Medicaid was indeed accountable to the taxpayer and was closely monitored by the Tennessee State Inspector Generals Office. They and they alone handled abuse complaints and saw to it that services were indeed rendered and payments were forthcoming.
Medicaid in Tennessee was set on a course of destruction under Ned McWherter. If you have a look now some of his Health & Human Services Directors are CEO's of Tenn Care HMO's. It was a deliberate sabatoge to bring in Hillary Care. I have been following this and have fought against Tenn Scare since before it started.
Several national name insurance companies virtually took over our state government through scare tactics. Ironically the very first ones that were almost booted from Tenn Cares rolls were indeed the disabled who had previously worked and became disabled. I say end Tenn Care and restore Medicaid to the origional program under the I.G.'s scrunity. Universal Health Care is not the answer.