However, the state must accept certain conditions involving managed care plan regulations if the three-year waiver is to be issued. Conditions include that Medicaid HMOs abide by the medical loss ratio, which means at least 85 percent of health insurer premiums from the state must go toward patient care. This stipulation was originally brought up in September.
Additionally, Florida must also measure its Medicaid managed care plans based on quality, and the highest-quality plans will receive the most automatic enrollees, according to the report.
Related Articles on Medicaid Managed Care:
Texas Granted Medicaid Waiver; Will Maintain Upper Limit Funds
CMS Approves Louisiana’s Medicaid Overhaul
Kansas to Move Medicaid Patients Into Managed Care Plans
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.
