13.07.2015 Views

Medical Home Models - The Family Network on Disabilities of Florida

Medical Home Models - The Family Network on Disabilities of Florida

Medical Home Models - The Family Network on Disabilities of Florida

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C<strong>on</strong>cerns• Both models that are highlighted here have populati<strong>on</strong>sthat are significantly lower than <strong>Florida</strong>’s Medicaidpopulati<strong>on</strong>• Costs for increasing reimbursement to the 95-100%range would have an impact for <strong>Florida</strong>• <str<strong>on</strong>g>The</str<strong>on</strong>g> number <strong>of</strong> primary care providers coming out <strong>of</strong>residencies and med school is shrinking for <strong>Florida</strong>• Unlike Oklahoma, <strong>Florida</strong> has a multitude <strong>of</strong> MCOs todeal with, although the agency could address this• <strong>Florida</strong> pays more PMPM than and provides <strong>on</strong>ly 57%Medicare and no incentives than OK who pays about $44PMPM AND pays Medicare plus incentives to providers• <strong>Florida</strong>’s system is not aligned for efficient patient careand cost c<strong>on</strong>tainment

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