Medicaid

Health News Florida
9:34 am
Thu November 20, 2014

Hospital Loses Insurer, Spars With Another

Sarasota Memorial Hospital will no longer be an in-network hospital for patients signed up with the region’s largest Medicaid provider, according to the Sarasota Herald-Tribune.

After Dec. 31, Staywell Wellcare patients will not be covered at Sarasota Memorial, which currently treats 90 percent of the area’s Medicaid patients who need hospital care.

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Health News Florida
9:31 am
Thu November 13, 2014

Hispanic Kids Less Likely to be Insured

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.

HNF Stories
9:13 am
Thu November 13, 2014

43% of FL Medicaid Kids Miss Checkups

Credit U.S. Navy

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.

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HNF Stories
9:25 am
Wed November 12, 2014

Medicaid Expansion Still a No-Go in FL, TX

Texas and Florida, with their large uninsured populations, are not expected to offer coverage to many low-income patients. KHN’s Phil Galewitz and Mary Agnes Carey discuss:

MARY AGNES CAREY:  Welcome to Enrollment Encore: What you need to know before open enrollment in the health law’s marketplaces begins again on November 15th. I’m Mary Agnes Carey.

KHN Senior Correspondent Phil Galewitz joins me now to talk about Medicaid and the health law.

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8:23 am
Fri November 7, 2014

Court Backs AHCA On Medicaid Payments

Lead in text: 
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.
  • Source: Usf
  • | Via: News Service of Florida
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.
Consumer
8:46 am
Wed November 5, 2014

Hospitals Taking Cues From Hospitality

Two years ago, Inova Health System recruited a top executive who was not a physician, had never worked in hospital administration and barely knew the difference between Medicare and Medicaid.

What Paul Westbrook specialized in was customer service. His background is in the hotel business – Marriott and The Ritz-Carlton, to be precise.

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HNF Stories
8:32 am
Wed November 5, 2014

Senate Hopeful Inspired by Medicaid Expansion Loses

  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.   

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HNF Stories
3:11 pm
Mon October 20, 2014

Florida Matters Preview: Attorney General Debate

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).

Originally published on Wed October 22, 2014 9:20 am

Florida's candidates for Attorney General met for their first and only debate earlier this month in the studios of Bay News 9.

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HNF Stories
8:49 am
Thu October 16, 2014

Sickest Medicaid Kids in 'Chaos,' Doctors Say

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.

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HNF Stories
8:53 am
Mon October 13, 2014

Scott, Crist Weigh In on Medicaid Expansion

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.

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HNF Stories
3:35 pm
Wed October 8, 2014

Medicaid Expansion Inspires FL Senate Candidate

Medicaid expansion is an issue in the race for Florida’s Senate District 22, a swing district that covers most of Pinellas County and extends to South Tampa.

"This is an issue that propelled me into the race because I am running against the only senator that voted against the Medicaid expansion,” Democrat Judithanne McLauchlan said.

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HNF Stories
8:44 pm
Tue October 7, 2014

Candidate Forum Focuses on Health

Credit Lottie Watts / WUSF

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.

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Consumer
8:37 am
Thu September 25, 2014

Report: Uninsured Hospital Admissions Dip

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.

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Consumer
8:54 am
Tue September 23, 2014

For Autistic Adults, Options Scarce

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.

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Consumer
10:45 am
Thu September 18, 2014

CHIP Future Unclear Under Health Law

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.

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Consumer
8:02 am
Tue September 16, 2014

Wealth Gap Puts Squeeze on State Revenue

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.

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Consumer
8:40 am
Tue September 9, 2014

Study: ER Visits Up After Medicaid Expansion

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.

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HNF Stories
9:37 am
Thu September 4, 2014

Health Care Spending Pace May Speed Up

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.

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HNF Stories
8:35 am
Tue September 2, 2014

States Help Pay ACA Tax On Insurers

Credit Kaiser Health News

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.

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Health News Florida
9:11 am
Thu August 28, 2014

WellCare, Amerigroup Name New FL COOs

Judi Peterson
Credit Amerigroup

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.

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Health News Florida
9:02 am
Tue August 19, 2014

Pediatric Pay Lawsuit Nears End

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.

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HNF Stories
9:22 am
Mon August 18, 2014

Report: FL Losing Most ACA Medicaid Money

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.

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Health News Florida
9:39 am
Mon August 11, 2014

Hospitals: State Underpaid by $73.3M

 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.

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Health News Florida
9:41 am
Wed July 23, 2014

85 Jobs Cut at Polk Health Dept.

The expansion of Medicaid managed care is the reason for the elimination of 85 state jobs at the Florida Department of Health in Polk County, the Lakeland Ledger reports. Among the positions that will be eliminated are registered nurses, advanced registered nurse practitioners, licensed practical nurses and health support workers. According to the Ledger, 28 of the positions are vacant.   

Health News Florida
9:31 am
Fri July 11, 2014

Medicaid Fraud Veto Bothers GOP Lawmaker

While many didn’t notice Gov. Rick Scott’s line item veto of funding to investigate Medicaid fraud, the chairman of the Criminal & Civil Justice Appropriations Subcommittee certainly did.

Associated Press
8:24 am
Wed July 9, 2014

Judge Won't Dismiss Medicaid Lawsuit

Federal appeals judge Adalberto Jordan
Credit law.fiu.edu

A federal judge refused Tuesday to dismiss a lawsuit that alleges Florida provides inadequate care to children in its Medicaid program, despite state claims that privatizing the program will resolve many of the problems.

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10:48 am
Tue July 8, 2014

Managed Care Answer in Medicaid Battle?

Lead in text: 
Florida’s Agency for Health Care Administration will argue in a hearing today that its new Medicaid managed-care system, which takes full effect next month, should end a legal battle over the quality of care for children in Florida’s Medicaid program. As the News Service of Florida reports, the lawsuit brought by the Florida Pediatric Society says low payment rates mean doctors can’t afford to treat children, thus denying the young Medicaid patients access to physicians. A federal judge will hear the case Tuesday in Miami.
  • Source: Usf
  • | Via: News Service of Florida
Pointing to a new managed-care system, the state is seeking to scuttle a long-running lawsuit that challenges the adequacy of care provided to children in
Health News Florida
10:49 am
Mon July 7, 2014

FL Hospitals Owe $267M, Feds Say

Florida hospitals have just one year to repay $267 million for Medicaid charges the federal government says it shouldn’t have covered during the past eight years, the Times/Herald Tallahassee Bureau reports.

State and hospital officials are asking for three years to pay back the overpayments to hospitals through the so-called Low-Income Pool fund, saying one year would leave them in dire straits.

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Health News Florida
11:01 am
Wed June 25, 2014

Feds Join Suit Against Hospitalist Co.

The federal government has joined a whistleblower lawsuit against a company that provides doctors and other health professionals to work in hospitals in Florida and many other states. IPC The Hospitalist Group operates practice groups in Jacksonville, Ocala, Southwest Florida, Tampa, Broward County, Palm Beach County, Miami-Dade County and Orlando.

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HNF Stories
8:20 am
Thu June 19, 2014

FL Flubs Long-Term Care: Report

Florida can do a better job of caring for its elderly and disabled residents and the loved ones who care for them, a new report says.

The state ranked 43rd nationwide in a new AARP scorecard on long-term care released today, which measured criteria from affordability and access to choice of setting and providers. In particular, Florida placed dead last or near the bottom regarding quality of life and quality of care regarding adults with disabilities.

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