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Office of Program Policy Analysis and Government Accountability

Medicaid Reform: Two-Thirds of the Initial Pilot Counties' Beneficiaries Are Enrolled in Reform Plans, Report No. 08-40, June 2008
 
Full report in PDF format


The Agency for Health Care Administration began providing Medicaid Reform managed care services to beneficiaries in Broward and Duval counties in September 2006, and began serving beneficiaries in Baker, Clay, and Nassau counties in September 2007. The agency used a phase-in process to transition beneficiaries into Reform plans. As of May 2008, about two-thirds of beneficiaries (187,264 or 65%) in Broward and Duval counties were enrolled in Medicaid Reform health plans. As of this same time, 13,419 beneficiaries, or 55% of the Medicaid population in Baker, Clay, and Nassau counties were enrolled in Reform health plans. Overall, most (73%) of those enrolled in Reform plans in the five counties are served by health maintenance organizations. However, in Baker, Clay, and Nassau counties, almost two-thirds (64%) of Reform beneficiaries are enrolled in provider service networks.

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. 08-38 Medicaid Reform: More Managed Care Options Available; Differences Limited by Federal and State Requirements, 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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