AHCA chooses five managed care health plans for Medicare program participation

The Agency for Health Care Administration announced plans to award contracts to five health plans for the Medicaid managed-care program. These contracts will involve billions of dollars over the coming years, with 3.45 million people currently receiving health care through the managed-care system as of February. The five health plans selected are Florida Community Care, Humana Medical Plan, Simply Healthcare Plans, South Florida Community Care Network (doing business as Community Care Plan), and Sunshine State Health Plan.

According to information posted on the agency’s website, Humana, Simply Healthcare, and Sunshine State Health Plan will receive statewide contracts, while the other two plans will receive contracts in specific regions of the state. The contracting process has taken the past year, with 11 plans responding to an “invitation to negotiate” to secure contracts. Plans that were not selected can file challenges to the decision. The agency is required to go through a procurement process for these contracts every six years.

By Samantha Robertson

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