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Medicaid_Slides.pdf

Senator Joe Negron's presentation on Medicaid Reform that was presented February 15, 2011

The following are highlights of what was being proposed for participating Medicaid providers and recipients.

  •     90% medical loss rate
  •     Competitive bid process
  •     Surety bonds, performance bonds, and liquidated damages
  •        Reimbursement increased to 100% of Medicare for primary care physicians
  •         Provision to address negotiations between hospitals and managed care entities
  •         Tightened prompt pay requirements
  •         Excludes developmentally disabled population
  •         Grandfathers those currently in nursing homes
  •         Stipend for Medicaid recipient who chooses to go through exchange rather than Medicaid Enhanced legal protections/sovereign immunity for providers
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