Molina Healthcare

Medicaid Plans Show Losses In First Half Of Year

Nov 2, 2018

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.

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.

A decision last week to award Medicaid contracts to two additional managed-care plans could mean more legal challenges for the state Agency for Health Care Administration.

Molina CEO: ACA Just Needs A Tuneup

Mar 2, 2017
Molina Healthcare

Some large health insurance companies have suffered losses under the Affordable Care Act, leading to a few high-profile exits from the online marketplaces. Humana is just the latest, announcing in January that it will stop offering health insurance on the ACA health exchanges at year’s end.

Profits for Florida’s HMOs dropped sharply in 2013, with a nearly 31 percent reduction in combined profits, according to the South Florida Business Journal. The Florida Office of Insurance Regulation reported profits at $933.8 million in 2012 and $648 million in 2013.

A new drug hailed as a breakthrough against hepatitis C comes at a price that  puts treatment out of reach for most who need the medication -- $84,000 for a standard 12-week course of Sovaldi, manufactured by Gilead Sciences.

To prepare for a massive influx of new Medicaid patients in Florida and other states, insurers are building clinics in convenient places to help them find care without resorting to a hospital emergency room, Kaiser Health News reports.

For example, Molina has opened a clinic in a West Palm Beach shopping center because company officials noticed a lot of their Medicaid enrollees were using ER's for routine care.

Humana, Molina Added to Options for Elderly

Feb 16, 2013

In early February, when the state announced that five companies would be allowed to enroll frail elderly and disabled Medicaid patients in their managed-care plans, Molina Healthcare of Florida Inc. and Humana Medical Plan Inc. weren't on the list.