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Medicaid

Protesters gathered in Orlando Monday to highlight Florida’s failure to expand Medicaid. The protest on I-Drive came as President Trump and Governor Rick Scott prepared speak in Orlando at the annual meeting of the International Association of Chiefs of Police.

Panhandle Health Plan Files Medicaid Challenge

Oct 3, 2018

Legal challenges continue to mount over the state’s Medicaid managed-care program. Lighthouse Health Plan filed a petition in state administrative court last week challenging state decisions that it says will lead to the automatic assignment of Medicaid patients in Northwest Florida to a competitor, Humana. 

Medicaid Patients Face Changes In Health Plans

Sep 19, 2018

About 600,000 low-income patients will be assigned to new Medicaid managed-care plans in the coming months after the state ended contracts with their existing plans.

The Los Angeles-based AIDS Healthcare Foundation filed a lawsuit against Florida Gov. Rick Scott to get public records related to the state's Medicaid AIDS care contracts. 

Daylina Miller and Mark Schreiner/WUSF News

When it comes to health care, Democratic candidate for Governor Andrew Gillum and his Republican opponent Ron DeSantis couldn't be further apart.

State Reaches Deal On Medicaid Mental Health

Sep 6, 2018

Patients with serious mental illness may have an increased choice of health-care providers under an agreement between the state and one of the largest Medicaid mental-health plans.

Tampa-Based Wellcare Finishes $2.5 Billion Deal For Meridian Plans

Sep 5, 2018

Tampa-based WellCare Health Plans has completed a $2.5 billion deal to buy health plans that will expand its business in the Midwest and a firm that is a pharmacy-benefit manager, WellCare said Tuesday.

A Texas man has a heart attack – and good medical insurance – and still finds himself on the hook for $109,000 in medical bills.

Another man in Florida owed $3,400 for a CT scan, after his insurance company pays its part.

Magellan Drops Medicaid Contract Fight

Aug 28, 2018

Magellan Complete Care is dropping its challenge to contract decisions that were part of Florida’s multibillion-dollar reprocurement of the Medicaid managed-care program.

Judge Digs Into Medicaid Contract Disputes

Aug 28, 2018

A legal showdown over contracts in Florida’s multibillion-dollar Medicaid program started Monday in an administrative court.

Mental Health Providers Wait For Medicaid Answers

Aug 23, 2018

Florida is moving ahead with new Medicaid managed-care contracts, but mental-health providers continue to await publication of details about how services need to be delivered.

Medicaid Contract Decision Spurs Court Fight

Aug 23, 2018

A dispute over the the state Agency for Health Care Administration’s decision to award a Medicaid managed-care contract in Southwest Florida has turned into a court battle.

Medicaid home care aides — hourly workers who help elderly and disabled people with daily tasks like eating, getting dressed and bathing — are emerging as the latest target in the ongoing power struggle between some conservative lawmakers and organized labor.

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.

Protests Continue Over HIV Medicaid Contract

Aug 2, 2018

A fight over who should provide care for patients struggling with HIV and AIDS is growing increasingly bitter as opponents continue to blame Gov. Rick Scott. 

A federal court decision to block a change to Kentucky’s Medicaid program could affect a similar request from Florida.

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.

Challenge To Medicaid Dental Contracts Scrapped

Aug 1, 2018

Tampa-based Argus Dental and Vision withdrew a legal challenge to recently awarded contracts in Florida’s new Medicaid dental program, clearing the way for the state to move ahead with what one official described as the “broadest dental package ever available” to Medicaid beneficiaries. 

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. 

The AIDS Healthcare Foundation filed a public-records lawsuit Thursday in Leon County circuit court alleging that Gov. Rick Scott’s staff refused to provide copies of his public calendar and travel schedule. 

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. 

Judges Set To Hear Medicaid Challenges

Jul 25, 2018

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.

Programs that help people sign up for Affordable Care Act plans in Florida will have their funding cut by 81 percent this year.

State AIDS, Mental Health Changes Spur Protests

Jul 20, 2018

Gov. Rick Scott is coming under fire for his administration's decisions to shift tens of thousands of patients with serious mental illness or HIV into new Medicaid health plans in the coming months, changes that could force many patients to switch doctors.

Eight months pregnant, the drug sales representative wore a wire for the FBI around her bulging belly as she recorded conversations with colleagues at a conference in Chicago. Her code name? Pampers.

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. 

Two Dental Plans Challenge State Over Contracts

Jul 17, 2018

The state’s decision to award Medicaid managed-care contracts to three prepaid dental plans is being challenged by two companies that submitted unsuccessful bids. 

Can the deep-red Florida Statehouse follow Virginia and expand Medicaid?

Highly unlikely anytime soon, many state political analysts say.

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. 

The Trump administration's drive to wean poor people from government benefits by making them work has been slowed by a federal judge framing a fundamental question: Are poverty programs meant to show tough love or to help the needy?

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