Opportunity Report: Health Coverage Plan Offers Better Health and Economic Outcomes for Miami-Dade County

Despite the gains made in the years since the passage of the A ordable Care Act, Miami- Dade County continues to rank near the bottom, statewide, across several major indicators of health. e snapshot captured in the 2016 County Health Rankings and Roadmaps report point to growing public health concerns across South Florida. Meanwhile, absent […]

Essential Health Benefits Overview

Introduced by the Affordable Care Act, Essential Health Benefits (EHB) are a set of ten health care service categories that certain health plans must cover. In February 2015, the U.S. Department of Health and Human Services issued a Final Rule, which finalized changes to the EHB standard. This month’s National Health Law Program Health Advocate […]

Essential Health Benefits Update and Advocacy Opportunities

On February 20, 2015, the U.S. Department of Health and Human Services issued regulations that finalized changes to the Essential Health Benefits (EHB) standard of the Affordable Care Act. The National Health Law Program’s fact sheet provides an overview of the original rules, changes being made to EHB standards by way of this rule, and an overview of […]

Que Hacer Si Usted No Puede Obtener Cobertura en el Mercado de Seguros Medicos

Pulse aqui para descubrir qué hacer si usted no puede obtener cobertura en el Mercado de Seguros Médicos

Uncovering Coverage Opportunities: Florida’s Health Insurance Marketplace

Beginning October 1, 2013, millions of Floridians who are uninsured — or who are insured but have inadequate or unaffordable coverage — will be able to purchase a health plan through the new Health Insurance Marketplace established by the federal Patient Protection and Affordable Care Act (ACA). Although Congress passed the ACA in 2010, almost three and […]

Long Term Care Medicaid Waiver Contracts

Click here to view the American Elder Care Contract.  This is the contract between American Elder Care and the Agency for Health Care Administration for Long Term Care Waiver Services for every region in Florida. Click here to view the AmeriGroup Contract for services in Regions 10 and 11. Click here to view the Coventry […]

The Pacific Health Group Report: Medicaid Managed Care Study

Click here to read the Pacific Health Group Medicaid Managed Care Study. Commissioned by the Florida House in 2010, this report is the basis for the Managed Care Waiver we now have in Florida.

Georgetown Report on Florida’s Long Term Care Medicaid Waiver

Click here to access Georgetown University’s January 2012 report on Florida’s Proposed Medicaid Long-Term Care changes.

CMS response to Florida CHAIN letter expressing concerns regarding waiver

Click to read CMS’s April 3, 2012 response to Florida CHAIN’s letter expressing concerns regarding Florida’s 1915(b) and (c) waivers that, if approved, would create the Florida Long Term Care Managed Care Program.

Rejection of Medicaid Expansion Would Prove Costly to Businesses

Many of the businesses that anchor the state’s service-based, tourist-dependent economy would be placed at a significant competitive disadvantage if Florida rejects Medicaid expansion. These include, for example, Florida’s retail, restaurant and hotel chains. If Florida expands Medicaid, employers pay no penalty for low-wage workers who enroll in Medicaid. As a result, a large employer […]