Government
Doctor-owned HMO loses Medicare contract
NEWS IN BRIEF — Posted Sept. 3, 2007
The Centers for Medicare & Medicaid Services cancelled its Medicare Advantage contract with SunCoast Physicians Health Plan, a physician-owned HMO in South Florida.
SunCoast reported that a Florida court had ordered it into receivership after the judge determined that the plan failed to maintain a sufficient level of reserve funding. CMS did not reference the court decision but said that it would be terminating the plan's participation in Medicare.
The roughly 600 beneficiaries of SunCoast will be switched to another Medicare Advantage plan in the area, Humana Gold Plus, the agency announced. As an alternative, they could choose to enroll in traditional Medicare.
Note: This item originally appeared at http://www.ama-assn.org/amednews/2007/09/03/gvbf0903.htm.
