For mothers-to-be on Medicaid, change is coming

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Waddling into the doctor? office at eight months pregnant, two kids in tow, Danielle Johnson fully expected to see her obstetrician.

She handed the receptionist her Medicaid card, then sipped a glucose drink to prepare for a diabetes test.

Suddenly the receptionist called her name.I? sorry, but your insurance has been switched,” she said. “Now you?e on First Coast, and we don? take (that).”

What happened to Johnson is worth a listen, because she lives in Duval County, one of the five test sites for a Medicaid experiment that moves enrollees into HMOs or similar managed-care networks, reports Brittany Davis of Health News Florida.

That pilot is about to go statewide under bills already passed in the House and pending in the Senate.

As lawmakers hammer out the details, patient advocates have raised concerns about groups that may be tripped up by the complexity of managed-care rules:the developmentally disabled, the mentally ill and frail elders in nursing homes.

Not much has been said about pregnant women, even thoughmore than half of them in Floridadepend on Medicaid to pay the bills,according to Agency for Health Care Administration data.

Continue reading Brittany Davis’ story here.


Peter Schorsch is the President of Extensive Enterprises and is the publisher of some of Florida’s most influential new media websites, including,,, and Sunburn, the morning read of what’s hot in Florida politics. SaintPetersBlog has for three years running been ranked by the Washington Post as the best state-based blog in Florida. In addition to his publishing efforts, Peter is a political consultant to several of the state’s largest governmental affairs and public relations firms. Peter lives in St. Petersburg with his wife, Michelle, and their daughter, Ella.