State Intelligence — Florida
Signals referencing this state across all sources.
17 signals
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CMS Announces Resources, Flexibilities to Assist with Public Health Emergency in Alabama and Florida
CMS Announces Resources, Flexibilities to Assist with Public Health Emergency in Alabama and Florida The Centers for Medicare & Medicaid Services (CMS) announced today additional resources and flexibility available in response to a Public Health Emergency (PHE) in Alabama, beginning Oct. 7, 2026, and Florida, beginning Oct. 6, 2026, respectively, due to emergency conditions resulting from Hurricane Isaias and continuing. CMS is working closely with both states and federal partners to put flex...
Policy / Regulatory Changes · 140 signals · last 30 days -
Florida court orders expungement of grand jury report on $10M Centene donation
A Florida appellate court ruled Oct. 7 to expunge a grand jury report regarding a $10 million Centene donation to the Hope Florida Foundation, tied to Florida’s first lady, Casey DeSantis. Florida prosecutors launched a criminal investigation into the donation, which was part of a broader $67 million settlement in 2024 to resolve allegations of […] The post Florida court orders expungement of grand jury report on $10M Centene donation appeared first on Becker's Payer Issues | Payer News .
Centene FloridaCentene · 13 signals · last 30 days -
Molina assumes $6B Florida Medicaid, CHIP special contract
Molina Healthcare took over the contract for a specialized Florida Medicaid and CHIP plan, previously managed by Centene’s Sunshine Health, on Oct. 1. Molina first announced it had secured the contract in November 2025, but the start date had not been confirmed. At the time, Molina expected to serve roughly 120,000 enrollees of the Title […] The post Molina assumes $6B Florida Medicaid, CHIP special contract appeared first on Becker's Payer Issues | Payer News .
Centene + Molina Healthcare · 14 signals · last 30 days -
Oscar employees in Florida to transition to CHOICE arrangements
Oscar Health is moving its Florida-based employees from traditional group medical plans to Custom Health Option and Individual Care Expense arrangements — formerly known as individual coverage health reimbursement arrangements — in 2027. The company confirmed the move, called CHOICE 4 Oscar, to Becker’s on Sept. 24, adding the Florida transition “is the first step […] The post Oscar employees in Florida to transition to CHOICE arrangements appeared first on Becker's Payer Issues | Payer News .
Oscar Health FloridaOscar Health · 2 signals · last 30 days -
Autism Speaks chair, managed care plans up on next ABA task force agenda
A Florida task force that could reshape how the state provides therapy to children with special needs and autism is getting together again. The state’s applied behavior analysis (ABA) task force meets Monday and will consider testimony from a managed care panel that includes representatives from Simply Healthcare, Sunshine Health, and Humana Healthy Horizons. It […]
Humana FloridaHumana · 13 signals · last 30 days -
Aetna broadens access to oncology prior auth bundles
CVS Health’s Aetna is expanding prior authorization bundles for cancer, available to some Medicaid members as of Sept. 1. The update impacts Medicaid members with providers in Oklahoma, Illinois, Maryland, New Jersey, Virginia, Florida, Kentucky and West Virginia who use the Eviti portal for prior authorizations. Aetna anticipates broadening eligibility to Medicare and commercial members […] The post Aetna broadens access to oncology prior auth bundles appeared first on Becker's Payer Issues...
CVS Health / Aetna · 12 signals · last 30 days -
Up, up, and away: Are double-digit health insurance rate increases ahead?
It looks like another round of health insurance premium increases for millions of Floridians who get their insurance through the federal health care makretplaces. Twelve Affordable Care Act participating insurers submitted for rate increases in the coming year, data published by KFF show. AmeriHealth Caritas Florida filed for the largest increase, 39.14%. By contrast, Centene […]
Centene FloridaCentene · 13 signals · last 30 days -
UnitedHealth’s Optum sells interest in Florida clinics
UnitedHealth Group’s Optum has sold interest in some of Optum’s Florida WellMed clinics to private equity company TPG, Bloomberg originally reported Sept. 9. UnitedHealth Chief Financial Officer Wayne DeVeydt told Bloomberg that the healthcare company was looking for a partner “that could actually work with us locally,” and UnitedHealth “didn’t need the dollars.” “We entered […] The post UnitedHealth’s Optum sells interest in Florida clinics appeared first on Becker's Payer Issues | Payer News .
UnitedHealthcare · 46 signals · last 30 days -
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 · 51 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 · 13 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 · 15 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 · 46 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 · 13 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 · 46 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 · 140 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 · 36 signals · last 30 days