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

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Listed:
  • Adam G. Golden
  • Bernard A. Roos
  • Michael A. Silverman
  • Thomas T.H. Wan

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.

Suggested Citation

  • Adam G. Golden & Bernard A. Roos & Michael A. Silverman & Thomas T.H. Wan, 2012. "The challenges measuring the effectiveness of a statewide Medicaid long-term care managed care programme: the Florida experience," International Journal of Public Policy, Inderscience Enterprises Ltd, vol. 8(1/2/3), pages 43-52.
  • Handle: RePEc:ids:ijpubp:v:8:y:2012:i:1/2/3:p:43-52
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    References listed on IDEAS

    as
    1. Michelle Amaral, 2010. "Does substituting home care for institutional care lead to a reduction in Medicaid expenditures?," Health Care Management Science, Springer, vol. 13(4), pages 319-333, December.
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