The Case Against Florida’s Proposed Managed Long-Term Care Experiment

The Florida Legislature’s 2011 Medicaid reform law is designed to move the entire Medicaid population into managed care organizations (MCO) beginning with elderly and disabled in 2013.  The state must receive waiver approval from the Center for Medicaid and Medicare Services (CMS).  The rationale for this qualitative shift in Medicaid policy is that it will contain costs and improve quality in the state’s long-term care (LTC) program for the elderly and disabled.  In fact, however, there is no credible evidence supporting the view that managed care organizations, either HMOs or service provider networks (SPN) will provide more efficient, cost-effective or fraud free LTC services than the non-profit aging network of Area Agencies on Aging and service providers has provided for the last 30 plus years.

– Florida Chain

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