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

Authors: Adam G. Golden; Bernard A. Roos; Michael A. Silverman; Thomas T.H. Wan

Addresses: Orlando VA Medical Center, 5201 Raymond Street, Orlando, FL 32803, USA. ' Orlando VA Medical Center, 5201 Raymond Street, Orlando, FL 32803, USA. ' Orlando VA Medical Center, 5201 Raymond Street, Orlando, FL 32803, USA. ' Orlando VA Medical Center, 5201 Raymond Street, Orlando, FL 32803, USA

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: Medicaid; rebalancing; home-based services; community-based services; long-term care; home care; healthcare; managed care; USA; United States; nursing homes.

DOI: 10.1504/IJPP.2012.045871

International Journal of Public Policy, 2012 Vol.8 No.1/2/3, pp.43 - 52

Published online: 31 Jul 2014 *

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