title: Shifting to Medicaid-Managed Long-Term Care: Are Vulnerable Florida Beneficiaries Properly Informed?
abstract: 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).
  
  
  
  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.
  
  
  
  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.
  
  
  
  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.
authors.affiliation: University of South Florida, School of Aging Studies, Florida Policy Exchange Center on Aging, Tampa, USA ljpeterson@mail.usf.edu.
authors.forename: Lindsay J
authors.initials: LJ
authors.lastname: Peterson
authors.affiliation: University of South Florida, School of Aging Studies, Florida Policy Exchange Center on Aging, Tampa, USA.
authors.forename: Kathryn
authors.initials: K
authors.lastname: Hyer
mesh_terms: D032882:Comprehension; D003657:Decision Making; D005431:Florida; D006079:Government Publications as Topic; D006801:Humans; D020407:Internet / Q000592:standards*; D008134:Long-Term Care / Q000331:legislation & jurisprudence / Q000458:organization & administration*; D008329:Managed Care Programs; D008484:Medicaid; D010174:Pamphlets; D010353:Patient Education as Topic / Q000379:methods / Q000592:standards*; D014481:United States
keywords: decision making; informed choice; managed care; readability