Improving Systems
Last week the Centers for Medicare and Medicaid Services sent a letter to the Florida Agency for Health Care Administration in response to the state’s request for waiver authority to expand managed care statewide. CMS responded by saying that their Medicaid waiver extension request cannot be granted because it lacks a specific plan. The state’s […]
Medicaid is a critical part of Florida’s health care system. It covers about 27% of the state’s children, pays for 51% of all deliveries and nearly 66% of nursing home days. In 2006, a five-year pilot program replaced traditional Medicaid with an unusual managed-care model and other features that required a Section 1115 waiver from […]
Florida’s 2011 Managed Care Legislation, HB 7107, established “Medicaid Managed Care,” a new statewide managed care program for all covered services. Two separate components are anticipated for the new program: the Florida Long-Term Care Managed Care program, slated for implementation first, and the Florida Managed Medical Assistance program, an expansion of the Medicaid pilot program […]
By Joel Ferber, Legal Services of Eastern Missouri and nationally recognized expert on Medicaid A recent article in USA Today focused on Medicaid managed care and its implications for health reform. Health insurance companies are clamoring for the substantial new business that will become available when Medicaid coverage is expanded to an estimated 16 million […]
(Editor’s Note: John Bouman is the President of the Shriver Center. He is recognized for being one of the most effective and thoughtful public-benefit advocates in the country. Say Ahhh! asked him for his thoughts on national health reform.) We all worry about our children so of course we are concerned about the treatment of […]
Health reform is capturing all the headlines these days. And much of the emphasis is on how to contain costs. Unfortunately, what Americans aren’t hearing in the debate is a discussion about the proven ways to reduce costs while improving quality of care and health outcomes. The regrettable assumption is that containing costs means taking […]
