The Agency for Health Care Administration has taken some of the actions we recommended. The Agency (1) revised its method for setting monthly prepaid health plan fees, which has resulted in annual state savings of $74.3 million; (2) contracted with an independent entity to evaluate MediPass and its impact on Medicaid costs; and (3) implemented choice counseling to inform Medicaid clients of their managed care options.
However, the Agency has not established performance objectives for judging the success of Medicaid managed care in improving access to and the quality of health care services and in containing costs. Also, the Agency has not compared the relative effectiveness of MediPass, prepaid health plans, and traditional fee-for-service.

Expected Medicaid Savings Unrealized; Performance, Cost Information Not Timely for Legislative Purposes
Report 01-61 November 2001
Medicaid Program Integrity Efforts Recover Minimal Dollars, Sanctions Rarely Imposed, Stronger Accountability Needed
Report 01-39 September 2001
Health Care Regulation Program, Agency for Health Care Administration
Report 01-24 May 2001

Copies of this report in print or alternate accessible format may be obtained by email OPPAGA@oppaga.fl.gov, telephone (850) 488-0021, or mail 111 W. Madison St., Room 312 Tallahassee, FL 32399-1475.