Revenue Cycle

Insurer backs out of Florida’s Medicaid Reform program

Patient Financial Services Weekly Advisor, February 6, 2009

It does not pay enough money.

That is the contention of Wellcare, Florida’s largest Medicaid insurer, which announced it is leaving the state’s Medicaid Reform program, The Miami Herald reported this week. Government reimbursement rates are just too low, the insurer said.

''WellCare's action is a result of recent state budget cuts that make it economically unfeasible to continue offering members sufficient access to quality health services in those programs,'' the company said in a written statement.

''It's fair to say that the rate cuts are substantial enough that some plans will soon have to decide whether to stay,'' said Michael Garner, president of the Florida Association of Health Plans, in The Herald.

Read the full story in The Miami Herald.

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