Medicaid The changes in Tennessee will take months to implement because they need final legislative approval, and state officials must negotiate quality of care targets with the administration. (Image: Shutterstock)

With just a dozen days left in power, the Trump administration on Friday approved a radically different Medicaid financing system in Tennessee that for the first time would give the state broader authority in running the health insurance program for the poor in exchange for capping its annual federal funding.

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