brian. Many of the flexibilities require public input and prior notification to the federal government. All rights reserved. Bryce is a Ph.D. Information for Prospective Students, Mertie Buckman International Internships Program Celebrates 25 Years, Past Buckman International Internship Recipients, Get Involved! 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. Governor’s Emergency Education Relief (GEER) Funds Compensatory Services for Students with Special Needs. As to the specific circumstances, legal arguments involved, and chance that ongoing legal proceedings halt the waiver’s implementation – only time will tell. A city is a large human settlement. 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. The agreement does not appear to restrict or require reporting on Tennessee’s use of newly available state funds. As Director of External Affairs for The Sycamore Institute, Brian manages all communications, marketing, and outreach to policymakers, journalists, and the public. TennCare has operated under an “1115 waiver” since 1994, which lets it deviate from some federal Medicaid rules. The state would also be able to roll back any such decisions it makes in the future. Jason joined Belmont University in 1998 after ten years of practicing law in Nashville. She held positions on the governor’s communications, legislative, and special projects teams before moving to the Department of Finance and Administration as the commissioner’s executive assistant and lead lobbyist. The organization represents 1100+ business members in Jackson/Madison County and parts of West Tennessee. Rhodes is a national, four-year, private, coeducational, residential college committed to the liberal arts and sciences. State officials are calling the changes to existing federal funding limits a “block grant” or “modified block grant” while federal regulators use the terms “aggregate cap” and funding “target.” In this brief, we refer to it as TennCare III’s federal funding cap or limit. episodes of care). The federal government recently approved TennCare III, which renews the program for 10 years and integrates much of Tennessee’s “modified block grant” proposal. For adult enrollees, TennCare can choose not to cover some prescription medications without losing mandated discounts from the drug industry. 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. Access to abstracts and resources, as well as library services, remain available to you through this page. The state may face some additional risk under the waiver if enrollment grows less than 1% above 2019 levels, but overall, the terms are more advantageous. Kristen has experience in prevention education, community organization, and volunteer administration. If you are a local business facing financial hardships due to the pandemic, we have provided links to resources, and where to find help. In 2014, Laura received the Volunteer of the Year award from the Tennessee Association of Alcohol, Drug and Other Addiction Services. She is a graduate of the University of Detroit (A.B. If policymakers want to roll back TennCare III, it could take longer than prior waivers. If TennCare spends less than its new federal cap, the state could get up to 55% of the difference as “shared savings.” The agreement lets Tennessee use existing state spending on other health-related programs to match this money, which is not currently allowed. and the University of Pennsylvania (Ed.D., with distinction). His career also included a number of government posts including chief of staff to then-Governor Lamar Alexander. Jim Bryson is the Deputy Commissioner for Parks and Conservation for the State of Tennessee, where he is responsible for all state parks. Leslie also served in the administration of Governor Don Sundquist. (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. In September 2008, Malone became the first African American woman to chair the Shelby County Commission and the first female to chair the budget committee. Federal regulators can issue these waivers to states so as long as the changes involved promote the objectives of the Medicaid program. He is married with two children and 4 grandchildren. There is tremendous pressure from Medicaid stakeholders nationwide to overturn many of the new approaches floated by the Trump administration (e.g. 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. As a Policy Analyst for The Sycamore Institute, Bryce conducts research and analysis on the often complex policy issues that impact the health, prosperity, and well-being of Tennesseans. While federal regulators have never before approved a restrictive formulary in Medicaid, Tennessee and many other states do require prior authorization for drugs that are not on their preferred lists. 901-843-3000, 2000 North ParkwayMemphis, Tennessee 38112 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. 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. He worked for Tennessee state government for 39 years, including 32 years in the Budget Division, where he was director for 14 years, and 7 years in the State Planning Office, Local Planning Division. Rhodes College 2000 North Parkway Memphis, TN 38112 800-844-5969 901-843-3000 Request an Edit Report an Access Barrier Malone ran for Mayor of Shelby County and is the first woman to win a major party nomination for that position. 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.

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