The Florida Association of Health Plans' mission is to better the health of Florida's citizens by promoting the growth of health plans dedicated to providing the best service, highest quality of care, best value and affordability, and access to their members and business partners. We do this by:
1. Helping to develop cooperative relationships between health plans, providers, government partners, and employer groups.
2. Advocating for the interests of health plans and their members on legislative and regulatory issues.
3. Educating our members, policy makers, and the public about our health plans and the benefits they provide.
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For Immediate Release
Wednesday, December 14, 2016
FAHP Statement on Long-term Care Component of Statewide Medicaid Managed Care Program
Tallahassee, Fla. – The Florida Association of Health Plans, Inc. (FAHP) today released the following statement, attributable to President and CEO Audrey Brown, following the overview and update on the long-term care (LTC) component of the Statewide Medicaid Managed Care (SMMC) program presented to the Senate Appropriations Subcommittee on Health and Human Services.
“The original goal of making LTC a part of the SMMC program was two-fold – 1. to achieve cost savings by reducing the reliance on nursing homes and increasing utilization of appropriate community-based alternatives, and 2. to expand meaningful benefits to beneficiaries that the previous fee-for-service Medicaid program did not offer, in order to enhance opportunities to transition from institutional settings to more appropriate, less restrictive settings.
“Since implementation, the long-term managed care program works both in terms of achieving cost savings and expanding meaningful benefits. First and foremost, this program delivers the right amount and type of care to address individuals’ needs and delivers it through more cost-efficient, home-based care services, which not only offers a less restrictive setting, but has also resulted in $427 million in cost savings.
“Health plans have also been able to leverage their resources to offer expanded benefits, such as support to transition to the community, emergency financial assistance, dental, hearing and vision services, transportation and many more. These expanded benefits were valued at $9.5 million in 2015 and are financed by the health plans – not taxpayers.
“Further demonstrating its success, 77.4 percent of Medicaid LTC recipients recently indicated in a survey that their quality of life has improved as a result of the SMMC LTC program.
“FAHP supports keeping in place the current long-term managed care program that, as the legislature originally envisioned, has proven successful at achieving cost savings and better serving a vulnerable population since its implementation.”