LISTEN LIVE

HMO

AHCA Extends Deadline On Database Rule

Jan 5, 2018

The Agency for Health Care Administration agreed Thursday to extend by one week the deadline for health-insurance companies and HMOs to submit comments to the state on a proposed rule for a new all-payers claims database.

State HMO Contracts Spur Challenges

May 24, 2017

An administrative law judge will hear arguments next month as three health insurers challenge the way state officials want to divvy up contracts for HMO coverage for state employees.

Millions of Floridians -- including 175,000 state workers and their families -- are in health plans that place them at risk for whopping surprise bills after hospital treatment.

Florida Medicaid, which has been touting its "Managed Medical Assistance" program as a national model, may want to hold off.

The program, which shifts virtually all Medicaid recipients into managed-care plans, underestimated how much their care would cost.

Since 2005, monthly health insurance premiums for state workers in Florida have stayed the same.

But a bill making its way through the Florida House could make big changes to the state group employee health plan, which covers more than 300,000 state employees and their families.

Right now, workers pay $50 dollars a month for individual coverage, or $180 dollars a month for their family. That’s a fraction of the cost most people who have health insurance through a private employer.