Mary Mayhew seeks managed care extension but eyes future changes

Florida health care officials on Monday formally asked the federal government to extend for two more years a “waiver” to allow the state to keep intact its Medicaid program that relies on steering patients into privately run managed-care plans. The request, published Monday, doesn’t contemplate making any major immediate revisions to Medicaid, the safety-net health care program for poor people that relies on a mix of state and federal dollars.

But Agency for Health Care Administration Secretary Mary Mayhew told The News Service of Florida that she is going to propose changes to the program in the coming years. Mayhew said that while there has been an “evolution” in the Medicaid program, “there is so much work that needs to be done” to reward quality and ensure timely access to services. She said that “what we know is Medicaid is still antiquated” and that it “hasn’t really invested in the prevention and early intervention services that can produce far better outcomes.”