Medicaid

WMFE

The number of health care providers complaining about the state’s Medicaid insurers is on the decline.

According to the Miami Herald, Baptist Health South Florida is enjoying tax exempt-status and raking in millions as it makes its network unavailable to many low- and middle-income patients.

Associated Press

The makers of a breakthrough hepatitis drug put profits before patients in pricing the $1,000 pill that’s become a symbol of the excessive cost of medications, Senate investigators said Tuesday.

WMFE

U.S. Rep. Corrine Brown, D-FL 5th District, brought a campaign to put Florida Medicaid expansion on the ballot to Central Florida on Friday.

  With the third year of open enrollment under way on Healthcare.gov, President Barack Obama is focusing his efforts on people eligible to buy policies on the insurance marketplace.

Political battles over expanding Medicaid in states including Florida are important, but not as easy to win, he told WUSF in an Oval Office interview Thursday.

WellCare Sees Increase In Earnings

Nov 5, 2015
WellCare

Tampa-based WellCare Health Plans, which manages care for about 800,000 people in Florida's Medicaid program, saw an increase in earnings during the third quarter of the year, according to a filing Wednesday with the federal Securities and Exchange Commission.

WMFE

There is a seven-county stretch in North Central Florida -- an area larger than Puerto Rico -- where every county health department has gotten out of prenatal care.

Since then, the rate of women getting in to see a doctor in the first trimester has dropped in all seven  counties.

American Community Survey (ACS) data from 2014 .

More than 67,000 Florida children gained health insurance coverage last year with the full implementation of the Affordable Care Act, according to a report released Wednesday by Georgetown University’s Health Policy Institute.

Anthem reported a 4 percent increase in third-quarter profit and beat Wall Street forecasts as the number of people the health insurer covers edged slightly higher.

WMFE

Most county health departments no longer offer services to pregnant women. But on Florida’s Space Coast, the opposite is true: The county health department offers 100 percent coverage for pregnant women.

WMFE

One of the nation’s largest drug testing laboratories will pay $256 million to settle allegations it over-billed the U.S. government for urine drug tests. The Justice Department found that Millennium Health billed the government for unnecessary urine drug tests and genetic testing.

LIP Funding Not Going Up

Oct 19, 2015

The federal government isn’t changing its budget for Florida’s charity health care. 

The 22 states that didn't expand Medicaid eligibility as part of Obamacare last year saw their costs to provide health care to the poor rise twice as fast as states that extended benefits to more low-income residents.

It's a counterintuitive twist for those states whose governors, most Republicans who opposed the Affordable Care Act, chose not to accept federal funds to extend Medicaid to more people.

State, Feds Try To Nail Down Details On 'LIP' Money

Oct 8, 2015
Agency for Health Care Administration

The state's Medicaid director said Wednesday he hopes in the coming weeks to finalize an agreement with the federal government about details for the Low Income Pool, a major hospital-funding program that spurred contentious debate earlier this year.

Daylina Miller / WUSF

Children who get health insurance through Medicaid go to the dentist about half as often as children in Florida who have private insurance, according to a new study out from the American Dental Association and the Health Policy Institute.

It seems Florida lawmakers aren't the only ones who can't agree. Residents also are divided over key economic and social issues, according to the latest release of the Sunshine State Survey.

Florida’s Low Income Pool program – the issue that brought the Legislature to an abrupt halt this spring - is receiving its fourth temporary extension to continue paying hospitals that treat uninsured people, Politico Florida reports.

Associated Press

The percentage of Americans without health insurance dropped by nearly three percentage points between 2013 and 2014, according the U.S. Census Bureau, from 13.3 to 10.4 percent. Put another way, 8.8 million more people were insured in 2014 than the year before.

Florida’s Medicaid costs will soon take up about half of the state’s new revenue. And enrollment in the program continues to grow. The increasing costs of the program has the state’s chief economist putting part of the blame on prescription drugs.

A new model of health care run by doctors and hospitals is growing and saving money in the taxpayer-funded Medicare program, according to a new report from the federal government. However, experts say most patients still don’t understand how an Accountable Care Organization works.

Bill Ties Officials' Health Coverage To Medicaid

Aug 5, 2015
Florida House

A House Republican filed a bill Tuesday that would tie health coverage for state elected officials to the benefits provided in the Medicaid program.

The bill -- HB 39 -- filed by state Rep. Matt Gaetz, R-Fort Walton Beach, will be considered during the 2016 legislative session.

When President Lyndon B. Johnson signed Medicare and Medicaid into law on July 30, 1965, Americans 65 and older were the age group least likely to have health insurance.

5 Challenges Facing Medicaid At 50

Jul 28, 2015
National Institutes of Health

A “sleeper” provision when Congress created Medicare in 1965 to cover health care for seniors, Medicaid now provides coverage to nearly 1 in 4 Americans, at an annual cost of more than $500 billion. Today, it is the workhorse of the U.S. health system, covering nearly half of all births, one-third of children and two-thirds of people in nursing homes.

Agency for Health Care Administration

The Florida Agency For Health Care Administration is demanding to see Medicaid contracts between hospitals and health insurers, the Tampa Bay Times reports.

The Florida Department of Health has closed a loophole in the state’s healthcare programs for low income families. The Department has made a deal to provide dental services to foster care children in eight counties.

Study: 19 Million Uninsured If Law Repealed

Jun 22, 2015
U.S. Supreme Court

Repealing the federal health law would add an additional 19 million to the ranks of the uninsured in 2016 and increase the federal deficit over the next decade, the Congressional Budget Office said Friday.

Questions As Kids Moved from Health Program

Jun 9, 2015
Wikimedia Commons

The state last month removed about 2,000 children from a specialized program that provides services to medically fragile kids, finding that they were no longer "clinically eligible" under a new screening process.
 

But the move by the Department of Health to re-evaluate children in the Children's Medical Services Network is drawing criticism from pediatricians and some children's advocates.

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Abe Aboraya / Health News Florida

The Central Florida YMCA got a $1.7 million grant  from the UnitedHealth Foundation. It will fund a three-year pilot program called HealthierLifeRX.

Those enrolled will spend 12 months working with a doctor and a personalized health and lifestyle coach to achieve health care goals. State Rep. Jason Brodeur said if the program is successful, he’d like to see it replicated in Medicaid.

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