Medicaid

Delay In Federal Approval Trims Medicaid Savings

Aug 7, 2018

Nearly $100 million the state assumed would be saved by changing a policy about patient eligibility for Medicaid won’t come to fruition this year.

Blue tarps still dot rooftops, homes lack electricity needed to refrigerate medicines, and clinics chip away at debts incurred from running generators. Yet despite these residual effects from last year's devastating hurricanes, Puerto Rico is moving ahead with major cuts to its health care safety net that will affect more than a million of its poorest residents.

Medicaid Dental Challenge Dropped

Jul 27, 2018

There’s one less Medicaid contract challenge the state Agency for Health Care Administration will have to try to fend off before an administrative law judge. 

Medicaid Enrollment Expected To Keep Dropping

Jul 26, 2018

The number of Medicaid patients in Florida could be decreasing like never before. Members of the state’s Social Services Estimating Conference on Wednesday agreed to revise downward overall Medicaid enrollment estimates for fiscal year 2018-2019 from 4.02 million people to 3.86 million people. 

State Challenged On Children’s Medical Contract

Jul 18, 2018

A managed-care plan owned by the North Broward and South Broward hospital districts is fighting a state decision to eliminate it from providing Medicaid services to some of Florida’s sickest children. 

State Faces 27 Medicaid Contract Challenges

Jul 13, 2018

After a lengthy process that involved awarding tens of billions of dollars in Medicaid contracts, the Florida Agency for Health Care Administration now will have to try to fend off legal challenges from health plans that were denied contracts. 

Critics Take Aim At Medicaid Change

Jun 21, 2018

A move by Gov. Rick Scott’s administration to eliminate a long-standing policy that gives poor, disabled and elderly Floridians 90 days to qualify for the Medicaid program isn’t getting support from people who care for patients or from patients’ family members.

Court Backs Moves To Shutter Nursing Home After Deaths

Jun 21, 2018

A state appeals court Wednesday upheld moves by Gov. Rick Scott’s administration to shut down a Broward County nursing home that drew nationwide attention last year after the deaths of residents following Hurricane Irma.

One patient's death changed the course of Dr. Lilia Cervantes' career. The patient, Cervantes says, was a woman from Mexico with kidney failure who repeatedly visited the emergency room for more than three years. In that time, her heart had stopped more than once, and her ribs were fractured from CPR. The woman finally decided to stop treatment because the stress was too much for her and her two young children. Cervantes says she died soon after.

A Vermont health care organization working to keep patients healthier while reducing costs is being closely watched because of its rate of success — it was within 1 percent of meeting its financial target in its first year and has now been expanded to cover about 18 percent of the state's population, officials said.

Nelson, Democrats Blast Proposed Medicaid Cut

May 11, 2018

U.S. Sen. Bill Nelson and Democratic U.S. House members Thursday called for the federal Centers for Medicare & Medicaid Services to reject a move by Gov. Rick Scott’s administration to cut $98 million by trimming the length of time people have to apply for the Medicaid program.

“I rise here today because the state of Florida has again proposed to harm thousands of seniors and folks with disabilities who rely on Medicaid for their health care,” Nelson, a Democrat who faces an election challenge this year from Scott, said on the Senate floor.

The Trump administration has made clear it would like to remake the American health care system. There's been the protracted battle over the Affordable Care Act. Now, there are some new moves on the future of Medicaid.

On Monday, the federal government released decisions on requests from two states to change the way they administer the health care program for low-income people.

The first decision came on lifetime caps. Kansas wanted to cut off Medicaid benefits for some people after 36 months.

Health Plans Lawyer Up For Medicaid Challenges

May 2, 2018

The 12 managed-care plans at risk of being shut out of Florida’s Medicaid program have turned to 11 different law firms to represent them.

The Tallahassee-based firm Rutledge Ecenia has been hired by two managed-care plans unhappy with the state Agency for Health Care Administration’s decisions.

Attorney Stephen Ecenia is representing Magellan Complete Care, while Tana D. Story has been hired to represent Our Childen PSN of Florida.

State Names Nine Medicaid Health Plans But Challenges Loom

Apr 25, 2018

Florida officials on Tuesday announced the names of the nine health plans the state wants to ink contracts with to provide health care to nearly four million poor, elderly and disabled residents.

Scott Medicaid Numbers Come Under Fire

Apr 19, 2018

When it comes to health-care math, sometimes the numbers don’t add up for Florida Gov. Rick Scott.

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