Hospitals treat any patient, regardless of their ability to pay, and work with public or private payers to recoup payment for the services they provide. Through certain policies and practices, payers unjustly apply utilization management tools and prior authorizations that lead to increases in administrative costs and dangerous delays in patient care.
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Florida needs more Agency & Legislative oversight of the $34 Billion contracts between AHCA and Florida’s Managed Care Plans. Lawmakers should be receiving comprehensive, timely information about the performance of Florida’s Medicaid Managed Care Plans at coordinating care for the 5 million Floridians who depend on their services. Current resources available on the state’s website are not timely, are difficult to find, and do not provide the level of detail needed to determine whether plans are adequately meeting the contract requirements set forth by AHCA.
The 340B Drug Pricing Program was created by Congress to provide relief from high drug costs – the program helps safety-net providers serving vulnerable communities stretch scarce federal resources to support essential services. The program is paid for with drug discounts, not state or federal tax dollars