Agency for Health Care Administration Secretary Elizabeth "Liz" Dudek has an ambitious "to-do" list for Governor Rick Scott's upcoming second term, according to Christine Jordan Sexton of SaintPetersblog.
Former employees of a medical clinic accuse the St. Johns County Commissioner and his mother of improperly billing for nearly 40 Medicaid patients, illegally storing controlled substances and forging prescriptions, the Florida Times-Union reports.
Governor Rick Scott is reappointing Elizabeth Dudek to oversee the Florida Agency for Health Care Administration.
Dudek has been the head of the agency since 2011. Together, they helped privatize the Medicaid program, paying private insurance companies a set fee for roughly 3 million Medicaid recipients instead of the state paying for each service patients incur.
Scott also praised Dudek for overseeing that Florida hospitals were prepared for Ebola.
The veteran business executive hired by Florida Healthcare Plus is trying to repair the image of the firm after six former employees were indicted for their role in an international, $25 million Medicare and Medicaid scam, the Miami Herald reports.
In an interview, Susan Rawlings Molina says no one else at the company knew about the fraud, except for the ex-employees who are now facing charges. Only the former workers, not the company, are accused of wrongdoing.
National health spending grew 3.6 percent in 2013, the lowest annual increase since the Centers for Medicare and Medicaid Services (CMS) began tracking the statistic in 1960, officials said Wednesday.
Spending slowed for private health insurance, Medicare, hospitals, physicians and clinical services and out-of-pocket spending by consumers. However, it accelerated for Medicaid and for prescription drugs, according to the report, published online by the journal Health Affairs.
A new study released Wednesday by the Georgetown University Health Policy Institute's Center for Children and Families found that Hispanic children in Florida are more likely to lack health insurance than Hispanic children in other states, the Miami Herald reports.
Millions of low-income children - including almost half of those in Florida - are failing to get the free preventive exams and screenings guaranteed by Medicaid and the Obama administration is not doing enough to fix the problem, according to a federal watchdog report.
An appeals court says Florida Hospital Orlando should repay more than $22,000 in Medicaid payments it claimed in the care of a 3-year-old child with leukemia, the News Service of Florida reports. The judges said Florida’s Agency for Health Care Administration was justified in requesting repayment in the case that centers around the state’s determination of whether care is a “medical necessity,” according to the News Service.
An appeals court Thursday sided with the state Agency for Health Care Administration in a dispute about whether Florida Hospital Orlando was paid too much for treating some Medicaid patients. The agency in December issued an order requiring the hospital to repay $22,138 in Medicaid overpayments, along with a $500 fine and $7,635 in costs.
Democratic candidate Judithanne McLauchlan, who was inspired to run for Florida Senate District 22 against incumbent Republican Jeff Brandes because he was the only vote in the Senate against an alternative to Medicaid expansion, lost 57 percent to 43 percent.
During the 2013 Legislative session, Brandes was the lone vote against state Sen. Joe Negron’s alternative to Medicaid expansion. The plan, which would have drawn down $51 billion in federal funding over 10 years under the Affordable Care Act, was ultimately defeated by the Republican-controlled House.
Left to Right: Al Ruechel (Bay News 9), Ybeth Bruzual (News 13) and Adam Smith (Tampa Bay Times) moderate the only debate among the three candidates for Florida Attorney General: Pam Bondi (incumbent, Republican), George Sheldon (Democrat) and Bill Wohlsifer (Libertarian).
Florida pediatricians who care for severely disabled children say the state's overhaul of Medicaid has left kids, parents and caregivers in turmoil.
Extremely fragile children, including some with tracheostomies and feeding tubes, face barriers in access to specialty care, physical therapy, home medical supplies and other urgent needs, the pediatricians say.
If former Florida Gov. Charlie Crist gets his old job back, he promises to expand Medicaid to roughly 1 million low-income residents by calling a special session of the Legislature or through an executive order. If Gov. Rick Scott is re-elected, the decision will be once again left to the Legislature with little meddling from him.
Democratic candidates were the only ones to show at a legislative forum organized by the Tampa Bay Healthcare Collaborative. And each one said Florida needs to take federal funding to expand Medicaid under the Affordable Care Act.
The participants included Lorena Grizzle (D) – House District 66 candidate; Steve Sarnoff (D) – House District 67 candidate; Scott Orsini (D) - House District 69 candidate; and Judithanne McLauchlan (D) – Senate District 22 candidate.
The number of uninsured patients admitted to hospitals has dropped markedly this year, reducing charity care and bad debt cases, particularly in states that have expanded Medicaid coverage under the new federal health care law, a government report released Wednesday concluded.
The report from the Department of Health and Human Services said hospitals in states that have taken advantage of new Medicaid eligibility levels have seen uninsured admissions fall by about 30 percent. Florida is not one of those states.
It’s getting easier for parents of young children with autism to get insurers to cover a pricey treatment called applied behavioral analysis. Once kids turn 21, however, it’s a different ballgame entirely.
Many states have mandates that require insurers to cover this therapy, but they typically have age caps ranging from 17 to 21, says Katie Keith, research director at the Trimpa Group, a consulting firm that works with autism advocacy groups.
The Children’s Health Insurance Program, a joint federal-state program known as CHIP, has helped cut in half the number of uninsured children since being enacted less than two decades ago, but its future is in doubt due to limited funding in the federal health law of 2010. A year from now, CHIP will run out of money. Some advocates for the program want the federal government to finance CHIP for another four years, while other experts have suggested two would suffice. The Senate Finance Committee’s Subcommittee on Health Care will hold a hearing on the issue Tuesday.
Income inequality is taking a toll on state governments.
The widening gap between the wealthiest Americans and everyone else has been matched by a slowdown in state tax revenue, according to a report released Monday by Standard & Poor’s.
Even as income for the affluent has accelerated, it’s barely kept pace with inflation for most other people. That trend can mean a double-whammy for states: The wealthy often manage to shield much of their income from taxes. And they tend to spend less of it than others do, thereby limiting sales tax revenue.
Many people newly insured by Medicaid under the federal health care law are seeking treatment in hospital emergency rooms, one of the most expensive medical settings, a study released Monday concludes.
The analysis by the Colorado Hospital Association provides a real-time glimpse at how the nation’s newest social program is working.
It also found indications that newly insured Medicaid patients admitted to hospitals may be sicker than patients previously covered under the same program, which serves more than 60 million low-income and disabled people.
The nation's respite from troublesome health care inflation is ending, the government said Wednesday in a report that renews a crucial budget challenge for lawmakers, taxpayers, businesses and patients.
Economic recovery, an aging society, and more people insured under the new health care law are driving the long-term trend, according to the report published online by the journal Health Affairs.
When Congress passed the Affordable Care Act, it required health insurers, hospitals, device makers and pharmaceutical companies to share in the cost because they would get a windfall of new, paying customers.
But with an $8 billion tax on insurers due Sept. 30 -- the first time the new tax is being collected -- the industry is getting help from an unlikely source: taxpayers.
Two major health care groups have named new Chief Operating Officers for their Florida operations.
Liz Miller has been promoted to the position at WellCare of Florida, the Tampa Bay Business Journal reports. She has been the vice president of product operations at the Tampa-based company since 2012. WellCare is Florida’s large Medicaid HMO contractor.
Pediatricians challenging how the state pays for Medicaid services to children could see the nine-year-old case end in October, the Miami Herald reports.
The lawsuit, filed in 2005, claims that the Agency for Health Care Administration, Department of Health and Department of Children and Families violated federal law, and also hampered patient access by making low Medicaid payments to providers, the Herald reports.
Florida looks to lose more federal money set aside for Medicaid than any state that has opted out of expanding the health care program for the poor, says a new report from the Robert Wood Johnson Foundation and the Urban Institute.
Several Florida safety net hospitals have filed a complaint claiming the Florida Agency for Health Care Administration underpaid them $73.3 million for Medicare patient care over the past 13 years, the Gainesville Sun reports.