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Kindred Hospital patients sue insurer WellCare over $3.2M in withheld, reduced reimbursements

in Local Courts/Top Headlines by

A major hospital chain is accusing Tampa-based insurance carrier WellCare of holding back and reducing millions of dollars in reimbursements, essentially gaming the system by inflating its bottom line. WellCare is a Medicare and Medicaid provider co-founded in 1985 by philanthropist Kiran Patel and his brother Pradip, who later sold the company. WellCare, headquartered at 8725 Henderson Road in Tampa, offers Medicaid managed care health plans to more than 3.9 million members through a network of 91,000 physicians and over…

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Heartwarming video shows Medicaid giving hope to Florida’s most vulnerable children

in Peter/Top Headlines by

Health care through Medicaid, particularly for Floridaā€™s most vulnerable citizens ā€” children, the elderly and low-income families ā€” is not an abstract. It is a real need, for real people, and without it, can lead to real suffering. A new video shows how the state’sĀ Medicaid program is keeping one Plant City boy alive. It is not just money for lawmakers to spend arbitrarily; it is care for actual people, often those who need it most. The video is from the…

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Magic Johnson visits Tallahassee to talk up Medicaid managed care

in Statewide by

Magic JohnsonĀ visited with Senate Democrats Monday to praise Medicaid managed care programs that are using town hall meetings and church outreach to steer HIV, dental, geriatric, and other health care to poor people in 60 Florida counties. The programs have served 9,500 people with HIV during the past four years, Johnson said. Moreover, ā€œour providers and our doctors look like the patients they serve. Thatā€™s very important, because they can serve them better, understand their needs,ā€ Johnson said, providing ā€œthe…

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Pam Bondi touts $165 million recovered by stateā€™s Medicaid fraud unit

in Apolitical/Top Headlines by

Florida has proved to be one of the most effective states in the nation last year for recovering Medicaid fraud money. A report issued by the U.S. Department of Health and Human Services revealed Florida recovered more than $165 million in otherwise lost funds through fraudulent Medicaid cases during fiscal year 2015-2016, the stateā€™s attorney general said in a statement Thursday. The report shows Attorney General Pam Bondiā€™s Medicaid Fraud Control Unit (MFCU) is working, according to the Office of…

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Pam Bondi goes to Nevada

Drawing on lessons learned after a nightclub massacre last year in Orlando, Attorney General Pam Bondi and members of her

Rick Scott says ACA replacement is a work in progress

in 2017/Top Headlines by

Gov. Rick Scott said Thursday that he thinks Florida would be treated unfairly under the current version of congressional Republicansā€™ Obamacare repeal bill. Scott did not tell reporters he opposed the bill after meeting with House Speaker Paul Ryan in Washington, D.C., though he did say the repeal bill needs to be fair for states like Florida, which did not expand Medicaid. He also said the bill needs to give autonomy to run their own Medicaid programs. States like Florida…

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Safety net hospital executives travel to Washington in search of money

in 2017 by

Representatives of hospitals that provide a lot of charity care in Florida were headed to Washington Monday to urge federal health care officials and members of Congress to give them more money and freedom to spend it. Tony Carvalho, president of theĀ Safety Net Hospital Alliance of Florida, said members hope theĀ TrumpĀ administration will prove friendlier than former PresidentĀ Obama, who trimmed Washingtonā€™sĀ Low Income PoolĀ financing for charity care from $2.2 billion to $608 million during the past three years. That harmed ā€œhospitalsā€™ ability…

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Florida seniors, be careful what you wish for with Donald Trump, Medicare

in 2017/Top Headlines by

Floridaā€™s estimated 3.8 million senior citizens wanted change. They wanted to, how you say, drain the swamp? They voted overwhelmingly for Donald Trump in November. With voters age 65 and over, Trump won Florida by 17 percent. That likely was the difference in a statewide race he won over Hillary Clinton by about 119,000 votes. Here is part of the change they voted for. His name is Tom Price, just confirmed in the Senate as Trumpā€™s secretary of Health and…

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