Three Years Into A Medicaid Experiment, Measurements Are Tough


After about 3 years of a Medicaid Privatization program that according to former Gov Jeb Bush from Florida, could be a national model, crucial data to measure the program’s effectiveness seems to be missing. The number of approvals and denials of patient treatments and prescriptions seem to be missing as well. This comes from an AP/Miami Herald Report.

The Pilot Program began in 2006. Under this program a set amount is paid to private companies for handling a number of cases in the counties, much like an HMO in the private sector. How to care for the people is decided by the companies as well as which doctor they see and the treatments and medications prescribed.

Patients and health care advocates have complained that doctor appointments and medications are hard to come by in this program. In addition a study by AP has discovered that in Broward and Duval 25 percent of doctors have dropped out of the program due to red tape and treatment restrictions.

In addition improved health care and savings from this program are doubtful. A computer system overhaul has led to the unavailability of usable data. As a result data has been denied to various interested groups.

Wellcare the largest HMO in the pilot stopped caring for patients in May. It said that it was unable to provide quality care because of state budget cuts.


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