HMO

Health-Care Regulatory Revamp On Scott’s Desk

Mar 14, 2018
Politico

Gov. Rick Scott has until March 27 to take action on a broad regulatory bill that would affect health-care providers throughout the state.

House Backs Changes For State Workers, Hospitals

Jun 12, 2015

Pitching more competition and choices in the health-care system, the House on Friday passed six bills that include proposals to revamp health coverage for state employees and eliminate key regulations in the hospital industry.

But as lawmakers head into the final week of a special legislative session, it remains unclear whether the Senate will pass any of the bills. Senate President Andy Gardiner, R-Orlando, remained non-committal Friday, though he suggested the House's proposed changes to employee health insurance likely will not pass.

Florida House of Representatives

Since 2005, monthly health insurance premiums for state workers in Florida have stayed the same.

But a bill making its way through the Florida House could make big changes to the state group employee health plan, which covers more than 300,000 state employees and their families.

Right now, workers pay $50 dollars a month for individual coverage, or $180 dollars a month for their family. That’s a fraction of the cost most people who have health insurance through a private employer.

Florida House of Representatives

A bill designed to protect patients from unexpected charges for emergency treatment – so-called “balance billing” -- passed the powerful House Appropriations Committee on Tuesday.

But its future remains uncertain amid opposition from the Florida Medical Association and Florida Hospital Association.

Health-care providers who aren’t in a contract with an insurer say they shouldn’t be bound by what that insurer wants to pay. Insurers say they shouldn’t be forced to pay more than is reasonable.

Amerigroup

Two major health care groups have named new Chief Operating Officers for their Florida operations.

 Liz Miller has been promoted to the position at WellCare of Florida, the Tampa Bay Business Journal reports. She has been the vice president of product operations at the Tampa-based company since 2012. WellCare is Florida’s large Medicaid HMO contractor.

A troubled Medicare Advantage HMO now under state receivership has struggled for years to have enough capital available on hand to pay its bills.

A Tallahassee judge on Monday approved the Department of Financial Services' request to take over and liquidate Physicians United Plan Inc., which had offered Medicare Advantage plans since 2005.

Linked In

Florida Healthcare Plus, a financially struggling Medicare Advantage plan, has brought in a new CEO who's an experienced senior-products executive and turnaround artist.

Susan Rawlings Molina, who arrived at the Coral Gables-based company in January, says she was recruited for the task by her predecessor, Ray Quirantes. Although the company has been losing money, she told Health News Florida Tuesday afternoon, its investors have provided adequate capital and want to make it a success.

Florida hospitals had strong profits last year, according to an analyst's report, and so did its HMOs, especially those that specialize in Medicare patients.

Tampa Bay Times

Health-fraud investigators spent most of Thursday night copying data from the computers at Universal Health Care after federal agents raided the company early Thursday and ordered hundreds of workers out of their offices in the downtown St. Petersburg building.

Meanwhile, Dr. Akshay "A.K." Desai, who founded and ran the Medicare and Medicaid  HMO company, was nowhere in evidence. The gates were closed at his ultra-modern mansion on Tampa Bay.