As the Florida House and Senate put the final touches on bills that would convert Medicaid to HMOs, hospitals in the state are considering taking on insurance risk themselves rather than giving it to HMOs, according to a report in the Palm Beach Post.
Both houses of the legislature have already passed bills that would assign Medicaid recipients into eight regional HMOs or “provider-service networks,” which could be made up of hospitals taking on insurance risk.
Hospitals are waiting for details of the final bill before determining if the risk-bearing networks could be successful for them. The House version of the bill would allow hospitals in the new provider-service networks to still receive fee-for-service payments for the first three years.
Read the Palm Beach Post report on Medicaid.
Read more coverage of proposals to change Florida Medicaid.
– Florida House Passes Legislation to Shift Medicaid Recipients Into HMO-Style Plans
– Florida Senate Debating Deeper Medicaid Cuts
At the Becker's 11th Annual IT + Revenue Cycle Conference: The Future of AI & Digital Health, taking place September 14–17 in Chicago, healthcare executives and digital leaders from across the country will come together to explore how AI, interoperability, cybersecurity, and revenue cycle innovation are transforming care delivery, strengthening financial performance, and driving the next era of digital health. Apply for complimentary registration now.
