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From the staff of the Tampa Bay Times

Group rates Florida'€™s Medicaid HMOs average, but state lauds quality of care



From Daniel Chang at the Miami Herald:

Most of the private companies managing Florida’s Medicaid health insurance program for low-income people ranked at the national average on patient satisfaction, preventive care and medical treatment in 2014, according to a recently released comparative rating of plans.

But the ratings excluded six of the 13 private insurers in Florida’s Medicaid program during 2014 because those health plans either failed to report data or submitted insufficient information to the National Committee for Quality Assurance, a nonprofit that rates and accredits health plans.

The NCQA’s seal is considered the gold standard for measuring health plan performance. Yet of the six Medicaid insurers not ranked for 2014, five lacked full accreditation from the organization.

This year, only two of those unranked insurers are still doing business with Florida’s Medicaid program: Prestige Health Choice and Simply Healthcare Plans, both of which offer coverage in Miami-Dade. The other four plans were either sold or dropped out.

And of those Florida Medicaid insurers that were rated by the NCQA, none scored higher than 3.5 out of 5 possible points, reflecting average performance.

But the state’s Agency for Health Care Administration doesn’t see it that way. Instead, the agency trumpeted a separate set of data this week as evidence that the state’s transition to a mostly private model for Medicaid is improving health outcomes and increasing access for the estimated 3 million Floridians in the system.

Full story here.

[Last modified: Thursday, September 24, 2015 10:24am]


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