Nearly 700,000 Tennesseans will gain new coverage under health-care reform, but those already with insurance might have to wait longer to receive care and younger people overall may have to pay more.

Those are among findings from a report out from a think tank the state’s largest health insurer, BlueCross BlueShield of Tennessee, launched this year to study the interface between public policy and health care.

“It will be a little longer line, but everybody will be in the line,” said Dr. Steven L. Coulter, president of the insurer’s Tennessee Health Institute and co-author of the report with William T. Cecil, an independent health-care consultant.

Expanding insurance coverage without a corresponding increase in the number of primary care doctors, could create problems with access to medical care, the study says.

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