Florida Managed Care Groups Sued Over Delayed Medicare Payments

On August 2, 2017, a group of Florida skilled nursing facilities (SNFs) sued the state’s seven Medicaid managed long-term care plans for retaining the interest on delayed claims payments. Many facilities carry more than $200,000 in outstanding claims, leading to a statewide shortfall of $135 million. Payments delivered after a set deadline often accrue interest at 12% per year.

The lawsuit, Crosswinds Rehab Inc., et al, v. Humana Medical Plan, Inc.; American Eldercare, Inc.; United Healthcare Of Florida, Inc., Coventry Healthcare Of Florida, Inc.; Molina Healthcare Of Florida, Inc.; Sunshine State Health Plan, Inc.; & Amerigroup Florida . . .