Agency for Health Care Administration

Kaiser Health News

Two health plans that would have been locked out of Florida’s Medicaid market for the next five years were awarded state contracts after they threatened legal action.

FloridaHealthFinder.gov

Asserting it would help hold down health-care costs, Gov. Rick Scott’s administration created a database of paid insurance claims that allows people to shop for costs of medical procedures.

Months after Gov. Rick Scott approved new rules for nursing homes and assisted living facilities, much of the industry is not in compliance as hurricane season gets underway.

A decision last week to award Medicaid contracts to two additional managed-care plans could mean more legal challenges for the state Agency for Health Care Administration.

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A South Florida hospital has agreed to reimburse the state more than $800,000 to settle Medicaid claims about care for undocumented immigrants who sought treatment.

Months after Gov. Rick Scott promised a hard line against nursing homes and assisted living facilities in the aftermath of Hurricane Irma, much of the industry is not in compliance with new rules as the state heads into the 2018 hurricane season.

Though describing it as a “close call,” an appeals court Friday upheld a decision by the Florida Agency for Health Care Administration to turn down approval of new hospice provider in Sarasota County. 

NPR

A Sarasota nursing home has agreed to pay $26,000 in fines and increased licensure fees after the facility failed to notify the daughter of a resident that her mother’s health was deteriorating.

Humana.com

After scoring a big victory in a statewide Medicaid managed-care procurement, Humana and Jon Bussey, who served as its regional director of corporate affairs, have parted ways. 

Agency for Health Care Administration Secretary Justin Senior is meeting with 12 managed-care companies that filed petitions with the state last week, as he tries to dissuade them from legal fights over the state’s decisions to award five-year Medicaid contracts that could be worth up to $90 billion.

With tens of billions of dollars in contracts at stake, a dozen health plans have told Florida officials they are challenging newly awarded Medicaid contracts.

The 12 managed-care plans at risk of being shut out of Florida’s Medicaid program have turned to 11 different law firms to represent them.

The Tallahassee-based firm Rutledge Ecenia has been hired by two managed-care plans unhappy with the state Agency for Health Care Administration’s decisions.

Attorney Stephen Ecenia is representing Magellan Complete Care, while Tana D. Story has been hired to represent Our Childen PSN of Florida.

The 12 managed-care plans at risk of being shut out of Florida’s Medicaid program have turned to 11 different law firms to represent them.

The Tallahassee-based firm Rutledge Ecenia has been hired by two managed-care plans unhappy with the state Agency for Health Care Administration’s decisions.

Attorney Stephen Ecenia is representing Magellan Complete Care, while Tana D. Story has been hired to represent Our Childen PSN of Florida.

The Weekly Check Up: Working Some Medicaid Magic

Apr 30, 2018
Humana.com

Humana is probably very happy right about now.

The insurer emerged from negotiations with Medicaid officials as one of the winners in the contest to deliver health care to poor, elderly and disabled Floridians over the next five years.

Wikimedia Commons

Managed care organizations that want to challenge the award of upward of $90 billion in Medicaid contracts to nine health plans across the state have until late Friday afternoon to launch protests. 

Florida officials on Tuesday announced the names of the nine health plans the state wants to ink contracts with to provide health care to nearly four million poor, elderly and disabled residents.

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Florida health officials will not allow new patients to be admitted to an assisted living facility associated with a nursing home where a dozen residents died after the facility lost power in a hurricane.

Gov. Rick Scott's Office

When it comes to health-care math, sometimes the numbers don’t add up for Florida Gov. Rick Scott.

WMFE

The Florida Agency for Health Care Administration’s headquarters in Tallahassee were the site Thursday of the third demonstration in as many days by supporters of the AIDS Healthcare Foundation.

NPR

A six bed Opa-locka assisted living facility has been fined $500 after it failed to notify the state that an 84-year old resident wandered off before eventually being returned by police in 2016. 

Daylina Miller/WUSF

Florida’s Medicaid program has been rapped by auditors who questioned what the state got for millions of dollars spent with a company whose lobbyists included two former Republican House speakers and a former top health-care regulator.

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Citrus Memorial Hospital is challenging an effort by the state Agency for Health Care Administration to recoup what the agency alleges were nearly $5.9 million in Medicaid overpayments during a 10-year period.

WMFE

The largest nonprofit AIDS health-care provider in the nation is at risk of being blocked out of South Florida’s Medicaid market.

Agency For Health Care Administration

State health-care regulators have fined a South Florida assisted living facility $1,000 for a bedbug infestation, according to state documents.

Taber Andrew Bain, via Flickr Creative Commons

A Florida panel may be on the verge of ending the state's contentious certificate-of-need process for hospitals.

Workers’ Comp, Health Care Bills Go To Scott

Mar 14, 2018

Three health care-related bills, including one to expand workers’ compensation insurance benefits for injured first responders, were sent Monday to Gov. Rick Scott. 

House Leaders Seek KidCare Waivers

Oct 22, 2017
FL KidCare Facebook

The list of those asking Florida Gov. Rick Scott to waive insurance premium requirements for low-income families in 48 counties impacted by Hurricane Irma is growing.

State Trims Medicaid HMO Payments

Oct 12, 2017

Florida has reduced by 3.7 percent the rates it pays HMOs and provider-sponsored networks in the biggest part of the Medicaid managed-care system but has given a 2.4 percent hike to plans that offer managed long-term care.

AHCA Eyes Hospitals For Budget Cuts

Oct 10, 2017
Agency For Health Care Administration

Gov. Rick Scott's administration continues to target hospitals for potential Medicaid spending reductions in the coming year.

Nursing Homes Seek Answers On Generator Costs

Sep 27, 2017
Google Maps

With time running out to comply with what could be a $240 million generator mandate handed down by Gov Rick Scott, nursing-home administrators and long-term care lobbyists left a Tuesday meeting without an indication of what, if anything the state will do to help offset the costs.

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