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Judges Set to Hear Medicaid Challenges

July 24, 2018 - 1:15pm

Twenty-seven legal challenges filed by managed-care plans protesting state decisions to award $90 billion in Medicaid contracts have been grouped into five cases that will be heard in administrative court next month.

A review of state Division of Administrative Hearings records shows that, for the most part, judges have agreed to consolidate challenges by the types of patients that managed-care plans would serve.

Audit Finds Problems with State Purchasing Cards

June 22, 2018 - 12:00pm

A new audit is recommending that Florida’s health department move faster to cancel former employees’ access to state credit cards and to a statewide accounting system.

Two More Health Plans Get Medicaid Contracts

June 19, 2018 - 5:15pm

Two health plans that would have been locked out of Florida’s Medicaid market for the next five years were awarded state contracts after they threatened legal action.

Health Plan to Challenge Medicaid Contracts

June 6, 2018 - 6:15pm
A decision last week to award Medicaid contracts to two additional managed-care plans could mean more legal challenges for the state Agency for Health Care Administration.
 
Attorneys for Molina Healthcare filed a notice with the state Tuesday announcing the HMO’s intention to challenge the agency’s decision last Thursday to award contracts to Miami Children’s Health Plan and Lighthouse Health Plan.
 

Report Says Changes Will Increase Health Premiums

May 18, 2018 - 11:00am

Premiums for health insurance plans sold on the federal marketplace are expected to increase by nearly 16.9 percent in Florida next year due to changes in the Affordable Care Act, according to a new analysis released Friday.

State Sues Drug Manufacturers, Distributors

May 16, 2018 - 6:00am

Declaring that she “wasn’t scared to take them on,” Florida Attorney General Pam Bondi filed a civil suit Tuesday accusing five of the nation’s largest opioid manufacturers and four distributors of causing the opioid crisis that is killing an average 15 Floridians daily.

Senators Back Hospitals on Payment Challenges

April 17, 2018 - 10:30am
Tampa General Hospital

Tampa General Hospital is throwing its support behind a bipartisan proposal that, if passed by Congress, would allow it and other large health-care systems to challenge how the government estimates additional Medicare payments.

U.S. Sen. Marco Rubio, R-Fla., and U.S. Sen. Bill Nelson, D-Fla., are filing legislation Tuesday that would strike a provision in current law that precludes hospitals from challenging such payment decisions or the data used in reaching the decisions.

Constitution Revision Commission Drops Certificate of Need Revamp

April 2, 2018 - 6:30pm

Gov. Rick Scott’s long-standing priority to eliminate Florida’s certificate of need program for Florida hospitals came to a halt Monday, after a member of a powerful panel withdrew a proposal that would have overhauled the current hospital-approval system.

Pharmacy Panel Critiques Legislature over Flu Tests

April 2, 2018 - 6:00pm

A state pharmacy board on Monday criticized the Florida Legislature for not passing a bill that would have allowed Florida pharmacists to test and treat people for the flu and strep throat.

Audit Questions State Anti-Fraud Efforts in Medicaid

March 31, 2018 - 6:00am

Florida’s Medicaid program has been rapped by auditors who questioned what the state got for millions of dollars spent with a company whose lobbyists included two former Republican House speakers and a former top health-care regulator.

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