The challenges measuring the effectiveness of a statewide Medicaid long-term care managed care programme: the Florida experience. (1st January 2012)

• Record Type: Journal Article
• Authors: Golden, Adam G.; Roos, Bernard A.; Silverman, Michael A.; Wan, Thomas T.H.
• Is Part Of: International journal of public policy. Volume 8:Number 1/2/3(2012)
• Page Start: 43
• Page End: 52
• Publication Date: 2012-01-01
• Subjects: Medicaid -- rebalancing -- home- and community-based services -- long-term care; Political planning -- Periodicals; Public administration -- Periodicals; 351.05
• Languages: English
• ISSNs: 1740-0600

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.