On November 4, 2026, the Eleventh Circuit held that Florida's income-based Medicaid termination notices did not give families constitutionally adequate notice and affirmed an injunction requiring clearer letters. What the ruling means for Florida practices, and how front desks can help children, parents and pregnant patients who lost coverage use the hearing process.
CMS finalized the 2027 hospital outpatient and ASC payment rule on November 4. ASCs and hospitals get 2.3% on January 1, about 600 procedures join the ASC list, 340B drugs fall to ASP minus 28%, and non-contrast imaging at older off-campus hospital sites drops to the fee schedule rate. What it means for Florida surgeons, ASC owners and hospital-employed physicians, alongside Florida's office surgery suite standards due the same day.
CMS finalized the 2027 Medicare Physician Fee Schedule on November 4. The conversion factor falls to $32.63 (down 2.31%) on January 1, same-day visits with 0-day procedures are paid at 80%, and G2211 becomes modifier B1. What it means for Florida practices billing through First Coast, with worked examples and steps to take before January.
Updated Nov. 7: Amendment 3 passed and CMS finalized the 2027 fee schedule. Five developments for Florida physicians, including the Quest breach, a False Claims Act pilot, and Medicare open enrollment.
The DEA's temporary telemedicine prescribing rule ends December 31, 2026, and the permanent rule is still under White House review. What Florida physicians should do now.
The Justice Department and HHS will settle self-disclosed False Claims Act violations at 1.25 to 1.6 times the amount owed through April 22, 2027. What the pilot covers, why it does not reach Florida Medicaid claims under section 68.082, and what Florida practices should do now.
Quest Diagnostics confirmed that an unauthorized party accessed its Quanum Lab Services Manager portal on October 21 and that patient records were involved. Quest has not said whose records or how many. What Florida physicians should do this week, what to tell patients, and the notification deadlines that apply.
Florida voters approved Amendment 3 on November 3 with about 62 percent. Starting January 1, 2027, public hospital districts face an estimated $323 million in losses over three years, and health care is not on the protected-spending list.
On October 1, H.R. 1 ended Medicaid for refugees, asylees and other lawfully present immigrants, and KFF estimates nearly 177,000 Floridians will lose coverage, more than any state. Wrongful terminations are already hitting children and green card holders, with ACA subsidies ending January 1 and Medicare terminations starting in January 2027. Six things a Florida physician should do now.
CMS-4214-P would make Medicare Advantage plans verify provider directories every 90 days, publish accuracy scores and write directory accuracy into physician contracts. With 57 percent of Florida Medicare beneficiaries in MA, here is what changes for Florida practices and five things to do before the December 15 comment deadline.