The challenges measuring the effectiveness of a statewide Medicaid long-term care managed care programme

The Florida experience

Adam G. Golden, Bernard A. Roos, Michael A. Silverman, Thomas T H Wan

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

Recent passage of legislation in Florida mandating the development of a statewide Medicaid managed care long-term care plan was initiated to facilitate the utilisation of home- and community-based long-term care services in place of high cost, non-skilled nursing home care. However, programme savings will be limited if the care needs of nursing home residents exceed that currently provided by community-based programmes. This article reports on the challenges that arose from our efforts to compare the care burden of nursing home residents and nursing home-eligible Medicaid waiver programme enrolees. Our experience will better enable policy researchers and managed care plans to design comparative effective studies that address the rebalancing of long-term care resources.

Original languageEnglish
Pages (from-to)43-52
Number of pages10
JournalInternational Journal of Public Policy
Volume8
Issue number1-3
DOIs
StatePublished - Mar 1 2012
Externally publishedYes

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managed care
nursing home
experience
resident
home care
community
savings
utilization
legislation
costs
resources

Keywords

  • Home-and community-based services
  • Long-term care
  • Medicaid
  • Rebalancing

ASJC Scopus subject areas

  • Sociology and Political Science
  • Political Science and International Relations
  • Public Administration

Cite this

The challenges measuring the effectiveness of a statewide Medicaid long-term care managed care programme : The Florida experience. / Golden, Adam G.; Roos, Bernard A.; Silverman, Michael A.; Wan, Thomas T H.

In: International Journal of Public Policy, Vol. 8, No. 1-3, 01.03.2012, p. 43-52.

Research output: Contribution to journalArticle

Golden, Adam G. ; Roos, Bernard A. ; Silverman, Michael A. ; Wan, Thomas T H. / The challenges measuring the effectiveness of a statewide Medicaid long-term care managed care programme : The Florida experience. In: International Journal of Public Policy. 2012 ; Vol. 8, No. 1-3. pp. 43-52.
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