Bruce D. Platt

Bruce D. Platt

Bruce Platt serves as managing partner of Akerman’s Tallahassee office. With a background in healthcare and medical technology, he helps insurers, providers, and related companies navigate federal and state regulations and administrative law. Clients rely on Bruce for guidance on complex regulations, such as the Florida Insurance Code, HIPAA, and the Affordable Care Act. His clients include Aetna, AvMed, Health First, Humana, and UnitedHealthcare, among others.

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Issues and Analysis of the State’s Medicaid Managed Assistance ITN

The recently released Invitations to Negotiate (ITN) for Florida’s Statewide Medicaid Managed Care program (SMMC) parallels in large part the State’s initial procurements that were released in 2012 and 2013. Where the current ITN differs, however, should be of interest to all applicants and associated parties. This blog post addresses several of the more significant changes for consideration and may … Continue Reading

State Releases Medicaid Managed Care Invitation to Negotiate

Last Friday, July 14, 2017, the Florida Agency for Health Care Administration (AHCA) released its long awaited Invitation to Negotiate (ITN) for State Wide Medicaid Managed Care services. The ITN, one for each of the 11 regions within the state, may be found on the state Vendor Bid System (VBS), the link for which is provided here. This ITN … Continue Reading

Potential Implications to the ACA Under the Incoming Republican Administration – Part I: the Insurance Industry

In the uncertain atmosphere surrounding the process of ‘repealing’ and replacing the Affordable Care Act (ACA), there are some clues as to what we can expect to come next, at least with regard with the health insurance industry. Obviously, one place to look is to President-Elect Trump himself. During his campaign, then-candidate Trump published a seven-point position statement on healthcare … Continue Reading

HHS Publishes a New Rule to Protect Dialysis Patients From Being “Steered” into Private Coverage for the Benefit of Dialysis Centers

On implementing significant, new requirements for Medicare-certified dialysis facilities that make payment of premiums for individual health coverage, on December 14, 2016, the Department of Health and Human Services (HHS) published an Interim final rule with comment period. The regulations become effective 30 days after the date of publication – January 13, 2017, and comments regarding the interim must be … Continue Reading

The Florida Agency for Health Care Administration Releases an Invitation to Negotiate for a Vendor to Provide an All Payor Claims Database to Florida Consumers

The Florida Agency for Health Care Administration (AHCA) released ITN 003-16/17 (the “ITN”) to select a vendor to provide All Payer Claims Database (APCD) services pursuant to section 408.05(3)(c), Florida Statutes. The ITN, published on September 26, 2016, contains a tight time-frame for the submission and evaluation of responses to it. While written inquiries regarding the ITN must be … Continue Reading

Insurers Challenge Retroactive Application of New Florida Law that Requires Comparison of Names of Accounts to Death Master File

Amendments to the Florida Disposition of Unclaimed Property Act in 2016 made significant changes to unclaimed property presumptions and insurance company obligations. See § 717.107, Fla. Stat. (2016) (the Act). Among other things, the Act: (a) revises conditions of when certain insurance policies or annuity contracts are deemed matured and the proceeds are due and payable; (b) requires  insurance companies … Continue Reading

Surprise Medical Bills? The Florida Legislature Offers Some Relief!

With House Bill 221, the last bill to pass during the 2016 legislative session, the Florida legislature took a significant step towards reducing uncertainty for medical costs for persons with Preferred Provider Organization (“PPO”) health insurance by limiting unanticipated, balance billing.  “Balance billing” is the practice of providers charging patients for a bill, or any remainder of a bill, … Continue Reading

A Quick Look at Healthcare Issues Expected to Make News in 2015

As we look into our crystal balls, we do not expect a lot of new issues in 2015. Rather, we believe that most of the significant issues will be a continuation of issues that arose in 2014 or earlier. For example, continued implementation of the Patient Protection and Affordable Care Act (the “ACA”), which was signed into law on March … Continue Reading

HHS Guidance Clouds Earlier Statement, Discourages Providers From Purchasing Insurance for Patients

There has been much speculation in the health care community that it may be financially beneficial, under certain circumstances, for hospitals and other large providers to purchase health care coverage for their indigent patients.  U.S. Department of Health and Human Services Secretary Kathleen Sebelius recently stated that Qualified Health Plans, which are sold on the federal health care Marketplace, are … Continue Reading

Protests of the Medicaid Managed Assistance ITN Recommended Awards

Pursuant to Section 409.966, Florida Statutes, traditional Medicaid services are to be provided to Florida recipients through a limited number of Managed Care Organizations (“MCOs”) in the 11 Regions of the state.  The Agency released Invitations to Negotiate (“ITNs)” for each of the Regions inviting MCOs to submit proposals to provide coverage to Medicaid recipients in that Region.  The proposals … Continue Reading

The Florida Agency for Health Care Administration Releases Questions and Answers Specific to the Medicaid Managed Care Invitations to Negotiate

Florida is in the process of moving the majority of its Medicaid population into managed care settings – either into Health Maintenance Organizations or Provider Service Networks.   First, Florida focused on moving long-term care Medicaid members – including Medicaid recipients in nursing homes and the Florida nursing home diversion program – into managed care. In January 2013, the Florida Agency … Continue Reading

HHS and Florida Reach “Agreement in Principle” for Medicaid Waiver

We previously reported that the U.S. Department of Health and Human Services (“HHS”) granted a Medicaid waiver allowing Florida to implement its Medicaid Long-Term Care Managed Care Program.  On February 20, 2013, HHS issued a letter stating it has reached an “agreement in principle” to grant a second Medicaid waiver – this one for Florida’s Managed Medical Assistance program.  Assuming … Continue Reading

Employers Should Consult with their Insurance Agents to Discuss the Possibility of Early Renewal of Health Insurance Coverage

While one of the greatest benefits of the federal Affordable Care Act (“ACA”) is better access for all to quality healthcare, theoretically resulting in lower health care expenditures, there also are costs associated with the ACA. Many of these costs take the form of additional fees on participating insurers and health maintenance organizations in our nation’s healthcare system.  The federal … Continue Reading

Florida Medicaid Managed Care Receives Green Light From HHS

Florida has been working on a plan to shift the state’s Medicaid population into managed care for nearly two years – ever since the Florida Legislature directed the change in 2011. On Monday the state received the approval it needed from the federal government.

By letter dated February 1, 2013, the U.S. Department of Health and Human Services granted Florida’s … Continue Reading

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