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HME News (07.31.15) — “Chaos” Erupts as Univita Loses Contracts

SMMC Program

The leading industry journal, HME News, ran a story on Friday about the aftershocks felt, statewide, from Univita losing its Medicaid contracts with the State of Florida.  The article has insights from providers working in, and observers of, the Statewide Medicaid Managed Care (SMMC) Program.1For instance, the article quotes a former Univita employee, who said Univita should have been forced to choose between being the administrator, overseeing a network of providers, and being a provider within those networks.  The fact that they were allowed to be both “wasn’t illegal,” according to the former employee, but it “allowed for questionable business decisions”.  It’s a fascinating read.  The article also quotes KTL partner Daniel Leyton, about the uncertainty facing all actors in the industry (from providers to MCO Plans to Florida’s Agency for Health Care Administration) as they navigate the new landscape:

Until AHCA puts a “workable” plan in place, it’s “chaos on the ground,” says attorney Dan Leyton, a partner with Kravitz, Talamo & Leyton in Hialeah.

“I really don’t know how things are going to operate over the next few weeks as this all shakes out,” he said. “I have yet to hear that anybody has a well-thought out plan for how things are going to work in the future.”

All providers and plans in Florida will be closely watching this story, which will continue to unfold over the coming weeks.  We’ll keep you posted.

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