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Gov. Scott breaks ground on Embraer’s new Engineering and Technology Center, Melbourne, Florida. November 28, 2012
Florida Gov. Rick Scott
The federal government has granted the Medicaid waiver Florida Gov. Rick Scott said was his condition for expanding the program, and Scott is following through. The federal government conditionally agreed to allow the state to expand on a pilot project that privatizes Medicaid, and Scott has decided to take the expansion funds.
The privatization plan expands on a five-county pilot program that has been rife with problems. Critics worry for-profit providers are scrimping on patient care and denying medical services to increase profits. Some doctors have dropped out of the pilot program, complaining of red tape and that the insurers deny the tests and medicine they prescribe. Patients have complained they struggled to get doctor's appointments. [...]

Lawmakers say they have fixed the pilot program's shortcomings, with provisions including increased oversight and more stringent penalties, including fining providers up to $500,000 if they drop out. The measures also increase doctors' reimbursement rates and limits malpractice lawsuits for Medicaid patients in hopes of increasing doctor participation in the program.

The privatization pilot project has moved 200,000 patients into managed care programs. But according to some health care advocates, the approved plan differs significantly from the original pilot project, saying it has "stronger accountability, oversight, and transparency requirements." The deal is conditional on both sides, with the legislature needing to sign off on it on the state's end. What the federal government's conditions are hasn't been released yet. If it goes through, as many as one million uninsured Floridians could receive coverage.

Scott was the first governor to sue to strike down Obamacare, but the new political reality of denying health care to so many of his constituents seems to have helped change his mind on the issue.

“While the federal government is committed to paying 100 percent of the cost of new people in Medicaid, I cannot, in good conscience, deny the uninsured access to care,” he says according to a prepared text of his remarks.

“We will support a three-year expansion of our Medicaid program under the new healthcare law, as long as the federal government meets their commitment to pay 100 percent of the cost during this time.”

What happens after that three years during which the feds pick up 100 percent cost isn't yet known. But Scott will have been either reelected or booted out, so he's probably not thinking that far ahead.

Originally posted to Joan McCarter on Wed Feb 20, 2013 at 02:40 PM PST.

Also republished by Daily Kos.

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Comment Preferences

  •  Tip Jar (20+ / 0-)

    "There’s class warfare, all right, but it’s my class, the rich class, that’s making war, and we’re winning." —Warren Buffett

    by Joan McCarter on Wed Feb 20, 2013 at 02:28:39 PM PST

  •  Oh thank the Gods... (13+ / 0-)

    Now we just have to deal with things until this goes through, then we'll be covered finally! Probably 10 months to go.

    "Madness! Total and complete madness! This never would've happened if the humans hadn't started fighting one another!" Londo Mollari

    by FloridaSNMOM on Wed Feb 20, 2013 at 02:50:27 PM PST

  •  Perhaps he IS thinking (12+ / 0-)

    far ahead, scott is a former hospital exec who would stand to benefit from the govt largesse if he isnt reelected.

    •  Didn't this schmuck pay... (9+ / 0-)

      the largest fine ever levied for fraud in the health care industry. Which begs the question; what the hell was Florida thinking when they elected Gov. Skeletor. But I digress; it seems this guy has nowhere to go in the health care industry after his winsome term as the least liked governor in America.

      •  Not Exactly, His Company Did, 7 Felonies (7+ / 0-)

        We are called to speak for the weak, for the voiceless, for victims of our nation and for those it calls enemy.... --ML King "Beyond Vietnam"

        by Gooserock on Wed Feb 20, 2013 at 03:49:08 PM PST

        [ Parent ]

      •  People need to focus on this guy (1+ / 0-)
        Recommended by:

        "He's a good boy"

        - Rick Scott's mother in a campaign commercial that ran numerous times during the election.

        This is how he changed voter's hearts and minds in Florida. He put his mother on a television commercial saying he was a good boy.  I wish I was making that up, but it's true.

        Also I just read on here that he pleaded the Fifth 75 times during the deposition for his civil case on the Medicare fraud.  That's a nice little fact.

        This health care issue is just one of many disgusting aspects of this scumbag.  I have no doubt that this guy is the worst, most corrupt republican currently in office in the country.

        He goes under the radar far too much in my opinion.  Maybe he's not a big political threat to reach Congress or for a Presidential run, but if there's a chance someone can beat him in the next election Florida needs all the help it can get.  

        If we could just find out who's in charge, we could kill him - George Carlin

        by mrrusss on Wed Feb 20, 2013 at 07:16:26 PM PST

        [ Parent ]

  •  He wants to be reelected. (9+ / 0-)

    Just as we've seen in Ohio, these guys want to stay in office. I have little doubt that we'll see more agree to the expansion in the next year and half.

    I'm looking forward to Christie's change of heart/mind/position. I also will not be surprised if Governor Perry is among the last of the holdouts.

    "There is nothing more dreadful than the habit of doubt. Doubt separates people. It is a poison that disintegrates friendships and breaks up pleasant relations. It is a thorn that irritates and hurts; it is a sword that kills.".. Buddha

    by sebastianguy99 on Wed Feb 20, 2013 at 03:33:28 PM PST

  •  Not to say this isn't a good move (9+ / 0-)

    but it is very obvious that it is purely political. Scott's popularity has tanked and he is facing strong challenge by former Republican, now Democrat, Gov. Charles Crist.

    Read the fine print, in three years the agreement has to be reauthorized which depends on if there are future cuts to the federal funding of the program.

    Perhaps he's taking a page from Gov. Chris Christy (R-NJ) whose popularity has taken an upturn since super storm Sandy. A closer look at Christy reveals the same old right wing policies.

    I hope Floridians aren't fooled into thinking that Scott has changed his tune. In the meantime, this is some good news for the uninsured.

    "Information is power. But like all power there are those who want to keep it for themselves" Aaron Swartz, 1986 - 2013

    by TheMomCat on Wed Feb 20, 2013 at 03:38:57 PM PST

    •  I do believe (2+ / 0-)
      Recommended by:
      jalapenopopper, TheMomCat

      that Scott has more than political interest in this.  According to one of my doctor clients, more and more corporations are stepping in to purchase healthcare providers and pissing all the workers off in the process.  More hours, less pay, hiring imcompetants, etc.  Governor Snott has his filthy hand in the pie one way or another....he didn't spend more than he collects as Governor on his campaign for nothing.

      Our state is a cesspool of corruption.  Runs deeper than I imagine, probably, and my imagination's pretty vivid.

  •  So, um (5+ / 0-)
    Recommended by:
    Gooserock, Vetwife, LordMike, Losty, kmfmstar

    The rest of us subsidize Florida and pay all of its Medicaid expansion costs?

    Rick Scott would be stupid not to take this deal: Hey, here's millions of free dollars for Florida, under a law that you oppose but can't do anything about anyway!

    However, how does, say, California feel about paying all of Florida's Medicaid premiums?

    (-5.50,-6.67): Left Libertarian
    Leadership doesn't mean taking a straw poll and then just throwing up your hands. -Jyrinx

    by Sparhawk on Wed Feb 20, 2013 at 03:43:19 PM PST

  •  RedState disappointed so says title over there (5+ / 0-)

    + flatly states that they think it is do to sagging poll #s and trying to get re-elected

    ^ sounds like an admission that they know deep down that conservative policies are not popular....yet every day they scream they are and are just not being talked about properly

    An open dem poster chimed in and predicted their disappointment due to Perry also doing same

  •  I'm just listening to NPR swoon over Arizona's (7+ / 0-)

    privatized Medicaid/Medicare plan. Their evidence that the plan works? "Patients require less hospitalizations, and those who are hospitalized experience shorter hospital stays."

    When I was a boy they called that having less medical care, not better.

    “Perhaps the most 'spiritual' thing any of us can do is simply to look through our own eyes, see with eyes of wholeness, and act with integrity and kindness.” Jon Kabat-Zinn

    by DaNang65 on Wed Feb 20, 2013 at 03:45:06 PM PST

    •  I haven't been in the hospital all year (2+ / 0-)
      Recommended by:
      Catte Nappe, FloridaSNMOM

      That must mean I am getting very inferior medical treatment.

      Other than a small amount of preventative care here and there, the best amount of medical care to get is zero.

      (-5.50,-6.67): Left Libertarian
      Leadership doesn't mean taking a straw poll and then just throwing up your hands. -Jyrinx

      by Sparhawk on Wed Feb 20, 2013 at 03:47:54 PM PST

      [ Parent ]

    •  Actaully (9+ / 0-)

      it is better for patients to recuperate at home with good follow up care which is key to the new guidelines. Patients fair much better both physically and psychologically.

      Here are two studies from the Veterans Administration and the National Institute of Health.

      Shorter Hospital Stays Are Better for Patients, VA Finds

      Shorter Hospital Stays Don't Compromise Care, Study Finds

      Earlier discharge corresponds with lower readmission and death rates in VA hospitals

      "Information is power. But like all power there are those who want to keep it for themselves" Aaron Swartz, 1986 - 2013

      by TheMomCat on Wed Feb 20, 2013 at 03:52:24 PM PST

      [ Parent ]

      •  Depends on why the hospitalization actually (6+ / 0-)

        We the People have to make a difference and the Change.....Just do it ! Be part of helping us build a veteran community online. United Veterans of America

        by Vetwife on Wed Feb 20, 2013 at 04:03:25 PM PST

        [ Parent ]

      •  Respectfully, the problem is when folks "fall (2+ / 0-)
        Recommended by:
        kmfmstar, DaNang65

        through the cracks."

        Remember, this is similar to the way that Reagan "reformed" our public mental health system.  And look at what we've got today, folks.

        Very little public mental health care, much less public mental health hospitals, or institutions.

        Mass shootings, anyone?  Spree killings, etc., were rare (not unheard of, but rare) 30-50 years ago.

        I hope these new guidelines work, but I'm very skeptical.  They may fail folks who have little or no family or support systems.  

        I sincerely hope not.  :-)


        "Only he who can see the invisible, can do the impossible." --Frank L. Gaines

        "If a dog won’t come to you after having looked you in the face, you should go home and examine your conscience.” -- Woodrow Wilson

        by musiccitymollie on Wed Feb 20, 2013 at 07:06:18 PM PST

        [ Parent ]

        •  Lanza had access to mental health care (1+ / 0-)
          Recommended by:

          It was provided by his family and the schools that he went to. He was raised by an upper middle class family and lived in an upper middle class neighborhood.  The problem was his mother and her right wing beliefs along with a fetish for guns, that should not have been accessible to her son. Making access to these weapons and large capacity magazines would go a long way to reducing those incidents but this country is a long way from admitting its gun obsession.

          As for people "falling through the cracks," no system is perfect. Having family support is a plus but those who don't are followed up by nurse practitioners in the patients home.  I can attest to how well that works first hand from personal and professional experience.  Hopefully, the system will help more than it fails.

          These studies have shown that shorter hospital stays and better follow up after discharge have a better outcome for the patient and reduce health care costs.

          "Information is power. But like all power there are those who want to keep it for themselves" Aaron Swartz, 1986 - 2013

          by TheMomCat on Wed Feb 20, 2013 at 07:59:41 PM PST

          [ Parent ]

          •  Respectfully, he did--he was from a very affluent (1+ / 0-)
            Recommended by:

            family and community.  But he would be the exception, not the rule.  

            I've recently retired from a closely-related profession, which is why I'm so concerned.  So many of my cases (both court-assigned and privately referred) were complicated due to our piecemeal medical system, especially in regard to "mental health services" (availability is almost nonexistent in my area of the country, unless one is affluent or has coverage under their group medical insurance plans, which generally has not been the case).  

            We (Mr. Mollie and I) are lucky since we're both professionals--we've always had decent group health insurance coverage (although Mr. Mollie's employer is threatening to drop their employee coverage starting in 2014, when the Exchanges are up and running).  But again, we are mostly the exception (here), not the rule.

            Anyway, I truly hope this system is much more adequate than the "community-based (Reagan) mental health" scheme, proved to be.  Remember, on paper, this system "looked good."

            The reality was quite something else.  And it resulted in the explosion of homelessness, and seriously mentally ill folks who went untreated, or inadequately treated.  And frankly, was at least partially responsible for the unprecedented numbers of spree killings, etc.

            We're not even "early age" Social Security eligible yet, but we're closing in.  So you can bet that we are hopeful that all of the Medicare reforms will be successful.  :-)

            Time will tell.


            "Only he who can see the invisible, can do the impossible." --Frank L. Gaines

            "If a dog won’t come to you after having looked you in the face, you should go home and examine your conscience.” -- Woodrow Wilson

            by musiccitymollie on Wed Feb 20, 2013 at 10:23:28 PM PST

            [ Parent ]

            •  I agree that we need to impove (1+ / 0-)
              Recommended by:

              access to mental health care but I don't think that will necessarily stop shootings, multiple or otherwise. Not all people with mental health issues need to be hospitalized nor are their problems immediately obvious.  Look at Jared Loughner, who shot Rep. Giffords, his mental decline was attributed to long term alcohol and drug abuse and was only diagnosed as a paranoid schizophrenic after the shooting. The only reason he had access to a gun was Arizona's ridiculously lax gun laws. He was stopped when he had to reload.

              The Columbine shooters were not mentally ill, either, and like Lanza came from good homes and families.

              Let me say this, as someone who has worked in Emergency Medicine for over 30 years, most of the victims of multiple shootings (believe me I saw quite a few in NYC during the 80's and early 90's) that I've treated over the years were victims of people who had no history of mental illness but were just angry over some perceived injustice or were crime related.

              I know the Paramedics and detectives who had to handle this case:

              It Happened On This Day, April 15, 1984

              27 years ago on this day, two women and eight children were murdered by a cocaine-crazed gunman in Brooklyn, New York, in what is called the Palm Sunday Massacre.

              Veteran detectives recoiled in horror at the sight of the bloodbath. One child had been eating chocolate pudding on the sofa and the spoon was still in her hand.

              An 11-month-old was found crawling among the bodies.

              Initially, detectives thought that drug cartel hitmen were responsible for the reason that the home belonged to a local drug dealer. But, eventually, more and more signs pointed to Christopher Thomas, who was one of the dealer’s cocaine customers. Ballistics evidence was found at Thomas’ home, and witnesses placed him near the scene of the crime.

              Thomas had accused the dealer of having an affair with his wife. It was an allegation that ended up being a drug-fueled fantasy.

              He was sentenced to 83 years in prison.

              I examined the baby.

              While mental illness is certainly a factor and needs to be addressed, it is not the biggest issue.

              I was very satisfied with the care my mother received under Medicare. Most of the people I know, including myself, are very satisfied. I just hope it stays that way.

              "Information is power. But like all power there are those who want to keep it for themselves" Aaron Swartz, 1986 - 2013

              by TheMomCat on Thu Feb 21, 2013 at 12:20:53 AM PST

              [ Parent ]

              •  Thanks for the discussion. I hope you catch my (1+ / 0-)
                Recommended by:

                diary on Medicaid (the program is being eviscerated in my state)--especially the effects on the elderly since SNF care has been replaced with "community based" solutions, in so many instances.  The state legislature has actually changed the ADLs, and the standards which qualify a Medicaid patient for care in a SNF.

                I wrote and posted this diary at a couple of other blogs earlier last year, so will have to "update it" before posting here.  Maybe there will be better news, regarding this program.  I sure hope so.

                Unless there has been considerable improvement in this program, however, this is an example of another "community-based" program that sounds attractive at first glance, but that will put many seniors "at great risk."  

                The impetus, of course, is budget cutting.  

                I hope this diary will serve as a wake-up call to health care activists (and concerned family members) in other states.


                "Only he who can see the invisible, can do the impossible." --Frank L. Gaines

                "If a dog won’t come to you after having looked you in the face, you should go home and examine your conscience.” -- Woodrow Wilson

                by musiccitymollie on Thu Feb 21, 2013 at 12:56:21 AM PST

                [ Parent ]

                •  May I add one more thing. I'm in no way meaning (1+ / 0-)
                  Recommended by:

                  to disparage the physicians, NPs, RNs, LPS, etc., who care for patients in Medicare, or any of our federal health care programs.  I am sure that most do (very competently) carry out their medical duties and obligations to their patients.

                  But "community-based" programs are not always easy to carry out due to problems of access (lest we forget that many poor people don't even own, or have access to their own vehicles, and may not even have access to reliable or affordable public transportation).  Without this, participation in a "community-based" program of any kind, is clearly impossible.  And that's just the most obvious obstacle to lower income folks.

                  So, please don't take my concerns about these programs, as a "slight" to you (or anyone in the medical community).  That is not my intent.  :-)


                  "Only he who can see the invisible, can do the impossible." --Frank L. Gaines

                  "If a dog won’t come to you after having looked you in the face, you should go home and examine your conscience.” -- Woodrow Wilson

                  by musiccitymollie on Thu Feb 21, 2013 at 01:08:52 AM PST

                  [ Parent ]

                  •  No slight taken. I fully understand (1+ / 0-)
                    Recommended by:

                    where you are coming from. I'm well aware of the obstacles. I worked in the NYC public hospital system, that serves most of the city's poor for most of my career. Along with a cadre of other doctors, nurses and administrators, we  had to fight with the PTB for every free standing and mobile clinic we had. I can't tell you how many times that we called in Social Services to help get patients the home care and medications they needed, too many times without success.

                    I have many colleagues in rural communities who are up against brick walls to take care of their uninsured and poor patients.

                     It's still an ongoing, uphill battle far too often in the wealthiest country in the world.

                    "Information is power. But like all power there are those who want to keep it for themselves" Aaron Swartz, 1986 - 2013

                    by TheMomCat on Thu Feb 21, 2013 at 01:28:18 AM PST

                    [ Parent ]

        •  We dont fall through cracks, (0+ / 0-)

          we get shoved into abysses.  Substandard care which dehumanizes and victimizes is entirely intentional, as it makes somebody very, very rich.  When people die, there are less to pay Social Security and Medicaire benefits.  Snott looks like a Nazi because he thinks like a Nazi.  Only a heartless, steaming plate of feces would publicly state that he "hired" his own mother.  What a putz.

          •  You're right that Scott is unconscionable. I (0+ / 0-)

            truly feel sorry for Floridians.

            I don't think the state even resembles the state that my family lived in (for only a couple of years), when we lived in Tampa.

            More years ago than I want to remember, LOL!

            Good luck to you.


            "Only he who can see the invisible, can do the impossible." --Frank L. Gaines

            "If a dog won’t come to you after having looked you in the face, you should go home and examine your conscience.” -- Woodrow Wilson

            by musiccitymollie on Wed Feb 20, 2013 at 10:27:57 PM PST

            [ Parent ]

    •  Listened to that on the way home (5+ / 0-)

      Didn't realize where it was. But I do know that, properly done, that kind of individual case management and home care works really, really well. For patients, and for cost containment. Whether a privatized system can continue to do it really, really well is a different questions.

      "No one life is more important than another. No one voice is more valid than another. Each life is a treasure. Each voice deserves to be heard." Patriot Daily News Clearinghouse & Onomastic

      by Catte Nappe on Wed Feb 20, 2013 at 04:06:29 PM PST

      [ Parent ]

    •  No, DaNang, staying in hospitals unnecessarily (5+ / 0-)

      kills lots of people. There are nasty bugs there, for which there are no antibiotics.

      Medicare won't pay for people who get released too soon and are immediately re-admitted, so doctors and hospitals need to be efficient and actually fix the problem.

      *There are two sides to every horseshit.* Kos

      by glorificus on Wed Feb 20, 2013 at 04:13:05 PM PST

      [ Parent ]

      •  I'll have to sort of defer to folks with more (0+ / 0-)

        expertise here. "Sort of" because there's still a lot that's not being discussed. For example, I don't for a minute believe that the bean counters authorizing the hospitalizations care a gnat's behind for the actual long term health of the patients. I will certainly concede that they are able to produce studies that support their never ending quest for the lowest possible bottom line. I'm not at all certain what those studies mean to the patient's life chances, however.

        Similarly there's an incredible difficulty sorting out the variables in an AHCCCS (AZ's version of Medicaid) patient's life chances because of the generally negative effects poverty has on life expectancy (quality of life being totally beyond what anyone can seriously study today) of people poor enough to qualify for AHCCCS.

        One could argue that private Medicaid plan providers are incentivized not to hospitalize the seriously ill precisely because by hastening their deaths high cost beneficiaries are removed from the rolls. If that sounds too fantastic, consider that AZ has had AHCCCS patients die because the system refused to pay for necessary transplants solely on the grounds that the transplants were too expensive.

        “Perhaps the most 'spiritual' thing any of us can do is simply to look through our own eyes, see with eyes of wholeness, and act with integrity and kindness.” Jon Kabat-Zinn

        by DaNang65 on Wed Feb 20, 2013 at 09:34:19 PM PST

        [ Parent ]

  •  Rick Scott and the words 'good conscience' don't (9+ / 0-)

    belong in the same sentence.

  •  So Rick Scott unindicted medicaid embezzler.. (12+ / 0-)

    .. will now accept Federal Funds, but only if it can be funneled into private managed care companies like those he put into has wifes name

     It's good that Floridians will benefit from this expansion but sucks that it's only after the Scott and or cronies take their cut.

    I hope Charlie Christ runs and buries this thief

  •  No. He's thinking that the House..... (2+ / 0-)
    Recommended by:
    FloridaSNMOM, kmfmstar

    ....can choke off funds, that the program will be unsuccessful and that he will reap the benefit and the Administration and Democrats will suffer as a result.

    If you hate government, don't run for office in that government.

    by Bensdad on Wed Feb 20, 2013 at 04:13:50 PM PST

  •  Hey- Didn't I see this guy in a .... (2+ / 0-)

    department store window modeling suits?  He looks awfully familier.

  •  Can we boot him out now?? (4+ / 0-)


    Politics is the entertainment branch of industry. Frank Zappa

    by Da Rock on Wed Feb 20, 2013 at 04:19:35 PM PST

  •  Oh, dear. Eric son of Erick is disappointed. (1+ / 0-)
    Recommended by:
    DEMonrat ankle biter

    I am very disappointed in Gov Rick Scott

    When politicians do what they feel they must to get re-elected instead of doing what they know is right, they often lose re-election and, even when they do not, lose their way.

    It is a sad day for conservatives.

    And, from the comments (I've corrected the spelling and tried to make the sentences into readable English, but they are Conservatives, so it's hard):
    We could not have been happier when Rick Scott kept the governor's mansion in Republican hands with his victory in 2010. His refusal to accept $2.4 billion in federal funds for high speed rail a few months later left me practically euphoric at the courage of his convictions. Despite his recent wavering on Medicaid expansion, I held out hope. I could not be more disappointed.
    I think we need to as(k) conservatives (to) jump on Rick Scott and if it is possible(don't know government in Florida) threaten and if necessary primary him with a true conservative can)d)idate.
    Except for Ronald Reagan, I can't think of any radio personalities who tried their hand at politics [snip]. Dare we think Mr. Erickson might one day take that plunge?

    Resuming episode.

    My political compass: - 8.38,-6.97

    by pucklady on Wed Feb 20, 2013 at 04:27:48 PM PST

  •  Huckster is using his mother's death... (1+ / 0-)
    Recommended by:
    DEMonrat ankle biter

    for his change of heart.  Will probably use it for anything he did prior to her dying as well - so his first two years is out of bounds.  

    Keystone XL Pipeline - Canada gets the money, Asia gets the oil, America gets the toxic refinery pollution and potential for a pipeline leak ecological disaster.

    by Jacoby Jonze on Wed Feb 20, 2013 at 04:48:12 PM PST

  •  Call me crazy (7+ / 0-)

    but something worries me about trusting a guy guilty of Medicare and Medicaid fraud with designing a new for-profit Medicaid delivery system.

    In December 2000, the U.S. Justice Department announced what it called the largest government fraud settlement in U.S. history when Columbia/HCA agreed to pay $840 million in criminal fines and civil damages and penalties. Among the revelations from the 2000 settlement, which all apply to when Scott was CEO, were that Columbia overbilled Medicare for unnecessary tests and false diagnosis codes.

    The government settled a second series of similar claims with Columbia/HCA in 2002 for an additional $881 million. The total fine: $1.7 billion.

    As part of the 2000 settlement, Columbia/HCA agreed to plead guilty to at least 14 corporate felonies. A corporate felony comes with financial penalties but not jail time, since a corporation can’t be sent to prison. Scott himself was never indicted.

    "Mediocrity cannot know excellence." -- Sherlock Holmes

    by La Gitane on Wed Feb 20, 2013 at 04:51:48 PM PST

  •  500,000 penalty? (0+ / 0-)

    Sure seems like a great way to get doctors to join your network.  Join us so you too can get paid the medicaid rate, which short term may even be raised substantially all the way up to the Medicare rate.  But if you decide it doesn't work due to excess oversight, poor reimbursement, slow claim processing... We will charge you a half a million to get out.  Hopefully at least they will put that money into something other than the profits for the managed care companies.

    •  If Florida is like my state (0+ / 0-)

      then penalizing providers huge amounts for dropping out is a terrible idea.  It's very hard to get enough doctors to agree to participate in Medicaid in the first place, because the reimbursement is lower than any other payer.  If a doctor knows there will be a huge penalty if s/he decides to drop out, I think it's much less likely s/he will agree to join.

  •  Here's a very nonpartisan analysis of FL's pilot (1+ / 0-)
    Recommended by:

    The report is from the Jessie Ball duPont Fund in Jacksonville. From the report:

    There is no clear evidence that the managed care pilot programs are saving money, and if they are whether it is through efficiencies or at the expense of needed care.

    Little data is available to assess whether access to care has improved or worsened under the pilot program. Children, parents and people with disabilities who rely on Medicaid have experienced enormous disruption as a result of plan turnover in Broward, Duval and surrounding counties. Patients appear to be "voting with their feet" and moving from HMOs to Provider Sponsored Networks.

  •  "in good conscience" There's a newsflash-- (0+ / 0-)

    Governor Skull admits to having a conscience.

    "Life is short, but long enough to get what's coming to you." --John Alton

    by Palafox on Wed Feb 20, 2013 at 09:04:40 PM PST

  •  were watching you rick (0+ / 0-)

    its too late, your days are numbered, to say you are a lame duck is an understatement.

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