Pediatricians: More Obstacles To Care Under Private Medicaid Plans

News Service Florida

By: Margie Menzel

A survey released by Georgetown University’s Health Policy Institute showed that pediatricians have noticed that Medicaid children have been struggling to get the care they need, after being moved to other private health-care plans and/or doctors, without their parents’ consent.

The survey, released last month by Georgetown University’s Health Policy Institute, showed that two-thirds of responding physicians saw an increase in the number of Florida children being reassigned to other doctors or health-care plans without their parents’ knowledge or consent.

Under the new system, the managed-care plans get a monthly fee rather than payment for individual services — and the Georgetown survey was, in part, designed to evaluate the change.

“Florida has some decent protections in the managed-care contracts, but they’re clearly not being enforced,” said Joan Alker, executive director of Georgetown’s Center for Children and Families, in a recent interview.

Alker, however, said the complaint process for Medicaid managed care is “deeply buried” in AHCA’s website.

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