Research-and-Resources

Foundation for Government Accountability research found that Florida’s Medicaid
Reform Pilot is a decided success. Reform Pilot patients are healthier and happier compared
to patients trapped in Old Medicaid, at some of the lowest per person costs in the country.

  

RESEARCH

Policy Brief #7 -
Choice Counseling Paying Dividends

Choice Counseling Paying Dividends

Read the full policy brief (PDF)

Policy Brief #6 -
CCNC Flaws:Why Community Care of
North Carolina is Failing Patients,
Taxpayers and Policymakers

CCNC-Flaws-graphic

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Policy Brief #5 -
Lessons Learned: How the Partnership
for a Healthy North Carolina Avoids
Kentucky’s Medicaid Reform Mistakes

Policy-Brief-7-graphic

Read the full policy brief (PDF)

Policy Brief #4 -
Medicaid in Ohio: The Choice is Clear

Policy-Brief-6-graphic

Read the full policy brief (PDF)

Policy Brief #3 -
The Partnership for a Healthy
North Carolina: Medicaid Reform
that Works for Patients,
Providers, and Taxpayers Alike

Policy-Brief-5-graphic

Read the full policy brief (PDF)

Policy Brief #2 -
Medicaid Waivers and
State Plan Amendments:
Which is Right for Your State?

Policy-Brief-4-graphic

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Policy Brief #1 -
Big Taxpayer Savings for Every State

Read the full policy brief (PDF)

Medicaid Cure Backgrounder

Read the full paper (PDF)

 

  

FLORIDA’S MEDICAID CURE

BY THE NUMBERS…
FLORIDA’S MEDICAID REFORM PILOT

5Number of counties currently part of the Medicaid Reform Pilot (Baker, Broward, Clay, Duval, Nassau)

 

290,000Number of Medicaid recipients participating in the Reform Pilot

 

$118 millionEstimated annual savings to Florida taxpayers achieved by the Medicaid Reform Pilot

 

83%Percent of Reform Pilot HMO satisfaction measures at or above national Medicaid benchmark and commercial plan benchmarks

 

100%Percent of Reform Pilot PSN satisfaction measures at or above national Medicaid benchmark

 

$901 millionAnnual savings to Florida taxpayers if Reform Pilot were enacted statewide

 

$28.6 billionTotal annual savings nationally if Reform Pilot were replicated nationwide

 

64%Percent of health outcomes (HEDIS) among Reform Pilot patients better than non-Reform patients

 

BACKGROUND

  • Florida passed Medicaid Reform Pilot for 5 counties with bipartisan support in 2006
  • Shift heath care from the government-controlled status quo toward patient-centered care 
  • Goals: greater choice, expanded services, improved access to specialists, higher health outcomes, ability to opt-out for private coverage, & increased patient satisfaction

 

GREATER CHOICE AND CONTROL FOR PATIENTS

  • Increase patient choice by expanding number and types of plans offered
  • Patients deserve the power to choose, and the ability to reward good plans
  • Reform Pilot patients can choose among 2 and 11 plans, depending on county
  • Ability to choose plan that best meets patients’ unique health needs

 

LOWER COSTS FOR TAXPAYERS

  • Per enrollee costs for Reform Pilot counties are flat over last five years
  • Reform Pilot has already saved Florida taxpayers $118 million annually 
  • If implemented statewide, Reform would save Florida taxpayers up to $901 million annually
  • Reform Pilot achieves 16.8% savings per person for families and children, and 10.9% savings per person for elderly and disabled compared to estimated Florida averages

 

THE PATIENT IS THE PRIORITY

  • Reform Pilot plans feature 12 additional services (7 extra offered in one or more plans)
  • Access to and satisfaction with specialists for Reform Pilot enrollees at or above national averages for Medicaid and commercial plans
  • Reform Pilot patient health outcomes exceed national Medicaid average in 53% of target areas, and near national average in another 15%
  • Reform Pilot patients offered over $31 million in financial incentives for better health behavior
  • Premiums for Reform Pilot patients are stable and predictable
  • Reform Pilot patients report significantly higher rate of satisfaction than traditional Medicaid enrollees and commercial HMO enrollees