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 Scopus citations


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
Issue number1-3
StatePublished - Mar 1 2012
Externally publishedYes



  • 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

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