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

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