HEALTH:FURTHER 2016 PRESENTER
Dr. Vaughn Frigon, M.D. | Chief Medical Officer, TennCare
Vaughn is originally from Alexandria, Virginia. He graduated with a Bachelor of Science degree from the United States Military Academy at West Point, New York and served in the U.S. Army as an Infantry Platoon Leader in the 101st Airborne Division. He fought in the Persian Gulf War and was awarded the Bronze Star for Valor. Vaughn then attended the University of Tennessee College of Medicine in Memphis, Tennessee and graduated as a Medical Doctor. He completed a General Surgery internship and was the Chief Resident in Orthopedic Surgery at Tulane University Medical Center in New Orleans, Louisiana. He also completed a Masters in Healthcare Management degree at the Vanderbilt University Owen Graduate School of Management in Nashville, Tennessee. Dr. Frigon is Board Certified by the American Board of Orthopedic Surgery and has active medical licenses in Georgia and Tennessee. He has numerous academic publications and presentations and is a reviewer for the Journal Orthopedics. Vaughn started Logos Medical Institute, a successful Medical Consulting business and then became the Vice President and Lead Medical Director of Unum Insurance, the largest disability insurance company in the world. He is now the Chief Medical Officer for the Tennessee Health Care Finance and Administration Bureau of TennCare in Nashville, Tennessee, where he supervises the medical, dental, and pharmacy programs for the state. He is particularly involved now with issues of healthcare expansion and payment reform that will significantly shape the way care is delivered in the future.
TennCare is the State of Tennessee's Medicaid program that currently provides health care for 1.2 million Tennesseans and operates with an annual budget of approximately 8 billion dollars. The program will likely be expanding significantly in 2014. The TennCare program operates under a Section 1115 waiver from the Centers for Medicare and Medicaid Services (CMS) in the United States Department of Health and Human Services. TennCare is organized under a managed care model that generates sufficient savings to extend coverage to additional populations who would not otherwise be Medicaid eligible, without compromising quality of care. TennCare is one of the oldest Medicaid managed care programs in the country, having begun on January 1, 1994. It is the only program in the nation to enroll the entire state Medicaid population in managed care. The Bureau of TennCare within the Tennessee Department of Finance and Administration is the state agency charged with responsibility for administering the TennCare program. In addition to overseeing the contracts with the managed care entities and overseeing the long-term care program, the Bureau of TennCare is responsible for payment of Medicare premiums, deductibles, and/or coinsurance for dual eligible Medicare beneficiaries.