Legislature passes Medicaid invoice after the Home drops a proposal on ‘important’ suppliers

Florida lawmakers handed a plan Friday that can assist set the stage for the Company for Well being Care Administration to award billions of {dollars} in Medicaid managed-care contracts.

The invoice (SB 1950) handed after the Home agreed to drop a controversial proposal that handled disputes between managed-care plans and “important” suppliers, equivalent to kids’s hospitals and educating hospitals.

The Home proposal might have led to withholding what are referred to as Medicaid “supplemental” funds from important suppliers that don’t attain agreements to be a part of managed-care networks.

The Home proposal included a mediation course of designed to attempt to assist spur important suppliers and managed-care plans to achieve agreements.

Home sponsor Sam Garrison, R-Fleming Island, mentioned this week the aim of the proposal was to make sure that Medicaid beneficiaries will have the ability to obtain specialised care from the important suppliers.

However hospitals objected, saying it could give an unfair benefit to managed-care plans in negotiations. They had been backed by the Senate, which declined to go together with the Home proposal.

Garrison acknowledged disappointment Friday in adjustments to the ultimate model of the invoice.

“It’s a bicameral legislature,” he mentioned. “We now have to work by way of these kinds of issues.”

Lawmakers in 2011 created a system wherein most Medicaid beneficiaries are required to enroll in managed-care plans.

The Company for Well being Care Administration has gone by way of prolonged processes twice to award contracts to managed-care plans and is anticipated to start a 3rd spherical this 12 months.

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