Since initiating redeterminations in April, nearly 330,000 people have been terminated from Florida’s Medicaid rolls—the second highest state total reported thus far. The state has led with a population-based unwinding approach, which is designed to front-load terminations and bring state spending on Medicaid down more quickly; this approach still maintains risk for providers, particularly hospitals, in the second half of 2023 and early 2024.
Marwood hosted a discussion with Justin Senior, CEO of the Safety Net Hospital Alliance of Florida and former Secretary of the state’s Agency for Health Care Administration to discuss takeaways from the initial months of the redetermination process, outlook for disenrollments and process refinement, and impacts to hospitals and safety net providers.
Mr. Senior became CEO of SNHAF in January 2019, where he represents Florida’s premier public, teaching, children’s, and regional perinatal intensive care hospitals. Prior, he served as the Secretary of Florida’s Agency for Health Care Administration. Before his appointment to Secretary in 2016, Mr. Senior served as the state’s Medicaid Director, overseeing the procurement, implementation, and operation of Florida’s Medicaid Managed Care program.
He practiced as a litigation attorney in the private sector before joining AHCA. Mr. Senior has a B.A. in history from McGill University and a Juris Doctor with honors from the University of Florida, College of Law.