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Federal law says Medicaid must cover out-of-state emergency care. But a Volusia County man got a five-figure bill after a Rapid City hospital declined to charge his state's Medicaid program.
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Carmen Aiken thought their medical visit would be covered because the Affordable Care Act requires insurers to pay for a long list of preventive services.
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The bill would provide coverage to Florida Farm Bureau members that would not be subject to the same state and federal regulations as health insurance.
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Florida legislators are working to make Children's Medical Services more cost-efficient by transferring its operations to another agency. Critics think it could stymie care for kids.
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This agreement means UF Health has only one insurance negotiation outstanding – and the impasse wih United HealthCare is in its seventh month.
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The legislation would clear the way for "medical benefit plans" that would not be subject to the same state and federal regulations as insurance. The House will soon vote on a version of the bill.
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After leaving his job to launch his own business, an Illinois man opted for a six-month health insurance plan. When he needed a colonoscopy, he thought it would cover most of the bill. Then he learned his plan’s limited benefits would cost him plenty.
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Part 3 of a series: Kicked off of Medicaid, Florida children with medically complex needs are offered a state insurance program designed for healthy kids who cannot provide the care they require.
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Part 1: Thousands of Florida children with complex ailments lost Medicaid during the unwinding and ended up on a plan not designed to provide the coverage they need.
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The proposal provide “medical benefit plans” that would not be subject to the same state and federal regulations as health insurance.
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At least 20 states have settled disputes with the insurance giant since 2021 over allegations that its pharmacy benefit manager operation overcharged Medicaid programs. Why are Florida and Georgia holdouts?
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The CEO/CMO of UF Health Physicians says negotiations with United are closer to reaching an agreement for how the health system will be reimbursed for Medicaid coverage, a primary obstacle.