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 language | English |
|---|---|
| Pages (from-to) | 43-52 |
| Number of pages | 10 |
| Journal | International Journal of Public Policy |
| Volume | 8 |
| Issue number | 1-3 |
| DOIs | |
| State | Published - Mar 1 2012 |
| Externally published | Yes |
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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 journal › Article
}
TY - JOUR
T1 - The challenges measuring the effectiveness of a statewide Medicaid long-term care managed care programme
T2 - The Florida experience
AU - Golden, Adam G.
AU - Roos, Bernard A.
AU - Silverman, Michael A.
AU - Wan, Thomas T H
PY - 2012/3/1
Y1 - 2012/3/1
N2 - 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.
AB - 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.
KW - Home-and community-based services
KW - Long-term care
KW - Medicaid
KW - Rebalancing
UR - http://www.scopus.com/inward/record.url?scp=84858782891&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84858782891&partnerID=8YFLogxK
U2 - 10.1504/IJPP.2012.045871
DO - 10.1504/IJPP.2012.045871
M3 - Article
VL - 8
SP - 43
EP - 52
JO - International Journal of Public Policy
JF - International Journal of Public Policy
SN - 1740-0600
IS - 1-3
ER -