The Legislature's Medicaid reform plan, which expands HMO-like managed care, has an unexpected critic: the Florida Medical Association, which has asked the federal government to weaken the proposal (the feds have sign-off authority because they foot most of the bill for the $22 billion program in Florida).
The FMA's letter underscores the concerns doctors have about turning much of the program over to insurance companies. Whether this is news to bill sponsor Rob Schenck is unclear. This spring, when asked if he were aware that doctors don't like the idea of being under the thumb of insurance companies, he said that wasn't a concern at all. Yeah, right.
“While we certainly understand the enormous fiscal problems facing the state, and the necessity of reducing the cost of the Medicaid program, the FMA respectfully disagrees that a statewide, mandatory managed care program is the best way to reduce costs while providing access to quality care for Medicaid recipients," the letter says.