Title: Health coverage update
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Permanent Link: http://ufdc.ufl.edu/UF00091098/00001
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Title: Health coverage update
Physical Description: Serial
Language: English
Creator: Florida Center for Medicaid and the Uninsured, College of Public Health and Health Professions, University of Florida
Publisher: Florida Center for Medicaid and the Uninsured, College of Public Health and Health Professions, University of Florida
Place of Publication: Gainesville, Fla.
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Volume ID: VID00001
Source Institution: University of Florida
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I 1Llkl t M
Florida Center for Medicaid and the Uninsured
Shaping Healthcare Policy

Health Coverage Updates

Volume 1 Issue 1

Robert G. Frank, Ph.D.

Allyson Hall, Ph.D.

Heather Steingraber, MAC (ABT)

Jianyi Zhang, Ph.D.

Tina Pruitt
Heather Henderson

Catie Aftuck
Natalie Blevins, M.H.A.
Eleni Dimoulas, M.S.
Eric McKinney
Fred Sheriff
Jennifer Soporowski

April 2004

Improving Healthcare

Coverage in Florida


Despite repeated calls for reform, large
numbers of people in the United States
continue to be without health
insurance. Recent estimates for 2002
put the number of uninsured under age
65 in the United States at about 43.3
million, reflecting an increase of 2.4
million since 2001 (Kaiser Family
Foundation, September 2003).

The consequences of being uninsured
are well documented. We know that
those without coverage have greater
difficulty gaining access to health care.

For example, the uninsured are more
likely to postpone care or not fill a
needed prescription because of cost.
They are also more likely to have
problems paying medical bills, as well as
being contacted by a collection agency
about their bills (Kaiser Family
Foundation, September 2003).

High rates of uninsurance also have
societal and community implications.
An Institute of Medicine (IOM) report
concluded that a community's high
uninsurance rate had adverse
consequences on the community's
health care institutions (Institute of

Medicine (a), 2003). A study
commissioned by the IOM found that
within large metropolitan statistical
areas (MSAs), as the rate of uninsurance
increased, the availability of certain
hospital services decreased (Gaskin and
Needleman, 2003). Furthermore, the
level of speciality services such as
trauma, psychiatric, and alcohol and
chemical dependence treatment services
are lower in MSAs with high rates of

Having health insurance is also linked
to better health outcomes. The IOM
estimates that the value of a healthier

Figure 2: Health Insurance Coverage by Poverty Level Florida, 2001

1 Employer-based Private 0 Public Uninsured

Figure 1: Health Insurance Coverage United States and Florida, 2001

SEmployer-Sponsored 0 Private U Public Uninsured
Peret, Ages 0-64

21 16



Flolida, 2001 United States, 2001
Anlyss of he 1996 and 2002 Marh Splement t the Cunt Populaon

Pernt, Ages 0-64





<=100% 101-150% 15
FPL FPL 200o/

Analys of fi 1996 ad 202 Mah Supplnt to the C nt
Populaton S-uey

life that an uninsured child or adult
forgoes because of the lack of health
insurance is between $1,645 and $3,280
for each year without coverage (Vigdor,
2003). This translates into an aggregate
annualized estimate of between $65 and
$130 billion for the nation for each year
of insurance foregone (Institute Of
Medicine (b), 2003).

The window of opportunity to improve

health care coverage in the United States
and in Florida appears to be opening.
Both Democrats and Republicans are
making health insurance reform a key
issue in the 2004 presidential campaign.
In Florida, two task forces have
deliberated and made recommendations
to the Governor and the Legislature on
this issue. Furthermore, Florida was
recently awarded a grant from the federal
government to provide an up-to-date
estimate of the number of uninsured and
to make recommendations for providing

health care coverage for all uninsured
citizens in the state.

Florida's Uninsured: Who are

Persistent high rates of uninsurance in
Florida have been well documented. The
Kaiser Family Foundation ranks the state
of Florida sixth in the nation in terms of
the percent of its population without
health insurance coverage. Estimates from
the 2000-2001 Current Population
Survey indicate that about 18 percent of
Florida's population is uninsured (Kaiser
Family Foundation Online State Health
Facts). Other analyses show that about 21
percent of non-elderly Floridians are
without coverage (Figure 1).

Individuals in Florida, who are
socioeconomically disadvantaged, are
more likely to be without health care
coverage (Figure 2). Among the non
elderly who live below 100 percent of the
federal poverty level, 41 percent are
without coverage compared to
approximately 20 percent of individuals
between 201 and 300 percent of the
poverty level.

Racial and ethnic non-elderly minorities
are also more likely to be without health
insurance: 14 percent of non-Hispanic
whites, 25 percent of non-Hispanic
blacks, and 37 percent of Hispanics living
in Florida are uninsured. Foreign-born
residents of the state are particularly
vulnerable: almost 50 percent of non
citizens do not have coverage compared

to 17 percent of citizens (Figure 3).

The 1999 Florida Health Insurance Study
(FHIS) showed dramatic variations across
communities (Duncan et al, 2000). For
example, the study showed that in Miami
Dade County, 25 percent of the non
elderly were uninsured, compared to
about 15 percent in Palm Beach County.
A more recent analysis from the 2002
March Supplement of the Current
Population Survey demonstrated that this
significant variation in communities
continues to occur. Among major
metropolitan areas within the state,
Jacksonville has the lowest rate of
uninsurance (13 percent) compared to
rates in West Palm Beach /Boca Raton
(22 percent) and Miami (29 percent)
(Figure 4).

The 1999 FHIS also provides insight into
the situation in Florida's rural areas.
Although only three percent of Florida's
non-elderly reside in rural areas, roughly
25 percent of these residents are

Incremental Options for Reform

The various options for reform proposed
by state and national policymakers and
opinion leaders share some common
themes: the reform proposals build on the
current system of employer-sponsored
coverage, most of the proposals advocate
for an expanded public-sector role and
focus on individual responsibility.

page 2 Florida Center for Medicaid and the Uninsured

1 to 201 to 251 to 301+%FPL
TPL 250%PTL 300%FPL


page 2

Florida Center for Medicaid and the Uninsured

Building on the Employer Base

There are advantages to building on the
existing employer based system.
Obtaining health insurance from an
employer is the way most people get
coverage. Over the last century,
Americans have come to accept employer
sponsored health insurance as the norm.
(Duchon et al, 2000) Furthermore,
employer coverage permits health risk
pooling, automatic enrollment and
payroll withholds for premium payments,
and experienced benefit plan managers
(Davis and Schoen, 2003).

Rae fuisrnei
Flrd var sinfcnl

acos Iomuie refecin

loa diffrne in emlyr


well, as in' pouato

cteist-c I

Strategies that build on the
employer-based system of
insurance must be cognizant
structure and composition
employers, particularly those

of the
of the
in the

private sector.

In Florida, the majority of private sector
establishments have a small number of
employees. In 2001, almost three-quarters
of all private sector firms had fewer than
25 employees (Figure 5). That is, about
1.3 million workers statewide, or about
21 percent of private sector workers, are
in firms with fewer than 25 workers.

Small firms are less likely to provide
coverage compared to larger firms. For
example, only 40 percent of firms with
fewer than 10 employees offer coverage,
while close to 100 percent of firms with
more than 1,000 employees offer coverage
(Figure 6). However, workers in large
firms are also at risk for being uninsured.
Recent national estimates indicate that

the number of
uninsured workers Figure 3: Health In,
in large firms is Florida, 2001
increasing (Glied,
2003). Ag 0.4 4

Small employers so%
tend not to offer
health care coverage 60%
because it is
e x p e n s ive 4
Premiums for small
employers tend to
be higher because on
(a) costs of Citizens
marketing and
Analysis of the 2002 March Suppl
must be spread over
fewer enrollees, (b)
small firms are at
greater risk for Figure 4
adverse selection, ME
and (c) small 100 P..-t,Ag .0-64
establishments lack 6 21
the bargaining 80
power of larger 60
employers in
negotiating with
insurers. As a 20
consequence, 0 ,
workers in smaller
firms have higher "
average employee ,
relative to workers Aalysisofth 2002MarchSupl.m
in firms with over
1,000 employees
(Figure 7).

It is important to note that when small
firms do offer coverage, a high percentage
of their employees are eligible (Figure 8)
and are enrolled in health plans
(Figure 9).

Proposals from various sectors including
the White House, Congress, former
Democratic presidential candidates, and
from Florida's Governor and Lieutenant
Governor all place emphasis on small
employer groups. In his 2004 State of the
Union Address, President Bush noted
"small businesses should be able to band
together and negotiate for lower insurance
rates, so they can cover more workers with
health insurance."

Purchasing Pools: Several Democratic
candidates (Collins et al, 2003) and other

policymakers (Davis and Schoen, 2003)
have proposed the establishment of a new
group insurance option for small
businesses and individuals modeled after
the Federal Employee Health Benefits
Program. One example is S. 39
(Promoting Health Care Purchasing
Cooperatives Act) introduced in the US
Senate. This bill promotes the
development of health care cooperatives
that will aid small businesses in pooling
their purchasing power. In Florida, the
Governor and the Lieutenant Governor
propose creating purchasing pools, which
will be available to small employers with
two to 25 employees. These pools will
offer several 'levels' of plan benefit

The main advantage of purchasing pools
is that small establishments will have
access to the larger risk pools and
increased purchasing power leverage

Florida Center for Medicaid and the Uninsured page 3

surance Coverage by Race/Ethnicity and Citizenship,

IEmploye Sponsored Private Public OUninsured

Non Citizens Non Hispanic NonHispanic Hispanic
White Black
elmlt to e Calt Popdahon S-ey

SHealth Insurance Coverage, Florida, 2001

Employer-Sponsored Private M Public Uninsured



en to tho Cent Populatm Sey


page 3

Florida Center for Medicaid and the Uninsured

leading to lower overall premiums. An
often cited disadvantage is that
purchasing pools can be used only for the
healthiest patients, leaving the high-risk
patients uninsured or enrolled in public
insurance programs.

Building on the Existing Public System

A number of proposals also recommend
expanding eligibility in publicly funded
programs. Recommendations generally
involve either allowing individuals and
families the option to buy into public
programs or expanding eligibility to
additional low-income groups.

State Programs. In Florida, publicly
funded health insurance is a significant
source of health care coverage. The
Florida Medicaid program was established
in 1970 and is one of the country's largest.
Currently, Medicaid enrolls more than
two million people (Agency for Health
Care Administration, 2004).

Florida's KidCare program combines
Federal and state funding along with
family contributions to provide health
coverage for children who live at less than
200 percent of the poverty level. Federal
funding comes from Medicaid and the
State Children's Health Insurance
Program (Title XXI). As of June 2003,
roughly 1.7 million children were
enrolled in KidCare.

eligibility for public
programs statewide
will be difficult.
Florida, relative to
other states, ended
the 2002-2003
fiscal year in a
respectable financial
position (Holahan
et al, 2004.
Nevertheless, the
state completed that
year with a $1
billion shortfall.
public programs,
including Medicaid
and KidCare are

facing increasing budgetary pressure.
Medicaid's budget, at $14 billion,
represents about 23 percent of the total
state budget. Lawmakers are searching
for ways to curtail Medicaid expenditures
through elimination of certain
components of the program. For example,
during the 2002-2003 legislative session,
the medically needy program was slated
for elimination. The program survived as
a result of strong lobbying on the part of

Similarly, KidCare, because of decreases
in its Title XXI annual allotment, had
been forced to create a waiting list for new
enrollment in the program (Holahan,
2004). In March 2004, the Florida House
and Senate approved a measure to
increase funding to the program by $25
million and provided coverage to about
90,000 children on the waiting list.
However, this new
Legislation calls for

stricter eligibility
starting June 30,
2004. Critics of the
legislation argue
that this will
exclude roughly
20,000 children
from the program.
H o w e v e r ,
proponents of the
bill say that stricter
requirements are
necessary to control
the program's
explosive (and

expensive) growth (Hollis, 2004).

IIFA Waivers: Florida, like other states,
may wish to pursue a Health Insurance
Flexibility and Accountability (HIFA)
waiver to expand eligibility in its public
programs. Under HIFA, states are
permitted to adopt some flexibility in
benefit design for expansion populations
(but not mandatory populations) and
implement cost-sharing requirements.
HIFA programs must also have a public
private coordination component and
must meet a test of budget neutrality (for
Medicaid funds) or allotment neutrality
(for SCHIP funds) (Sachs, 2003).
Disproportionate Share Hospital
Payments (DSH) can also be used to
finance increased coverage.

Since its inception in 2002, eight states
have received approval to operate HIFA
demonstrations. Six of those states
(Arizona, Colorado, Illinois, Maine, New
Jersey and Oregon) have implemented

page 4 Florida Center for Medicaid and the Uninsured

Figure 5: Percent of Private Sector Establishments by Firm Size,
Florida, 2001

63 a < 10 employees
10-24 employees
E 25-99 employees
R 100-999 employees
M >1000 employees

Soe AHRQ,2001 Medcal Expendte Pael Su~y,

Figure 6: Private Sector Establishments Offering Health Insurance
by Firm Size, Florida, 2001

100 t97 9

80 -75
60 57

40 4


V FiFMSizehbyNmlbofEpiloyees
So. e AHRQ, 2001 Medcl Expendtue Pmael Su y,
IlS- -1 Cnnponent

page 4

Florida Center for Medicaid and the Uninsured

Figure 7: Average Total Family Premium and Contribuitions for
Family Coverage at Private-sector Firms That Offer Health
Insurance, Florida, 2001

STotal Premium U Employee Contribution

10000 8,644


7,843 7,976 7,776 7,444 7,626

L,32 3,654 L 730
1,622 27

SFhm Shby N'm dE'loees
Source AHRQ, 2001 Medca Expdt Pael Sw y,
Iemmaee Component

their waivers.

Community Initiatives: While expansions
in statewide programs are fairly unlikely,
local communities are beginning to
employ a myriad of strategies to address
the problem of the uninsured. Palm
Beach County, for example, has
developed a plan for its uninsured
residents through its health care taxing
district. Another example is the
Hillsborough County HealthCare
Program, a managed care program for
residents of the Tampa area.
Hillsborough's program is funded by a
special discretionary sales tax. Finally,
JaxCare is a local public-private
partnership that provides care for low
income workers in Duval county.

The development of local initiatives has
received considerable support from
Florida's lawmakers. In 2002, the state
legislature implemented Health Flex, a
pilot program designed to improve health
insurance coverage in areas with the
highest concentration of uninsured
persons. Non-elderly individuals, with
incomes up to 200 percent of poverty and
who have not been covered by a private
health plan in the last six months, are
eligible. Health Flex plans are unique in
that they are not subject to licensure
under the Florida Insurance code.
Consequently, health insurers, provider
sponsored organizations, local
governments, health care districts or
other public or community-based
organizations can design health insurance
options that meet the needs of local
communities. Recently. the Governor

xe 0S

and the Lieutenant
G o v e r n o r
recommended that
the Health Flex
program be
expanded to all
counties in the state
(Bush and Jennings,

Focusing on

President Bush and
others advocate for
increased personal
responsibility in the
selection and use of health insurance.
Tax credits and medical or health savings
accounts are touted as ways in which
consumers can have increased choice in
purchasing health insurance.

Tax Credits: To reduce the number of
uninsured Americans, both Democratic
and Republican policymakers, including
the Bush administration, are sponsoring
legislation that would allow individuals to
receive tax credits toward buying health
insurance (Gabel et al, 2002).

A tax credit is not the same as a tax
deduction. With a deduction, individuals
subtract the amount of money spent on a
deductible item from their income. In
this case, individuals

pay taxes on a
smaller income. In
contrast, tax credits
subtract the
allowable amount
directly from the
amount of taxes
owed. Thus, in
order for a tax credit
to help low-income
workers, it has to be
"refundable," which
means the worker
still receives the full
value of the credit
even if he doesn't
owe income taxes
(Council for
Affordable Health
Insurance, 2003).

There are several

appealing aspects of tax credits including
the fact that both workers and non
workers can take advantage of tax credits.
However, administrative issues are a
concern, especially in states such as
Florida that do not have a state income
tax system to build on. Other critics
argue that the value of the tax credit is
typically too low to make health
insurance affordable. These critics
maintain that there are very few low and
moderate-income families that are likely
to find room in their tight budgets to pay
for health insurance if it still consumes 10
to 20 percent of gross income (Lay and
Friedman, 2001). Finally, critics also note
that an existing tax credit program has
gotten off to a slow start. A component of
the Trade Adjustment Assistance Act,
enacted in August 2002, is designed to
provide tax credits to workers who have
lost their jobs due to foreign trade. The
tax credits are designed to provide these
workers with 65 percent of the cost of
health insurance premiums. Estimates
indicated that this program could help
more than 500,000 workers. However, by
the end of 2003 only 5 percent of eligible
workers had participated in the program
(Pear, 2003).

Consumer Choice Strategies. Increasingly,
private industry is enrolling its employees
into consumer-directed or consumer
driven health plans (Hewitt Associates,
2004). These plans are designed to

Key IIP MFAl. Componentls''mlB] lt'l1 2BII~

" Erolment lmts o eitngbnfiirgop

and grup coee by the exanin bae o

fi 'rstcm first sel ylrved) :-~l ~ltg

" leiilt in benefi deignrJll/ MrJ

l" Cotsain reureet ca be imposed

Ii" Sinle. adults and chldIless couple canbecome

Florida Center for Medicaid and the Uninsured page 5

page 5

Florida Center for Medicaid and the Uninsured

egan oly u d conj uncti on wit h health

($1,000 for individuals, $2t.,000for famli-es)

contributions equalI to 100lI pecetl of! utherplic
deucibe.Theomaximumm amonmilts for[2004 are.,
$2,60 iper indiv'iduaIII[ l an $,150 per famly.

tremrr frm jo- t'ejo

IBoth employrsO m andI employees can cotibute~l
to the1 accunt

provide employees with more choice and
flexibility in the selection of benefits
and/or out-of-pocket expenditures
associated with health insurance.

Perhaps the most frequently discussed
form of consumer-directed health plans is
medical or health savings accounts. The
recent Medicare prescription drug
legislation included a provision to
establish Health Savings Accounts
(HSAs). The Medicare legislation
essentially rewrites the 1996 law that
established Medical Savings Accounts by
making HSAs far less restrictive.

Proponents of HSAs argue that these
programs are attractive because they allow
patients to have greater control over their
health care decisions. For example,
Florida's Governor and Lieutenant

Governor view the
program as a means by
which patients have an
incentive to be good
stewards of their
health care dollars"
(Bush and Jennings,
2004). Furthermore,
HSAs are viewed as a
way for small
employers to
contribute to health
insurance coverage for
their employees. In
Florida, the Governor
proposes to permit
small employers who
participate in
purchasing pools to

choose to contribute
to HSAs rather than traditional health
insurance programs. Vermont's governor
proposes to use tax credits to encourage
small employers to contribute to HSAs on
behalf of their employees.

However, critics note, that the healthier,
more affluent workers will be attracted to
HSAs. Low wage, sicker workers would
remain in traditional health insurance
programs. As a result, premiums in these
traditional programs would increase,
ultimately making health insurance
coverage unaffordable for low-wage
workers (Park et al, 2003).

The Way Forward

For many individuals and their families,
the lack of health insurance will continue
to be a significant barrier to accessing
quality health care. Significant reductions
in health insurance are unlikely to occur
without major incremental reforms.
Many advocate for a complete overhaul of
the health care system with an emphasis
on providing universal health care
coverage using the single payer model.
However, given political, ideological, and
fiscal realities, it appears as though
approaches to covering the uninsured
must be incremental in nature and
designed to meet the varied needs of
individuals and their families. The various
reform proposals, if enacted, all have the
potential to significantly reduce the
number of uninsured in Florida and
around the nation. Immediate action in
some areas can lay the groundwork for
future reforms that collectively lead to
significant reductions in the number of
uninsured in the longer-term.

ggggg{g g g g g ggg

page 6 Florida Center for Medicaid and the Uninsured

Figure 8: Percent of Private-sector Employees Eligible for Health
Insurance, (at Firms that Offer Coverage) Florida, 2001

100 rcElt



Fim Size by Numbe of Employees
Sore AHQ, 2001 Medal pendhue Pael Suey,
Ins-me C-ponent

Figure 9: Percent of Private-sector Employees Who are Eligible and
Enrolled in Health Insurance (at Firms That Offer Coverage)
Florida, 2001

100 PErc"
80 8 76 81 75 76

\<& rttp SP Nfy q \
Finn Size by Numba of Employees
Souce AHRQ, 2001 Medcal pndu Panel Suey,
hInrum Component

page 6

Florida Center for Medicaid and the Uninsured


Agency for Health Care Administration,
March, 2004 Enrollment Report,
downloaded from
http ://www.fdhc.state.fl.us/Medicaid/Me
diPass/xls/enr 3 04.xls, March 16, 2004

Bush J and Jennings T (2004) Promoting
Access to Affordable, Quality Health Care,
Office of the Governor, State of Florida

Collins SR, Davis K and Lambrew J
(2003) Health Care Reform Returns to the
National Agenda: The 2004 Presidential
Candidates'ProposalsThe Commonwealth
Fund, New York, NY

Council for Affordable Health Insurance
(2003) An Affordable Way to Help the
Uninsured Issues and Answers (no 120)

Davis K and Schoen C (2003) Creating
Consensus on Coverage Choices Health
Affairs Web Exclusives (January-June),

Duchon L, Schoen C, Simantov E, Davis
K and An C (2000) Listening to Workers.
Challenges for Employer-Sponsored Health
Coverage in the 21st Century The
Commonwealth Fund, New York, NY

Duncan RP, Vogel WB, Porter CK and
Garvan CW (2000) The Florida Health
Insurance Study Volume 1: The Telephone

Gabel JR, Dhont K, Pickreign (2002)
Are Tax Credits Alone the Solution to
Affordable Health Insurance? Comparing
Individual and Group Insurance Costs in
17 Markets The Commonwealth Fund,
New York, NY

Gaskin DJ and Needleman J (2003) The
Impact of Uninsured Populations on the
Availability of Hospital Services and
Financial Status of Hospitals in Urban
Areas. In Institute of Medicine,
Committee on Consequences of
Uninsurance A Shared Destiny
Community Effects of Uninsurance
National Academies Press, Washington D.C.

Glied S, Lambrew JM and Little S
(2003) The Growing Share of Uninsured
Workers Employed by Large Firms The

Commonwealth Fund, New York, NY
Hewitt Associates (2004) Survey Findings.
Health Care Expectations: Future Strategy
and Direction, 2004

Holahan J, Bovbjerg RB, Coughlin T,
Hill I, Ormond BA, Zuckerman S (2004)
State Responses to Budget Crisis in 2004:
An Overview of Ten States The Henry J.
Kaiser Family Foundation, Washington

Hollis M (2004) KidCare Insurance will
be cut back Orlando Sentinel, March 6
2004 downloaded

Institute of Medicine (a) Committee on
Consequences of Uninsurance (2003) A
Shared Destiny: Community Effects of
Uninsurance National Academies Press,
Washington D.C

Institute of Medicine (b) (2003)
Committee on Consequences of
Uninsurance, Hidden Costs, Value Lost:
Uninsurance in America, National
Academies Press, Washington D.C.

Kaiser Family Foundation, Kaiser
Commission on Medicaid and the
Uninsured (2003) The Uninsured: A
Primer. Key Facts About Americans
Without Health Insurance, Washington,

Kaiser Family Foundation, Online State
Health Facts, downloaded from
www.statehealthfacts.org, January 20,

Lav IJ and Friedman J (2001) Tax Credits
for Individuals to Buy Health Insurance
Won't Help Many Uninsured Families
Center on Budget and Policy Priorities,
Washington D.C.

Park E, Friedman J and Lee A (2003)
Health Savings Security Accounts: A Costly
Tax Cut that Could Weaken Employer
Based Health Insurance, Center for Budget
and Policy Priorities, Washington D.C.

Pear R, (2003, January 25) Sluggish Start
for Offer Of Tax Credit for Insurance,
New York Times pp 16 Sachs, T (2003)
HIFA at Age Two: Opportunities and
Limitations for States. Issue Brief (vol IV,
No.6) State Coverage Initiatives,
AcademyHealth, Washington DC

Vigdor ER (2003) Coverage Does Matter:
The Value of Health Forgone by the
Uninsured. In Institute of Medicine,
Committee on Consequences of
Uninsurance Hidden Costs, Value Lost.
Uninsurance in America National
Academies Press, Washington D.C.

Florida Center for Medicaid and the Uninsured page 7

page 7

Florida Center for Medicaid and the Uninsured

Established in 2000, the Florida Center for Medicaid and the Uninsured is dedicated to the
improvement of health care in Florida through multidisciplinary collaboration of academic and policy-
making experts. The center is located at the University of Florida within the College of Public
Health Professions.

The primary mission of the Center is to foster and develop research and analysis on issues related to
access to quality health care for Florida's low-income populations. Center faculty and staff study issues
related to the Medicaid program and other delivery systems for vulnerable populations. Critical to the
Center's mission is the timely dissemination of information to policy makers, providers, and health
care advocates.

Florida Center for Medicaid and the Uninsured
College of Public Health and Health Professions
University of Florida
Email: fcmu@phhp.ufl.edu
Web: fcmu.phhp.ufl.edu
Phone: 352-273-5059
Fax: 352-273-5061

I IWk Al I
Florida Center for Medicaid and the Uninsured
Shaping Healthcare Policy

PO BOX 100227

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