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.
CMS says provider payment suspensions will quadruple in six months, HHS has handed CMS its own exclusion authority, and Florida AHCA is terminating Medicaid providers and forcing revalidation. What the rules allow, and six things a Florida physician should do now.
Lee Health, Sarasota Memorial, AdventHealth and UHealth are leaving UnitedHealthcare networks on January 1, 2027, in the middle of Medicare open enrollment. Here is what the terminations cover, why they happened, and six things a Florida physician should do before December 7.
HHS declared a public health emergency for Florida after Hurricane Isaias. The Section 1135 waiver, retroactive to October 6, changes licensure, EMTALA, Stark, HIPAA, and Medicare Advantage rules for physicians in 27 counties. Here is what each order does.
The Florida Innovation Conference powered by BioFlorida opens today in Orlando with Pfizer, Mayo, Cleveland Clinic, the Senate President Pro Tempore and the author of the Sunshine Genetics Act in the room. Practicing physicians mostly are not. Sean Orr, M.D., on the four sessions that will reach your exam room and what to do about it.
On October 5 the FTC warned 24 large health systems that price quotes omitting physician or facility fees may be deceptive, and federal agencies finalized a rule that changes the rate files insurers publish about their contracted physicians. What changed, how Florida's seven-business-day estimate law fits in, and six things a Florida physician should do now.
The Washington Post reports that the administration is preparing a temporary measure that would let compounding pharmacies sell some previously restricted peptides, including BPC-157. The plan has not been announced. Where the law stands today, what would not change under Florida law, and six things a Florida physician should do now.
CMS says Medicare Advantage will remain stable in 2027, but Florida is losing 51 plans and three Florida hospital systems have left or are leaving Medicare Advantage networks. What physicians are allowed to tell patients before open enrollment closes December 7, and five things a Florida practice should do now.
Many physicians still believe that seeing a psychiatrist will end up on a license application. In Florida the application asks only about conditions that impaired practice. What the Board of Medicine form asks, how section 456.076 and the Professionals Resource Network work, and five steps to take.
On August 31, CMS canceled 315,000 HealthCare.gov enrollments covering 760,000 people and did not say so until September 22. Florida has 4.5 million marketplace enrollees, more than any state. What the cancellations mean for September claims, and five things a Florida practice should do this week.