The House also includes adjustments for teaching hospitals and for hospitals that serve a large percentage of poor patients. And it allocates $76 million beyond the Senate proposal to help offset the hit to safety-net hospitals.
Safety-net hospitals have panned the Senate version, saying it disproportionately hurts hospitals that serve low-income patients and train new doctors.
“Our state’s teaching, public and children’s hospitals are alarmed that the Senate’s plan would result in such deep funding cuts to facilities that educate our next generation of doctors and provide specialized care to some of our state’s sickest children,” said Tony Carvalho, the president of the safety net alliance. “This is a major redistribution of dollars from safety-net hospitals to for-profit hospitals.”
Carvalho and others are rallying behind the House plan, which wouldn’t cut Medicaid funding for Jackson. Broward Health would lose about $524,000 under the House proposal — far less than what the upper chamber is suggesting — while Miami Children’s would come out about $4.6 million ahead of the $92 million it would have received under the old formula, according to the analysis from the safety net alliance.
The House plan would benefit the state’s for-profit hospitals, too, albeit to a lesser degree than what the Senate has proposed. Baptist Health South Florida, for example, would gain about $7 million under the House plan, as compared to about $10 million under the Senate plan, the analysis shows.
Still, a Baptist spokeswoman said in an email that it prefers the House plan because it’s better for “our community.”
A spokeswoman for Senate President Don Gaetz told the Herald/Times that the Senate was not aware of the criticism of its plan. The Senate is still finalizing its official hospital-by-hospital report of how funding will be distributed.
But earlier this week, Sen. Denise Grimsley, R-Sebring, penned a letter to her Senate colleagues, noting that the change in payment method would “produce winners and losers.”
At Jackson, Migoya doesn’t want the state’s largest Medicaid provider to lose out on any more money.
“We are hoping that as we go through this process, we will get to something that is reasonable,” he said.
Miami Herald staff writers Marc Caputo and Daniel Chang contributed to this report. Kathleen McGrory can be reached at kmcgrory@MiamiHerald.com.