Florida Association of Health Plans – Page 2

Medicaid managed-care plans getting rate increases

Published on June 15, 2015 in Statewide/Top Headlines by Christine Jordan Sexton

Health plans that have been participating in the mandatory Medicaid managed-care program unfurled in Florida a little more than one year ago will be getting some pay increases in the coming months. A draft copy of the new rates shows that for the non-elderly population, plans wil, on average, have a 6.4 percent increase in rates over current rates, according to draft documents the Agency for Health Care Administration shared with the plans earlier this month. The average rate increase is…

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Another healthcare budget headache for Florida?

Published on May 27, 2015 in Statewide/Top Headlines by Christine Jordan Sexton

Amid an ongoing dust-up over Florida’s healthcare spending, there are troubling signs that one of the reforms touted by Gov. Rick Scott may not be saving taxpayers money as initially promised. Scott signed into law in 2011 a measure that shifted Florida’s 3 million plus Medicaid patients into managed care. Scott praised the move and lobbied the federal government to grant approval for the shift. But now with the overhaul complete, HMOs have been pressing the Florida Legislature for rate…

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Rick Scott’s healthcare commission the hot ticket in town

Published on May 6, 2015 in Statewide/Top Headlines by Christine Jordan Sexton

There are more questions than answers in Tallahassee regarding healthcare financing, Medicaid and the inevitable special session this summer. One thing is for sure, though: there’s plenty of interest in serving on the healthcare commission that Gov. Rick Scott created through an executive order on Tuesday and tasked with analyzing the state’s healthcare costs and investigate what can be done to lower them. “It is the intent of this administration to continue to develop cost-effective, patient-cenered approaches for making healthcare…

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Senate Insurance Panel OKs FMA’s ‘Right Medicine, Right Time Act’

Published on March 4, 2015 in Top Headlines by Christine Jordan Sexton

The Senate Banking and Insurance Committee gave the green light to the Florida Medical Association’s top priority: a bill that precludes insurance companies and HMOs from limiting direct access to medications without prior approval from a government-housed clinical committee. It’s being called the “Right Medicine, Right Time Act” and it most likely will be the center of the biggest tussle between the physician and insurance industries for the 2015 session. Under the provisions in the bill an insurer and its…

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