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Activities to Promote Quality In Florida’s Medicaid Managed Long-Term Care Program

December 6, 2013

Florida's new Medicaid Managed Long-Term Care (LTC) Program has two broad goals – improvingservice quality and cutting costs – that some observers think may not always be compatible. Strongoversight and the availability of timely information about program performance and beneficiaryexperience can help ensure that quality services are delivered even as savings are achieved. Information about how beneficiaries, providers and plans are faring is essential to efforts to refine and improve program operations. Data on plan performance also can be used to help beneficiaries make informed choices among competing managed care organizations.This publication provides general guidance related to planning, sponsoring and conductingLong-Term Care program monitoring activities. It also describes methods and measures that can be used to answer specific questions that stakeholders have raised about Florida's Medicaid Long-TermCare program.

Launch of Medicaid Managed Long-Term Care In Florida Yields Many Lessons for Consideration

December 5, 2013

In August 2013, Florida began the first phase of mandatory enrollment in Medicaid's new Managed Care Long-Term Care program.While some Medicaid beneficiaries already had been receiving long-term care services through managed care plans, the mandatory transition of large numbers of consumers who use long-term care services – the elderly and young adults with disabilities – from fee-for-service to managed care is unprecedented.This brief describes the first phases of implementation and provides recommendations that could help community organizations, health advocacy groups and the State of Florida, ensure optimal outcomes. These recommendations can guide the continued phase-in of the new Long-TermCare program, as well as be useful as Florida prepares to implement the Medicaid Managed Medical Assistance Program for acute care services in 2014.The brief draws on interviews with a variety of stakeholders across the state. In addition to lifting up common concerns, the brief highlights issues to consider and offers suggestions for continuing operations in three program areas: plan choice and enrollment, the availability of services and quality assurance.

Mapping the Gaps: Ideas for Using GIS to Enhance Local Health Department Priority Setting and Program Planning

October 19, 2011

Presents case studies and models for enhanced use of geographic information systems in planning local health department services, including mapping primary and specialty healthcare services and locating chronic disease prevention education activities.

Borrowing to Stay Healthy: How Credit Card Debt Is Related to Medical Expenses

February 1, 2007

Analyzes data from a national household survey of low-and middle-income households with credit card debt, and considers the financial burden of using credit to meet out of pocket medical expenses.