Medicaid

The Trump administration’s recent endorsement of work requirements in Medicaid and increased state flexibility is part of broader strategy to shrink the fast-growing program for the poor and advance conservative ideas that Republicans failed to get through Congress.

Some States Roll Back ‘Retroactive Medicaid’

Nov 14, 2017

If you’re poor, uninsured and fall seriously ill, in most states if you qualify for Medicaid — but weren’t enrolled at the time — the program will pay your medical bills going back three months. It protects hospitals, too, from having to absorb the costs of caring for these patients.

Nursing Homes Seek State Money For Generators

Nov 14, 2017
Google Maps

Florida's largest nursing-home association has one question as the 2018 legislative session approaches: Will the state help foot the costs of generators at nursing homes?

Residents in this rural state grappling with a heroin epidemic and an aging population voted Tuesday to deliver a rebuke to Republican Gov. Paul LePage and join 31 other states that have expanded Medicaid under former President Barack Obama's health care law.

Senate Moves Again On Health Insurance Changes

Nov 8, 2017
Cheap Health Insurance / Flickr

Physicians would have greater leeway in prescribing medications to patients, and insurance companies would have less time to approve prior-authorization requests under a bill unanimously approved by a Senate panel Tuesday.

A bill that would create a Florida system parallel to the existing federal Veterans Health Administration passed its first committee hearing Tuesday.

It would allow veterans to opt into the state’s Medicaid system in addition to or even instead of the VA.


Latvala Wants To Avoid More Hospital Cuts

Nov 3, 2017
Facebook page

The Florida Legislature during the 2017 session agreed to a $521 million cut in Medicaid funding for hospitals as part of its $83 billion-plus budget.

Doctors Can Have Say On Managed Care Plans

Oct 27, 2017

State Medicaid officials are soliciting physicians to share their experiences with Medicaid managed-care plans by Nov. 20.

New Standards Add Pharmacies In Medicaid

Oct 26, 2017

To address “concerns and issues” with pharmacy networks, Medicaid officials have reduced maximum times and distances that patients can be forced to drive for prescriptions, members of the House Health Innovation Subcommittee were told Wednesday.

Nursing Home Providers Quarrel Over Quality Payments

Oct 22, 2017

A bruising battle over how to parcel out billions in Medicaid payments for nursing homes is showing little signs of ending anytime soon.

Westminster Village North

Westminster Village North, a nursing home and retirement community in Indianapolis, recently added 25 beds and two kitchens to speed food delivery to residents. It also redesigned patient rooms to ease wheelchair use and added Wi-Fi and flat-screen televisions. This fall, it’s opening a new assisted living unit.

Flickr

Federal health officials are dropping a Broward County nursing home from the Medicare program after 14 patients died after the facility lost air conditioning during Hurricane Irma.

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.

Veterans Health Program Proposed

Oct 8, 2017
South Florida Sun-Sentinel

Saying Florida has the “infrastructure and capacity to serve the health care needs of our veteran community,” a Republican senator Friday proposed a program that would allow veterans to tap into the state Medicaid managed-care system as an alternative to the federal Veterans Health Administration system.

The Trump administration says many of the organizations that help people enroll in health plans on the federal insurance marketplaces don't provide enough bang for the buck, sometimes costing thousands of dollars to sign up each customer. So it is cutting their funding, some by as much as 90 percent, the government told the groups last week.

Uninsured Rate Falls To Record Low Of 8.8%

Sep 13, 2017
Cheap Health Insurance / Flickr

Three years after the Affordable Care Act’s coverage expansion took effect, the number of Americans without health insurance fell to 28.1 million in 2016, down from 29 million in 2015, according to a federal report released Tuesday.

A popular federal-state program that provides health coverage to millions of children in lower- and middle-class families is up for renewal Sept. 30.

An intriguing new theory is gaining traction among conservative foes of the Obama-era health law: Its Medicaid expansion to low-income adults may be fueling the opioid epidemic.

Imagine being stranded without a ride to the doctor or arriving hours late to medical appointments that your life literally depends on. Those are Florida patients’ most common grievances with a company the state pays to arrange medical transportation for people with disabilities.  


Skyrocketing price tags for new drugs to treat rare diseases have stoked outrage nationwide. But hundreds of old, commonly used drugs cost the Medicaid program billions of extra dollars in 2016 vs. 2015, a Kaiser Health News data analysis shows. Eighty of the drugs — some generic and some still carrying brand names — proved more than two decades old.

Vermont Sen. Bernie Sanders will introduce a bill next month to create a government-run, single-payer health care system. And he knows it's going to fail.

"Look, I have no illusions that under a Republican Senate and a very right-wing House and an extremely right-wing president of the United States, that suddenly we're going to see a Medicare-for-all, single-payer passed," he said recently, sitting in his Senate office. "You're not going to see it. That's obvious."

Disabled Kids Medical Case Goes To Appeals Court

Aug 10, 2017

A legal battle will continue about whether Florida's Medicaid program has provided proper services to children with severe medical conditions.

Gage Skidmore (Flickr)

After the Senate fell short in its effort to repeal the Affordable Care Act, the Trump administration is poised to use its regulatory powers to accomplish what lawmakers could not: shrink Medicaid.

Agency For Health Care Administration

A Florida health care administrator accepted bribes in exchange for helping a nursing home owner accused of orchestrating a $1 billion Medicare and Medicaid fraud scheme keep his license, federal prosecutors said.

Agency for Health Care Administration webinar screenshot.

Earlier this year, the Florida Legislature amended state statutes to phase out waiver programs that allow people with special needs to get Medicaid who wouldn't normally qualify for services.

Scott Raises Concern About Inequity In Medicaid

Jul 17, 2017
Associated Press

A day after U.S. Senate leaders released a proposal to replace the federal Affordable Care Act, Gov. Rick Scott on Friday raised concerns about whether Florida would be treated fairly in Medicaid funding.

Health Bill Still Lacks Support, But GOP Vows Vote Next Week

Jul 14, 2017
WMFE

Senate Republican leaders Thursday released their revised bill to “repeal and replace” the Affordable Care Act, but they acknowledged that furious days of negotiation have not yet secured the 50 votes necessary to pass the measure over unanimous Democratic objections.

Double-Booked: When Surgeons Operate On Two Patients At Once

Jul 12, 2017
The University of Arkansas

The controversial practice has been standard in many teaching hospitals for decades, its safety and ethics largely unquestioned and its existence unknown to those most affected: people undergoing surgery.

But over the past two years, the issue of overlapping surgery — in which a doctor operates on two patients in different rooms during the same time period — has ignited an impassioned debate in the medical community, attracted scrutiny by the powerful Senate Finance Committee that oversees Medicare and Medicaid, and prompted some hospitals, including the University of Virginia’s, to circumscribe the practice.

Crippling Medicaid Cuts Could Upend Rural Health Services

Jul 11, 2017

Each day as Ginger Peebles watches daughter Brenlee grow, she sees the importance of having a hospital close by that delivers babies.

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