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Florida › Health Maintenance Organizations

Polsinelli

Florida Regulatory Action Highlights Need for Insurers to Use Licensed TPAs

Polsinelli on

Key Takeaways: A Florida-based Health Maintenance Organization (HMO) was fined for contracting with a Third Party Administrator (TPA) that was not licensed in Florida, violating its statutory obligation to ensure...more

Akerman LLP - Health Law Rx

The Florida Office of Insurance Regulation Amends the Application for Certificate of Authority for Health Maintenance...

Akerman LLP - Health Law Rx on

Applicants for a health maintenance organization (HMO) certificate of authority (COA) in Florida must use a new application form effective January 28, 2024. After rule development by the Florida Office of Insurance...more

Foley & Lardner LLP

What is a Provider Service Network?

Foley & Lardner LLP on

For those participating in corporate development in the health plan space in Florida, the question may arise: “What is a provider service network?” This Article provides the definitional traits of a provider service network...more

Carlton Fields

No More Surprises: Florida Ends Certain Medical Balance Billing

Carlton Fields on

"Surprise medical billing" occurs when a patient receives care at a facility and receives treatment from a provider, such as an anesthesiologist or radiologist, who is not contracted with the patient’s health insurance plan....more

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