State Intelligence — Florida
Signals referencing this state across all sources.
9 signals
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Florida sues 2 PBMs over alleged price fixing
Florida Attorney General James Uthmeier has filed a lawsuit against Prime Therapeutics and Cigna’s Express Scripts, alleging the pharmacy benefit managers entered into an illegal horizontal price-fixing agreement that threatens access to affordable medications. The lawsuit alleges the competitors entered a “collaboration” in December 2019 under which Prime, which is owned by BCBS plans, adopted […] The post Florida sues 2 PBMs over alleged price fixing appeared first on Becker's Payer Issues...
Cigna + Blue Cross Blue Shield plans · 29 signals · last 30 days -
$10M from Florida’s Centene Medicaid settlement misappropriated by DeSantis administration: Report
A state grand jury determined that $10 million from a Centene Medicaid settlement was “misappropriated” under Florida Republican Gov. Ron DeSantis’ administration, according to a Jan. 28 sealed document obtained by CBS News Miami. Despite the findings, the document said the grand jury lacked evidence to bring criminal charges. The settlement stemmed from claims of […] The post $10M from Florida’s Centene Medicaid settlement misappropriated by DeSantis administration: Report appeared first on...
Centene FloridaCentene · 11 signals · last 30 days -
Humana-owned Villages Health agrees to $542M settlement for overbilling Medicare
The Central Florida provider manufactured fake diagnosis codes for its Medicare Advantage patients from 2020 to 2024, the DOJ said. Humana bought The Villages Health last year.
Humana FloridaHumana · 13 signals · last 30 days -
GuideWell taps Cigna exec for CFO role
GuideWell, parent of Florida Blue, has named Brad Phillips as executive vice president and chief financial officer. “His leadership will help ensure GuideWell has the financial foundation to invest in better care, expand access, and be here for the people and communities we serve — not just today, but well into the future,” the company […] The post GuideWell taps Cigna exec for CFO role appeared first on Becker's Payer Issues | Payer News .
Cigna FloridaCigna · 10 signals · last 30 days -
UnitedHealthcare, U of Miami Health face network split
University of Miami Health System is set to go out of network with UnitedHealthcare Aug. 1 if the two sides do not reach a new contract. Without an agreement, UHealth’s hospitals, facilities and physicians will be out of network for UnitedHealthcare’s employer-sponsored plans, its Florida Medicaid plan and its ACA plans. A separate contract covers […] The post UnitedHealthcare, U of Miami Health face network split appeared first on Becker's Payer Issues | Payer News .
UnitedHealthcare FloridaUnitedHealthcare · 34 signals · last 30 days -
GuideWell taps Health Net CEO to lead commercial business
GuideWell, the parent organization of Florida Blue, named Brian Ternan as its executive vice president of commercial business. Mr. Ternan has more than 35 years leading health coverage, GuideWell said in a July 28 LinkedIn post. According to his LinkedIn profile, Mr. Ternan was most recently president and CEO of Centene’s Health Net. He also […] The post GuideWell taps Health Net CEO to lead commercial business appeared first on Becker's Payer Issues | Payer News .
Centene FloridaCentene · 11 signals · last 30 days -
Kane v. UnitedHealth Group, Inc.
Case 3:16-cv-01516-HES-MCR Document 114 Filed 06/26/26 Page 1 of 37 PageID 1209 UNITED STATES DISTRICT COURT MIDDLE DISTRICT OF FLORIDA JACKSONVILLE DIVISION UNITED STATES OF AMERICA ex rel. ROBERT KANE, FRANKLIN W. WEST, and INTREPID5, LLC, No. 3:16-cv-1516-HES-MCR Plaintiffs, v. UNITEDHEALTH GROUP, INC., et al., Original document
UnitedHealth FloridaUnitedHealthcare · 34 signals · last 30 days -
United States ex rel. Zafirov v. Florida Medical Associates, LLC et al.
Medicare Advantage risk adjustment coding litigation. The post United States ex rel. Zafirov v. Florida Medical Associates, LLC et al. appeared first on Health Care Litigation Tracker .
Policy / Regulatory Changes · 67 signals · last 30 days -
Blue Cross and Blue Shield of Florida, Inc. et al. v. Department of Health and Human Services et al.
Medicare Advantage Star Ratings litigation. The post Blue Cross and Blue Shield of Florida, Inc. et al. v. Department of Health and Human Services et al. appeared first on Health Care Litigation Tracker .
Blue Cross Blue Shield plans · 20 signals · last 30 days