Medicaid

Top Florida Republican lawmakers are heading to Washington D.C. soon to discuss potential healthcare changes with their Congressional counterparts. They want President Donald Trump’s administration to blockgrant Medicaid funding. But some Floridians worry the sick and the poor will lose their health insurance.

In recent days, several Republican lawmakers have faced crowds of constituents at town hall meetings around the country who are angry that they may be in danger of losing their health coverage.

Congressman Matt Gaetz, R-FL, said he wants to turn full control of the Medicaid health insurance over to Florida and the other states. It’s part of Congress’ ongoing debate about repealing and replacing the Affordable Care Act. But Gaetz offered few details.

Changes Sought In Medicaid Managed Care

Feb 15, 2017

A Senate Republican has filed a proposal that would revamp Florida's Medicaid managed-care system, including changing how HMOs and other health plans are spread across the state.

WellCare

Tampa-based WellCare Health Plans, which covers nearly 4 million people through Medicare and Medicaid programs, reported an increase in income last year, according to an earnings report released Tuesday.

Managed Care Contracting Begins To Move Forward

Feb 5, 2017

Health plans that want to compete for contracts in Florida's Medicaid managed-care system face a Feb. 13 deadline for signaling their interest to the state Agency for Health Care Administration.

Hospitals Challenge State On Outpatient Rates

Jan 26, 2017
JusticeSolutions.org

Dozens of hospitals across Florida have filed legal challenges against the state in a dispute about payments for outpatient care in the Medicaid program.

Republicans plan to turn control of Medicaid over to the states as part of their replacement for the Affordable Care Act, according to an adviser to President Donald Trump.

Lawmakers Get ‘Bad News’ About Medicaid Payment Error

Jan 12, 2017

A top Florida health official briefed lawmakers Wednesday about a Medicaid payment error that is expected to force the state to shell out $75.1 million.

AHCA, Nursing Homes Disagree On Managed Care Change

Jan 11, 2017

A top official at the Agency for Health Care Administration on Tuesday objected to a nursing-home industry proposal to exclude some seniors from the state's Medicaid managed-care program.

Key Senate Committees Will Look At Medicaid Issues

Jan 2, 2017

Two major Florida Senate panels will take up Medicaid issues when lawmakers return to Tallahassee in January for committee meetings, according to agendas posted online.

Negron Eyes Changes To Medicaid

Dec 21, 2016

With Donald Trump moving into the White House and Republicans controlling Congress, Florida Senate President Joe Negron said Tuesday he wants to start working on a "framework" for how the state could move forward with major changes in the Medicaid program.

Senate Panel Digs Into Medicaid Long-Term Care

Dec 15, 2016

With a major nursing-home group looking for changes, a Senate panel Wednesday began delving into part of the Medicaid program that involves seniors enrolling in managed-care plans.

Having private insurance companies manage Florida’s Medicaid services instead of the state has been successful, said the Agency for Health Care Administration. But long-term care providers and advocacy groups disagree and they outlined problems to Florida senators on Wednesday.

Over a five-year period, Florida’s Medicaid program overpaid private HMOs an estimated $26 million in monthly premiums for enrollees who had already died, according to a federal audit released Tuesday.

Tallahassee cardiologist Ed Holifield is accusing Tallahassee Memorial Healthcare of artificially limiting the number Medicaid patients it serves. A small protest took place outside the hospital Tuesday.

Senate Will Review Medicaid Long-Term Care

Dec 13, 2016

With Senate President Joe Negron, R-Stuart, saying he has a "strong interest" in the issue, a Senate panel on Wednesday will start studying the state's Medicaid managed-care program for seniors who need long-term care.

When Florida lawmakers new and old arrive for the annual lawmaking session they’ll be faced with a $25 billion issue: Medicaid. The state’s health insurance program for low-income Floridians just keeps getting bigger, despite continued efforts to control costs.

President-elect Donald Trump unveiled two big health care decisions Tuesday.

Nursing homes are gearing up to fight a plan that could result in what they say are widely varied Medicaid reimbursement rates. Its part of a legislative push for efficiency, but the move is worrying providers in the $4.8 billion program.

p1 lawyer / Flickr

A fall 2017 trial date is set for a South Florida businessman accused of orchestrating a $1 billion Medicare and Medicaid fraud scheme.

Health Policy Institute/Georgetown University

According to a new report, more children than ever before have health insurance.

Florida joins 40 other states that insured more children between 2013 and 2015.

State Eyes Medicaid-Managed Care Extension

Oct 18, 2016

The Florida Agency for Health Care Administration will start holding public meetings Tuesday as it moves forward with seeking federal approval of a three-year extension of the state's Medicaid managed-care program.

Voting and healthcare advocacy groups want Floridians to consider healthcare as they cast ballots on November 8th.

WellCare

WellCare Health Plans, Inc., one of the largest public companies and one of the largest employers in Tampa Bay, has signed an agreement that expands its footprint in Arizona’s Medicaid and Medicare markets, according to the Tampa Bay Business Journal.

Appeals Court Upholds Convictions Of Ex-WellCare Executives

Aug 12, 2016
WellCare Health Plans

In a 124-page ruling, a federal appeals court Thursday upheld the convictions of four former WellCare Health Plans executives in a case that stemmed from allegations of defrauding Florida's Medicaid program.

Donna Nickerson spent her last working years as the activity and social services director at a Turlock, Calif., nursing home.

But when she developed Alzheimer's disease and needed that kind of care herself, she and her husband couldn't afford it: A bed at a nearby home cost several thousand dollars a month.

"I'm not a wealthy man," said Nickerson's husband Mel, a retired California State University-Stanislaus professor. "There's no way I could pay for that."

The Commonwealth Fund

Florida cities are losing ground on key health care indicators, according to a report released today.

The researchers say one reason for the decline is the state's decision to not expand Medicaid.

Many babies born to mothers who are covered by Medicaid are automatically eligible for that health insurance coverage during their first year of life. In a handful of states, the same is true for babies born to women covered by the Children's Health Insurance Program.

Appeals Court Rules Against St. Pete Nursing Home In Medicare Fight

Jul 12, 2016
Google Maps

A federal appeals court Monday said a bankruptcy judge did not have the authority to block health officials from cutting off Medicare and Medicaid payments to a Florida nursing home that was alleged to have violated patient-care regulations.

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