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