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Office of Program Policy Analysis and Government Accountability

Medicaid Reform: More Managed Care Options Available; Differences Limited by Federal and State Requirements, Report No. 08-38, June 2008
 
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  • Medicaid Reform seeks to provide beneficiaries with additional choices of managed care options tailored to meet their needs.  While Reform has succeeded in increasing the number of managed care plans operating in the five Reform counties, there is limited variation in the health services offered by the plans, and they are also generally similar to managed care plan options offered in non-Reform counties.  In addition, only one Medicaid Reform specialty plan (Children’s Medical Services) has become available in Broward and Duval counties.
  • Medicaid Reform plans have customized their service offerings somewhat for different beneficiary groups, although this customization has been limited by federal and state requirements.  Some Reform plans offer higher limits on some medical services and provide additional extra services to aged and disabled beneficiaries.  Medicaid Reform benefits packages have generally remained similar over the first two years of the initiative, with a few plans offering higher benefit levels, additional extra services, and fewer co-payments in the second year.

Which Government Program Summaries contain related information?

Medicaid Health Care Services
Agency for Health Care Administration

What other OPPAGA-related materials are available?

  • Report No. 09-29 Medicaid Reform: Legislature Should Delay Expansion Until More Information Is Available to Evaluate Success,published in June 2009.
  • Report No. 08-64 Medicaid Reform: Reform Provider Network Requirements Same as Traditional Medicaid; Improvements Needed to Ensure Beneficiaries Have Access to Specialty Providers, published in November 2008.
  • Report No. 08-55 Medicaid Reform: Oversight to Ensure Beneficiaries Receive Needed Prescription Drugs Can Be Improved; Information Difficult for Beneficiaries to Locate and Compare, published in September 2008.
  • Report No. 08-54 Medicaid Reform: Risk-Adjusted Rates Used to Pay Medicaid Reform Health Plans Could Be Used to Pay All Medicaid Capitated Plans, published in September 2008.
  • Report No. 08-46 Medicaid Reform: Choice Counseling Goal Met, But Some Beneficiaries Experience Difficulties Selecting a Health Plan That Best Meets Their Needs, published in July 2008.
  • Report No. 08-45 Medicaid Reform: Beneficiaries Earn Enhanced Benefits Credits But Spend Only a Small Proportion, published in July 2008.
  • Report No. 08-40 Medicaid Reform: Two-Thirds of the Initial Pilot Counties’ Beneficiaries Are Enrolled in Reform Plans, published in June 2008.
  • Report No. 08-37 Medicaid Reform: Few Beneficiaries Have Participated in the Opt-Out Program, published in June 2008.

Copies of this report in print or alternate accessible format may be obtained by telephone (850/488-0021), by FAX (850/487-9213), in person, or by mail (OPPAGA Report Production, Claude Pepper Building, Room 312, 111 W. Madison St., Tallahassee, FL 32399-1475).
e-mail address: oppaga@oppaga.fl.gov


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