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Report Raises Concerns Over State's Move to Managed Care for Medicaid Florida should invest in more education and outreach and allow more time for moving millions of Medicaid patients to managed care companies. That's the recommendation in a new report from Georgetown University.
The shift to managed care is already underway, with seniors and disabled people needing long-term care the first to move. Many of those patients also need medical services, which is a different part of the Medicaid program. Patients being shifted to managed care receive a notice and are asked to choose a plan- but if they don’t- a plan is chosen for them. Report author Laura Summer says that could land a patient in multiple plans, particularly if they're also eligible for Medicare, and 95-percent of Medicaid patients are. “And since the rules for those various programs aren’t exactly the same, and since they might find themselves with multiple case managers, if they’re enrolled in multiple plans, it could be a pretty confusing scenario,” she says. When the first group of long-term care patients were moved to managed care, only a third of them selected a plan for themselves- which is why the report suggests there needs to be more invested in patient counseling and outreach.
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