Florida SNFs Suing Managed Care Groups Over Delayed Medicaid Payments

August 4, 2017, Emily Mongan, McKnight's Long-Term Care News - A group of Florida skilled nursing facilities has filed a class action lawsuit against multiple insurance providers over delayed Medicaid payments.  The suit, filed Wednesday in the United States District Court for the Southern District of Florida, was brought by a group of 10 skilled nursing operators against seven managed care companies including affiliates of Humana, Molina Healthcare and United HealthCare.

The suit characterizes the companies as the “gatekeepers to Medicaid benefits in Florida.”  The complaint claims the Medicaid managed care organizations engaged in a “systematic business practice of illegally withholding interest owed on overdue payments” to the providers, who “rely on the prompt payment of Medicaid funds” to deliver care to the plan's beneficiaries.  Payments delivered after the set deadline typically accrue interest at 12% per year.

The suit also claims the ........ CLICK HERE TO READ MORE