While many states cut back on their Medicaid enrollments from 1993 to 2001, TennCare grew from 750,000 to 1.47 million enrollees. The state was less successful in controlling costs, however. Each major stakeholder group (the state, the managed care organizations, the providers, and the enrollees and their advocates) pushed back against parts of the state's strategy that adversely affected their interests, and they eventually dismantled the mechanisms of cost constraint.

The author lays out the four stakeholder perspectives for each period in the history of TennCare and provides a link to difficult-to-access primary documents.

The wild and rural landscape of southern Vermont offers a true bounty of great trail-running opportunities, from out­-and-­back (or point­to­point) runs on popular long-distance routes, such as segments of the Long Trail or Appalachian Trail, to quiet, little-known loops hidden away in the woods. This helpful guide is just the resource needed for trip planning or for a spontaneous run in a beautiful place.

Local expert trail runner Ben Kimball offers a range of suggested route options, sometimes even several at the same site, for runners of all skill levels. He also provides important practical information, such as the full distance of the suggested route; a difficulty rating; the trail style and type; the total ascent; and directions, along with a detailed description of the trail itself. There are also scannable codes for downloading trail maps to your smartphone. The trails included vary in difficulty and terrain type, and range from low elevations in the Connecticut River Valley to as high as 4,000 feet at Killington Peak in the Green Mountains. This indispensable book is the perfect companion for adventurous runners and hikers interested in exploring southern Vermont.