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