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

doi:10.1504/IJPP.2012.045871

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

Medicine

Research output: Contribution to journal › Article › peer-review

1 Scopus citations

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 (US)
Pages (from-to)	43-52
Number of pages	10
Journal	International Journal of Public Policy
Volume	8
Issue number	1-3
DOIs	https://doi.org/10.1504/IJPP.2012.045871
State	Published - Mar 1 2012

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

Access to Document

10.1504/IJPP.2012.045871

Cite this

@article{ea3271fbf5a447649e9f7874a55c808f,

title = "The challenges measuring the effectiveness of a statewide Medicaid long-term care managed care programme: The Florida experience",

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.",

keywords = "Home-and community-based services, Long-term care, Medicaid, Rebalancing",

author = "Golden, {Adam G.} and Roos, {Bernard A.} and Silverman, {Michael A.} and Wan, {Thomas T.H.}",

year = "2012",

month = mar,

day = "1",

doi = "10.1504/IJPP.2012.045871",

language = "English (US)",

volume = "8",

pages = "43--52",

journal = "International Journal of Public Policy",

issn = "1740-0600",

publisher = "Inderscience Enterprises Ltd",

number = "1-3",

}

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

AN - SCOPUS:84858782891

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 -

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

Abstract

Keywords

ASJC Scopus subject areas

Access to Document

Other files and links

Fingerprint

Cite this