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Supreme Court limits information insurers may demand under PIP policies

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The Florida Supreme Court has taken a narrow view of the amount of evidence hospitals and other health care providers are obliged to turn over to insurance companies concerning the reasonableness of personal injury protection claims. In a unanimous ruling, the court sided with the 1st District Court of Appeal over the 4th District Court of Appeal, which had issued conflicting interpretations of Florida’s PIP statute. “We conclude that discovery is limited to the production of a written report of…

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House and Senate agree on new LIP model

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Budget chairmen state Sen. Tom Lee and state Rep. Richard Corcoran early Friday came to terms on what was the biggest stumbling block during the 2015 session and what Lee called the “linchpin” of the budget: supplemental Medicaid funding. After working for days, the House made a Low Income Pool offer to the Senate that takes advantage of the full $1 billion in supplemental payments that the federal government advised Florida it would approve. That is a reduction from the current…

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Teaching hospitals losers, for-profits winners, under Rick Scott’s alternative LIP proposal

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The state’s largest teaching hospitals would see a $200 million reduction in Medicaid payments under a proposal Gov. Rick Scott has floated to the federal government in hopes of keeping Florida’s supplemental Medicaid funds at a full $2 billion. Conversely, the for-profit facilities would gain the most under the proposal being advanced by Scott, the former chief executive officer of the nation’s largest hospital chain. According to spreadsheets distributed by the governor’s office, Scott’s reworked spending formula would mean deep reductions…

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Rick Scott to hospitals: Come up with profit-sharing ideas by May 22

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Gov. Rick Scott sent a letter to hospitals Friday advising them to begin working with his newly created hospital commission to prepare a trio of ways the industry can share $3.7 billion in profits so other hospitals can withstand the impending loss of federal Low Income Pool funding. Scott has asked the hospitals to send the scenarios to the state by May 22 for consideration at a May 26  meeting of his newly established healthcare/hospital commission. The letter comes after…

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How do hospitals fare under new Senate plan? Check and see

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In hopes of hanging on to a $2 billion pool of supplemental Medicaid dollars the state uses to help fund hospitals, federally qualified health centers, HMOs and other parts of Florida’s healthcare delivery system, the Florida Senate late last week proposed a new plan that it hopes the federal government will approve. So, just how much can hospitals expect to get under a redesigned Low Income Pool, or LIP  formula?  A spreadsheet released by the Senate late Friday showed that, if…

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Some hospitals lose, some win under possible LIP revamp

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Behind the scenes of a looming budget stalemate it turns out Florida and officials of the federal government are negotiating a revamped funding formula for hospitals that could cause a dramatic change of fortune for them. Florida has already been told it won’t receive the more than $1 billion in federal aid it has been getting as part of the Low Income Pool (LIP) program. The program is a pot of supplemental Medicaid dollars, mostly money collected from local taxpayers…

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