MLTC

Mangling North Carolina’s model Medicaid system

North Carolina’s Medicaid reform proposal ignores some highly pertinent facts and is not in the best interest of our state. The plan as presented to the Centers for Medicare and Medicaid Services seeks approval for dividing the state into three regions, with each having a for-profit managed care organization to compete with local provider-led entities. […]

Twenty-First Century Medicaid: The Final Managed Care Rule

With enrollment reaching 74 percent of all beneficiaries, it is clear that managed care has become the standard organizing mechanism for a Medicaid program whose welfare roots are behind it and that now functions as a principal source of public insurance. Given this broad national policy direction, a strong yet flexible regulatory framework for Medicaid […]

Georgetown Report on Florida’s Long Term Care Medicaid Waiver

Florida’s 2011 Managed Care Legislation, HB 7107, established “Medicaid Managed Care,” a new statewide managed care program for all covered services. The program is expected to control Medicaid program costs by using a capitated rather than fee-for-service payment model. Two separate components are anticipated for  the new program: the Florida Long-Term Care Managed Care program, slated […]

The Pacific Health Group Report: Medicaid Managed Care Study

The state of Florida is grappling with significant growth in its Medicaid recipient population and program expenditures. The growth is partly due to the current economic downturn but also reflects longer term demographic trends. Florida’s Medicaid long‐term care program, for example, is growing to meet the needs of the state’s large elderly population. Florida has […]