Health Affairs

Health Affairs, doi: 10.1377/hlthaff.27.6.w523 (Published online October 14, 2008) © 2008 by Project HOPE	New Online   Getting Health Reform Done   After the State of the Union   Incremental Reform   E-Health in Developing World   Most-Read Articles in 2009

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Florida's Medicaid Reform: Informed Consumer Choice?

Teresa A. Coughlin ^1*, Sharon K. Long ², Timothy Triplett ³, Samantha Artiga ⁴, Barbara Lyons ⁵, R. Paul Duncan ⁶, Allyson G. Hall ⁷

¹ Teresa Coughlin is a principal research associate at the Urban Institute in Washington, D.C.
² Sharon Long is a principal research associate at the Urban Institute in Washington, D.C.
³ Timothy Triplett is a research methodologist there.
⁴ Samantha Artiga is a senior associate at the Henry J. Kaiser Family Foundation in Washington, D.C.
⁵ Barbara Lyons is a vice president of the Henry J. Kaiser Family Foundation in Washington, D.C.
⁶ Paul Duncan is a professor of health services research, management, and policy at the Florida Center for Medicaid and the Uninsured, University of Florida, in Gainesville.
⁷ Allyson Hall is an associate professor of health services research, management, and policy at the Florida Center for Medicaid and the Uninsured, University of Florida, in Gainesville.

^*Corresponding author.

Abstract

Florida is among the first states to implement Medicaid reform using a competitive consumer choice model. Using data from a 2006-07 Kaiser Family Foundation survey of Medicaid recipients newly enrolled in Florida's reform program, we examine how well they understood the changes taking place and their experiences in selecting a health plan. We find important gaps in people's understanding of major components of the reform: About 30 percent were not aware that they were enrolled in reform, and more than half had trouble understanding plan information. These problems were not particular to any group but instead were experienced broadly across the full Medicaid population. [Health Affairs 27, no. 6 (2008): w523-w532 (published online 14 October 2008; 10.1377/hlthaff.27.6.w523)]

Key Words: Access To Care, Business Of Health, Consumer Issues, Health Reform, Insurance Coverage, Managed Care - Medicaid, Medicaid, State/Local Issues

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