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Florida Medicaid HMOs having trouble meeting state financial solvency requirements

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While hospitals’ financials have been under the microscope during the Regular and Special Legislative Sessions, another player in Florida’s Medicaid delivery system — managed-care plans — have escaped much of the scrutiny. But a report of the health plans shows that the plans lost a cumulative $542.9 million in 2014 in their Medicaid line of business. And business didn’t improve in the first quarter of 2015. Two of the 13 HMOs that provide health care to Medicaid patients in Florida’s…

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Medicaid HMOs fail to get $57 mil more out of state budget

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More than $300 million in additional revenue was plowed into the budget in the late hours of Monday night but, apparently, leaders did not agree to spending any more money on Medicaid. That’s a disappointment to the managed-care plans that are participating in Florida’s mandatory Medicaid managed-care program. They were hoping to get an infusion of $57 million in “grants and donations” trust funds that could have been used to draw down federal matching funds. In all, it would have…

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Medicaid managed-care plans getting rate increases

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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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‘Unaccountable: What Hospitals Won’t Tell You…’ author kicks off healthcare commission’s traveling ‘transparency tour’

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The “Spotlight Transparency Tour” starts in Tampa on Wednesday June 17 with at least two local hospital executives and Marty Makary, medical doctor and author of “Unaccountable: What Hospitals Won’t Tell You and How Transparency Can Revolutionize Health Care,” slated to address Gov. Rick Scott’s blue ribbon commission. Makary, associate professor of health policy at Johns Hopkins School of Public Health, will address the Commission on Healthcare and Hospital Funding for 90 minutes, according to a draft copy of the…

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Rick Scott’s office on health care funding: “we are continuing to watch the process”

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After making quick progress early on Saturday, legislative health care budget writers announced at 4 pm they wouldn’t meet again until Sunday. House and Senate legislative leaders have agreed to pour $400 million in recurring general revenue into hospitals in an attempt to absorb the loss of $1 billion in supplemental Medicaid dollars known as Low Income Pool. It’s a move that could put the Legislature at odds with Gov. Rick Scott who has said he doesn’t want to “backfill”…

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As attendance wanes, Rick Scott’s healthcare commission prepares for ‘Transparency Tour’

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The Commission on Healthcare and Hospital Funding met in the bowels of the Capitol in Tallahassee on Thursday morning with a spate of audience members looking on while those with an interest in the healthcare debate watched the House of Representatives take up a bill to bring more Medicaid dollars into the state to fund healthcare access. Meeting in the Cabinet room in the basement of the Capitol, the commission heard presentations from the Agency for Health Care Administration staff…

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Upcoming special session almost as much about health care as budget

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The 2015 Special Session is being referred to as a budget session but it could just as easily be described as the special session on health care. Thirty-two bills have been filed for consideration in the 2015A session and 40 percent of them impact health care, either through substantive policy changes, financing, or both, including a bill that would eliminate CON for general hospitals, long-term- care hospitals and “tertiary services” such as pediatric open heart surgery, organ transplantation and neonatal…

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