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Insurers Shun State Health-Care Website

Oct 1, 2018
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The pushback against Gov. Rick Scott’s effort to create a health-care transparency website appears to be more widespread than state officials previously acknowledged.

Health Care Transparency Effort Lags

Sep 27, 2018
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With just months left in his term, one of Gov. Rick Scott’s key health-care initiatives remains in limbo.

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Florida hospitals, ambulatory surgical centers and emergency departments are required to electronically submit data to the state about patients who are discharged. But a recent survey of those providers showed that nearly 78 percent of respondents reported having data rejected most of the time.

Medicaid Patients Face Changes In Health Plans

Sep 19, 2018
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About 600,000 low-income patients will be assigned to new Medicaid managed-care plans in the coming months after the state ended contracts with their existing plans.

A new Florida rule requiring generators at all nursing homes and assisted- living facilities passed last legislative session after Hurricane Irma knocked out power to much of Florida for an extended period. In Hollywood, Florida 14 people in a rehabilitation center died, and 12 were ruled homicide. A swift push to pass legislation requiring generatros followed, and was signed by Governor Rick Scott in late March. 

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A preliminary decision by the state to approve a new hospice program in Pasco County faces legal challenges from two companies that were turned down. 

State Reaches Deal On Medicaid Mental Health

Sep 6, 2018
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Patients with serious mental illness may have an increased choice of health-care providers under an agreement between the state and one of the largest Medicaid mental-health plans.

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Seven different companies want to establish new hospitals or offer new services at existing hospitals across Florida, but at least some of the proposals aren’t in areas where the state says there’s a need. 

Delay In Federal Approval Trims Medicaid Savings

Aug 7, 2018
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Nearly $100 million the state assumed would be saved by changing a policy about patient eligibility for Medicaid won’t come to fruition this year.

WMFE

A fight over who should provide care for patients struggling with HIV and AIDS is growing increasingly bitter as opponents continue to blame Gov. Rick Scott. 

Judge Urges Denial Of Nemours Transplant Proposals

Aug 1, 2018
WMFE

Siding with a preliminary decision by state regulators, an administrative law judge Tuesday recommended denial of plans by Nemours Children’s Hospital to offer pediatric heart transplants and heart and lung transplants. 

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Tampa-based Argus Dental and Vision withdrew a legal challenge to recently awarded contracts in Florida’s new Medicaid dental program, clearing the way for the state to move ahead with what one official described as the “broadest dental package ever available” to Medicaid beneficiaries. 

Sammy Mack/Health News Florida

There’s one less Medicaid contract challenge the state Agency for Health Care Administration will have to try to fend off before an administrative law judge. 

Office of the Governor

The AIDS Healthcare Foundation filed a public-records lawsuit Thursday in Leon County circuit court alleging that Gov. Rick Scott’s staff refused to provide copies of his public calendar and travel schedule. 

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Twenty-seven legal challenges filed by managed-care plans protesting state decisions to award $90 billion in Medicaid contracts have been grouped into five cases that will be heard in administrative court next month.

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Florida’s top health-care regulator gave final approval last week to a pair of new hospitals for southern Sarasota County. 

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After a lengthy process that involved awarding tens of billions of dollars in Medicaid contracts, the Florida Agency for Health Care Administration now will have to try to fend off legal challenges from health plans that were denied contracts. 

Munroe Regional Medical Center's Twitter Account: @MunroeRegional

Three hospitals in Marion and Citrus counties are challenging a state decision to sign off on a new 66-bed hospital in Marion County, according to documents posted Thursday on the state Division of Administrative Hearings website. 

Sammy Mack/Health News Florida

Florida Medicaid officials announced plans Thursday to sign contracts with three managed-care companies to provide dental care. 

There is no “launch date” for new data to be uploaded to a Florida website aimed at improving health-care price transparency, a top state official told members of an advisory council on Thursday. 

A move by state health-care regulators to avoid litigation has, instead, created more.

Attorneys for Best Care Assurance, a managed care plan affiliated with Lee Memorial Health System, notified the state that they plan to challenge a decision last week to award a Medicaid contract to Molina Healthcare of Florida in a seven-county region of Southwest Florida.

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. 

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