Winter ’15
9
FEATURE
Florida’s Medicaid Churn
M
edicaid Churn” is likely
not part of routine
conversations by the home
care agency water cooler,
but that may change. So what exactly is
Medicaid Churn you ask? Medicaid Churn
is simply the movement of consumers from
one health plan or system to another. This
movement, which is accelerating here in
Florida, makes the process of ensuring that
all of your Medicaid home care claims are
paid more challenging.
In Florida, churning occurs in an often
dramatic turnover of beneficiaries across
three categories:
a) Floridians eligible for Medicaid
b) Floridians eligible for
Exchange subsidies
c) Floridians not eligible for any
insurance affordability program
By Brad Caldwell
“
inter ‘1
