Medicaid

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.

Google Maps

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.

Kaiser Health News

California signed up an estimated 450,000 people under Medicaid expansion who may not have been eligible for coverage, according to a report by the U.S. Health and Human Services’ chief watchdog.

In a Feb. 21 report, the HHS’ inspector general estimated that California spent $738.2 million on 366,078 expansion beneficiaries who were ineligible. It spent an additional $416.5 million for 79,055 expansion enrollees who were “potentially” ineligible, auditors found.

Agency For Health Care Administration

Proposed changes to Florida’s Medicaid eligibility requirements would make it harder for people to get coverage after they become sick.

States Extend Medicaid For Birth Control, Cutting Costs

Mar 22, 2018
Anna Gorman/KHN

The Trump administration is weighing whether to allow Texas to receive millions of federal Medicaid dollars for its family planning program, which bars abortion providers.

Nursing Homes, Safety Net Hospitals Win In Budget

Mar 9, 2018

Nursing homes will get a $130 million bump in Medicaid payments, and residents who live in the facilities will get nearly a 25 percent increase in a monthly stipend they can use for personal needs, under a state budget deal finalized Thursday.

Under the spending plan, the state during the upcoming year would spend $37.1 billion across six state health-care and social-service agencies. Nearly $9.9 billion of that amount would be state general-revenue tax dollars, compared to the $9.4 billion during the current year.

Rural Hospitals Wary Of Florida's Budget Proposal

Mar 4, 2018

Rural Hospitals are having trouble providing health care to their patients, and officials say the Florida Legislature’s budget plan isn’t likely to help.

Heidi de Marco / Kaiser Health News

Amid the outcry over the Florida school shootings, the Trump administration says it is "actively exploring" ways to help states expand inpatient mental health treatment using Medicaid funds.

Health Program Money Won't Hit Projections

Feb 25, 2018
Cheap Health Insurance / Flickr

Gov. Rick Scott last year bragged that the Trump administration had agreed to steer $1.5 billion in supplemental Medicaid funding to the state, saying at the time the money will “truly improve the quality and access to health care for our most vulnerable populations.” 

House Eyes Work Requirement In Medicaid

Feb 22, 2018

Florida might consider imposing work requirements on adults enrolled in the state’s Medicaid program, a move some critics contend would be “cruel” for poor people who rely on the safety-net program for health care.

Gage Skidmore (Flickr)

President Donald Trump’s new budget proposal flirts with combating high prescription drug prices, but industry watchers say the tweaks to Medicare and Medicaid do little more than dance around the edges of lowering the actual prices of drugs.

Unable to walk or talk, barely able to see or hear, 5-year-old Maddie Holt waits in her wheelchair for a ride to the hospital.

Nursing Homes Get Boost In Senate Budget

Jan 25, 2018
Florida House of Representatives

Nursing homes would get a nearly 4 percent increase in what they are paid to treat frail, elderly Floridians, while $318 million in Medicaid funding would be redistributed among the state’s hospitals, under a proposed spending plan released Wednesday by a Senate budget panel.

Wikimedia Commons

The Trump administration’s watershed decision Thursday to allow states to test a work requirement for adult Medicaid enrollees sparked widespread criticism from doctors, advocates for the poor, and minority and disability rights groups.

Kentucky got the green light from the federal government Friday to require people who get Medicaid to work. It's a big change from the Obama administration, which rejected overtures from states that wanted to add a work requirement.

Medicaid Work Requirement Unlikely In Florida

Jan 12, 2018

While the Trump administration signaled willingness this week to allow work requirements for Medicaid beneficiaries, the Florida Legislature is unlikely to move ahead with such a mandate this year.

The Trump administration early Thursday initiated a pivotal change in the Medicaid program, announcing that for the first time the federal government will allow states to test work requirements as a condition for coverage.

Florida officials say hackers may have accessed the personal information and medical records of up to 30,000 Medicaid recipients two months ago.

State Faces Shortfall In Children's Medical Program

Dec 12, 2017
Nick Evans/WFSU

A Medicaid program that pays health-care costs for some of the sickest children in the state has an estimated $25 million budget shortfall, a key lawmaker said Monday night.

Margaret Leatherwood has eight choices for health insurance next year but no good options.

Democrats Seek Vote On Expanding Medicaid In Florida

Dec 10, 2017

Two Democratic lawmakers are calling for voters to decide next year whether Florida should expand the Medicaid program under the federal Affordable Care Act.

Medicaid Plan Required To Return $1.8 Million To State

Dec 4, 2017

Simply Healthcare Plans made too much money from Florida's health-care program that treats the poor, elderly and disabled and was required to return nearly $1.8 million to the state.

Having failed to repeal and replace the Affordable Care Act, Congress is now working on a tax overhaul. But it turns out the tax bills in the House and Senate also aim to reshape health care.

Here are five ways the tax legislation could change health policy:

1. Repeal the requirement for most people to have health insurance or pay a tax penalty

Assisted Living Facilities Face $280 Million Tab For Generators

Nov 30, 2017
WMFE

Gov. Rick Scott's mandate that all assisted living facilities have generators and 96 hours of backup fuel will cost the industry about $280 million, according to estimates published Wednesday by the Florida Department of Elder Affairs.

In April 2014, state and federal drug agents raided Jeffrey Campbell’s medical clinic in Jeffersonville, Indiana. Police cars blocked the parking lot as bewildered patients scattered and the agents carted off boxes of records from the doctor’s office.

The former general counsel for WellCare was sentenced to six months in federal prison for making a false statement to the Florida Medicaid Program.

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