Evaluation of the Impact of Medicaid Reform on the Florida Medicaid Program

Contractor: University of Florida

Agency Contract Number: MED148

The Agency contracted with the University of Florida to complete the independent evaluation of the Medicaid Reform program authorized under a Section 1115 Demonstration project. Specifically, the Vendor evaluated eight (8) of the nine (9) domains of focus identified by the Centers for Medicare and Medicaid Services (CMS) in the CMS Waiver Authorities and Special Terms and Conditions (STC) issued on December 15, 2011.  The domains of focus evaluated through this contract are:

  1. The effect of managed care on access to care, quality and efficiency of care, and the cost of care;
  2. The effect of customized benefit plans on beneficiaries’ choice of plans, access to care, or quality of care;
  3. Participation in the Enhanced Benefits Account Program and its effect on participant behavior or health status;
  4. The effect of LIP funding on the number of uninsured and underinsured, and rate of uninsurance;
  5. The effect of LIP funding on disparities in the provision of health care services, both geographically and by population groups;
  6. The impact of Tier-One and Tier-Two milestone initiatives on access to care and quality of care (including safety, effectiveness, patient centeredness, timeliness, efficiency, and equity);
  7. The impact of Tier-One and Tier-Two milestone initiatives on population health; and
  8. The impact of Tier-One and Tier-Two milestone initiatives on per-capita costs (including Medicaid, uninsured, and underinsured populations) and the cost-effectiveness of care.

*Note: The Agency contracted with Florida International University (MED150) to evaluate one (1) of the nine (9) domains of focus* (Domain iv) the impact of the Demonstration as a deterrent against Medicaid fraud and abuse

Key Deliverables
Deliverable / Activity Date
Low Income Pool Milestone Statistics and Findings Report DY 6 (2011-2012) [4.78MB PDF] (Del. 9) March 2013
Final Report of Domains i – ii  DY6 (2011-2012) [2.23MB PDF] Note title of report on document states it is Year 2 which is a mistake. (Del. 3) June 2014
Final Report of Domain iii DY 6 (2011-2012) [1.43MB PDF] Note title of report on document states it is Year 2 which is a mistake. (Del. 6) June 2014
Final Report of Domains v – ix DY6 (2011-2012) [1.12MB PDF] (Del. 11) September 2013
Primary Care and Alternative Delivery Systems Expenditure Report  DY 7 (2012-2013) [1.65MB PDF] (Del. 17) December 2013
Low Income Pool Milestone Statistics and Findings Report DY 7 (2012-2013) [5.19MB PDF] (Del.19) March 2014
Final Report of Domains i – ii DY 7 (2012-2013) [2.74MB PDF] (Del. 13) May 2014
Final Report of Domain iii DY 7 (2012-2013) [1.45MB PDF] (Del. 15) May 2014
Final Report of Domains v – ix DY 7 (2012-2013) [1.13MB PDF] (Del. 21) June 2014
Final Reform Evaluation Report  of Year 1 and 2 (DY 6-8) [4.79MB PDF] (Del. 25) October 2014
Final Primary Care and Alternative Delivery Systems Expenditure Report DY 8 (2013 – 2014) [47.27MB PDF] (Del. 23) February 2015
Final Low Income Pool Milestone Statistics and Findings Report DY 8 (2013-2014) [3.80MB PDF] (Del. 27) March 2015