Florida Settles Lawsuit And Agrees To Improve Medicaid Services For Children
Under terms of the agreement, the state will raise its reimbursements to doctors in an effort to get more providers to see Medicaid patients and will set benchmarks for preventive and dental treatment. The settlement ends an 11-year class action lawsuit.
The New York Times:
Florida Agrees To Improve Poor Children’s Access To Health Care, Settling Suit
Florida health officials, in a settlement announced Tuesday, agreed to improve access to health care for poor children, ending a long-running class-action lawsuit that had accused the state of shortchanging doctors and leaving low-income families to trek long distances to visit specialists. The state reimbursed doctors so little for Medicaid services that many doctors refused to treat the patients, lawyers argued in a suit filed in 2005 by pediatric doctors on behalf of nine plaintiffs. Hundreds of thousands of children who were on Medicaid never received checkups, and for years, 80 percent of the children never saw a dentist, the worst rate in the nation. (Robles, 4/5)
Reuters:
Florida Pledges Better Health Care For Poor Children To Settle Lawsuit
Florida officials will boost access to health and dental care for poor children in settlement of an 11-year-old class-action lawsuit, the groups behind the legal action said on Tuesday. The settlement calls for Florida to increase payments to physicians who treat poor children and sets benchmarks for preventative and dental treatment to be met over five years, according to the Philadelphia-based Public Interest Law Center, which represented the plaintiffs. (Dobuzinskis, 4/6)
The Associated Press:
Florida Reaches Settlement Agreement In Kids' Medicaid Case
One of the biggest victories for the plaintiffs requires insurance plans to provide a "reasonable opportunity" for pediatricians to earn rates that are on par with Medicare, which typically pays more than Medicaid. In later years, those reimbursement opportunities will extend to specialists, addressing a huge gap in the system by improving doctor participation in the Medicaid program and preventing children from having to travel long distances to receive treatment. (Kennedy, 4/5)
Miami Herald:
Florida Deal Could Finally Improve Healthcare For Poor Children
[H]ealthcare for needy children had become a public relations nightmare for the state. Administrators at the Department of Health last year purged 13,000 children from one of the premier Medicaid plans for youngsters, Children’s Medical Services, and had shuttered CMS offices, including clinics for children with disfigured faces and other disabilities. Public outrage over the cutbacks, and other agency moves, may have cost the health department’s secretary, John Armstrong, Senate confirmation. (Marbin Miller, 4/5)
In Medicaid news from other states —
The Associated Press:
Audit: Likely Medicaid Overpayment Cost At $835M Last Year
North Carolina's Medicaid program is again mistakenly overpaying some doctors and hospitals, an annual compliance audit released Monday found. This time, state auditors disclosed a likely program-wide cost: $835 million. (Robertson, 4/5)
North Carolina Health News:
Audit Shows Continued Compliance Problems At DHHS
According to a release from DHHS, the department will “continue its efforts to educate providers about documentation standards and will target education and training to specific provider types if they are consistently having issues.” (Hoban, 4/5)
Des Moines Register:
Why Was Accused Felon Hired By One Of Iowa's New Medicaid Managers?
What was a woman accused of 11 counts of dependent adult abuse and ongoing criminal conduct doing working for AmeriHealth Caritas Iowa, one of the three private, out-of-state Medicaid management companies hired by the state to serve low-income and disabled Iowans? That was the question burning in the mind last week of Jennifer Duncan, a whistle-blower and mother whose son was one of the adults Tonya Nicole Fustos of Glenwood is accused of ripping off. ... James Martin Davis, Fustos' attorney, said his client is pleading not guilty to the charges. ... Davis said he hasn't seen all the state's evidence, but an Iowa Department of Human Services investigation concluded last summer that Fustos was not responsible for exploiting clients. (Rood, 4/5)
The Associated Press:
New Mexico AG Clears Last 2 Mental Health Providers Of Fraud
The last two mental health providers under investigation for possible Medicaid fraud have been cleared by New Mexico's top prosecutor. Attorney General Hector Balderas sent a letter Tuesday to state lawmakers informing them of the outcome in the cases of the nonprofits Pathways and TeamBuilders. (Bryan, 4/6)
