Agency for Health Care Administration

‘Certificate Of Need’ Repeal Stalls In Senate

Mar 19, 2019
Gayle Harris seated in front of a microphone.
News Service of Florida

A high-priority issue for House Speaker Jose Oliva is in trouble in the Florida Senate. 

Lawmakers Ready To Shift Regulatory Power To AHCA

Mar 18, 2019
Elderly hands holding near patient bed at hospice.
Pixabay

Lawmakers are poised to give the Agency for Health Care Administration complete rule-making authority over hospice care, assisted living facilities, adult family-care homes and adult day-care programs. 

Twitter

Gov. Ron DeSantis is committed to protecting the state’s Medicaid program for needy residents through evidence-based medicine, Mary Mayhew, his choice to run the Agency for Health Care Administration, said Monday. 

Twitter

Gov. Ron DeSantis’ choice to run the Agency for Health Care Administration, Mary Mayhew, quickly hit the ground this week in her new job. 

State Medicaid Changes Come Under Fire

Jan 23, 2019

Florida has put in place sweeping changes to its main health-care safety net program over the last several months, but legislators on Tuesday received an earful about ongoing problems with the $28 billion Medicaid program.

New AHCA Secretary Has Fans, Detractors

Jan 14, 2019
Twitter

While Gov. Ron DeSantis announced that Mary Mayhew will take the helm at the state Agency for Health Care Administration, it hasn’t been made clear when she will begin the job or how much she will earn.

Johns Hopkins Medicine has hired a former federal prosecutor to investigate the heart institute at All Children's Hospital in St. Petersburg.

The state has frozen payments to some providers who treat children with autism while it tries to ferret out fraudulent activity, but a high-ranking Medicaid official said the freeze should be lifted within two weeks.

Gov.-elect Ron DeSantis on Friday named an ardent opponent of Medicaid expansion to lead the state Agency for Health Care Administration and backed former state Sen. Dana Young to lead the tourism-marketing agency Visit Florida.

DeSantis Transition Panel Targets Lower Health Costs, Improved Care

Dec 13, 2018
Kaiser Health News

He may not have campaigned heavily on health care, but incoming Gov. Ron DeSantis is promising to make it a priority now.

Ron DeSantis (YouTube)

Lt. Gov.-elect Jeanette Nuñez and former Agency for Health Care Administration Secretary Alan Levine are co-chairing a committee that could help shape health-care plans for incoming Gov. Ron DeSantis.

iStock

Lawmakers want to know why state and federal health investigators missed warning signs about problems in the heart surgery program at a Florida children's hospital.

Medicaid Plans Show Losses In First Half Of Year

Nov 2, 2018
iStock

As many as half of the managed-care plans providing Medicaid services to Floridians were losing money midway through the year. But key players say they are not worried.

iStock

Florida hospitals, ambulatory surgical centers and emergency departments are required to electronically submit data to the state about patients who are discharged. But a recent survey of those providers showed that nearly 78 percent of respondents reported having data rejected most of the time.

Medicaid Patients Face Changes In Health Plans

Sep 19, 2018
iStock

About 600,000 low-income patients will be assigned to new Medicaid managed-care plans in the coming months after the state ended contracts with their existing plans.

Wikimedia Commons

A dispute over the the state Agency for Health Care Administration’s decision to award a Medicaid managed-care contract in Southwest Florida has turned into a court battle.

Google Maps

Seven different companies want to establish new hospitals or offer new services at existing hospitals across Florida, but at least some of the proposals aren’t in areas where the state says there’s a need. 

Delay In Federal Approval Trims Medicaid Savings

Aug 7, 2018
iStock

Nearly $100 million the state assumed would be saved by changing a policy about patient eligibility for Medicaid won’t come to fruition this year.

Judge Urges Denial Of Nemours Transplant Proposals

Aug 1, 2018
WMFE

Siding with a preliminary decision by state regulators, an administrative law judge Tuesday recommended denial of plans by Nemours Children’s Hospital to offer pediatric heart transplants and heart and lung transplants. 

iStock

Tampa-based Argus Dental and Vision withdrew a legal challenge to recently awarded contracts in Florida’s new Medicaid dental program, clearing the way for the state to move ahead with what one official described as the “broadest dental package ever available” to Medicaid beneficiaries. 

Sammy Mack/Health News Florida

There’s one less Medicaid contract challenge the state Agency for Health Care Administration will have to try to fend off before an administrative law judge. 

Office of the Governor

The AIDS Healthcare Foundation filed a public-records lawsuit Thursday in Leon County circuit court alleging that Gov. Rick Scott’s staff refused to provide copies of his public calendar and travel schedule. 

iStock

Twenty-seven legal challenges filed by managed-care plans protesting state decisions to award $90 billion in Medicaid contracts have been grouped into five cases that will be heard in administrative court next month.

iStock

Florida’s top health-care regulator gave final approval last week to a pair of new hospitals for southern Sarasota County. 

iStock

After a lengthy process that involved awarding tens of billions of dollars in Medicaid contracts, the Florida Agency for Health Care Administration now will have to try to fend off legal challenges from health plans that were denied contracts. 

Munroe Regional Medical Center's Twitter Account: @MunroeRegional

Three hospitals in Marion and Citrus counties are challenging a state decision to sign off on a new 66-bed hospital in Marion County, according to documents posted Thursday on the state Division of Administrative Hearings website. 

Sammy Mack/Health News Florida

Florida Medicaid officials announced plans Thursday to sign contracts with three managed-care companies to provide dental care. 

A move by state health-care regulators to avoid litigation has, instead, created more.

Attorneys for Best Care Assurance, a managed care plan affiliated with Lee Memorial Health System, notified the state that they plan to challenge a decision last week to award a Medicaid contract to Molina Healthcare of Florida in a seven-county region of Southwest Florida.

Kaiser Health News

Two health plans that would have been locked out of Florida’s Medicaid market for the next five years were awarded state contracts after they threatened legal action.

FloridaHealthFinder.gov

Asserting it would help hold down health-care costs, Gov. Rick Scott’s administration created a database of paid insurance claims that allows people to shop for costs of medical procedures.

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