Medicaid

Georgetown University Center For Children and Families

A federal law providing 10 more years of funding for the national Children’s Health Insurance Program should help Florida continue to reduce its rate of uninsured kids.

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.

A health care advocacy group was urging Floridians to contact the Trump administration before the end of the day Tuesday to express opposition to a state proposal that would save $98 million by making changes to how people qualify for Medicaid. 

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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.

Florida Medicaid officials on Thursday announced their intent to award contracts to two companies owned by health care providers, bringing to 11 the number of managed-care plans expected to sign five-year contracts with the state.

A new study finds that health care spending is reduced by about 10 percent when patients using Medicare Advantage and Medicaid managed care plans  are connected to social services to help with things like housing, medical transportation, healthy food programs, and assistance with utility bills.

Cheap Health Insurance / Flickr

The Republican-controlled Virginia General Assembly gave final approval Wednesday evening to a state budget expanding Medicaid coverage to the state's poor, ending years of partisan gridlock on the issue.

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.

A Vermont health care organization working to keep patients healthier while reducing costs is being closely watched because of its rate of success — it was within 1 percent of meeting its financial target in its first year and has now been expanded to cover about 18 percent of the state's population, officials said.

U.S. Sen. Bill Nelson and Democratic U.S. House members Thursday called for the federal Centers for Medicare & Medicaid Services to reject a move by Gov. Rick Scott’s administration to cut $98 million by trimming the length of time people have to apply for the Medicaid program.

“I rise here today because the state of Florida has again proposed to harm thousands of seniors and folks with disabilities who rely on Medicaid for their health care,” Nelson, a Democrat who faces an election challenge this year from Scott, said on the Senate floor.

Twelve managed-care companies challenging the state’s award of tens of billions of dollars in Medicaid contracts have spelled out their arguments about why Florida officials were wrong in the handling of the coveted multi-year deals.

A top Florida Medicaid official has notified the federal government that Gov. Rick Scott’s administration provided incorrect information about a proposed cut to the Medicaid program.

Daylina Miller/Health News Florida / WUSF

Incoming Florida Senate Minority Leader Audrey Gibson sent a letter Monday to the federal government accusing Gov. Rick Scott’s administration of falsifying the record to show support for a $98 million Medicaid reduction and asked for a “thorough review” of the proposed cut, which would impact an estimated 39,000 people. 

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.

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.

Medicaid Patients With HIV May Lose Coverage In Miami

Apr 10, 2018
Flickr Creative Commons

Medicaid patients living with HIV in South Florida might need to find new health insurance.

Gov. Rick Scott's Office

Florida Gov. Rick Scott is expected to announce Monday morning that he is (shock) running for the U.S. Senate. And Florida Democrats are (shock) going after the Republican's health-care record, including his on-again, off-again support for Medicaid expansion.

From opioid prescription limits to an agreement on the regulation of trauma centers, it was a busy year for health care issues in the Florida Legislature.

NPR

A push by the Florida Legislature and Gov. Rick Scott to trim nearly $100 million from the state’s main safety-net health care program for the poor is coming under fire by health-care providers and advocates for low-income families.

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.

For the third time in less than a year, Florida is asking the federal government to amend a sweeping Medicaid “waiver,” including seeking permission to add community mental-health providers to the list of those able to participate in a supplemental Medicaid funding program.

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