Shifting to Medicaid-Managed Long-Term Care: Are Vulnerable Florida Beneficiaries Properly Informed?

J Appl Gerontol. 2016 Oct;35(10):1077-94. doi: 10.1177/0733464815570668. Epub 2015 Feb 19.

Abstract

Purpose: To examine and assess the adequacy of informational material provided to Florida long-term care beneficiaries being required to choose a managed care provider as part of a statewide, mandatory shift to Medicaid-managed long-term care (MMLTC).

Design and method: Informational materials provided by the state of Florida to 90,000 Medicaid long-term care beneficiaries via print mailings and a state website were examined using established content, usability, and readability criteria.

Results: Overall, the presentation minimized cognitive complexity, but the information was lacking in critical areas, such as providing clear explanations of the change taking place and the significance of beneficiaries' choices, and enabling beneficiaries to assess their own needs and preferences.

Implications: A key feature of managed care is the users' choice of plans, but amid a significant policy shift toward MMLTC in Florida, vulnerable beneficiaries may not be receiving the information necessary to make choices that best meet their needs. Our analysis offers lessons to other states shifting to MMLTC.

Keywords: decision making; informed choice; managed care; readability.

MeSH terms

  • Comprehension
  • Decision Making
  • Florida
  • Government Publications as Topic
  • Humans
  • Internet / standards*
  • Long-Term Care / legislation & jurisprudence
  • Long-Term Care / organization & administration*
  • Managed Care Programs*
  • Medicaid*
  • Pamphlets*
  • Patient Education as Topic / methods
  • Patient Education as Topic / standards*
  • United States