The 2023 Florida Statutes (including Special Session C)

Title XXIX
PUBLIC HEALTH

Chapter 408
HEALTH CARE ADMINISTRATION

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F.S. 408.50

408.50 Prospective payment arrangements.—

(1) Hospitals as defined in s. 395.002, and health insurers regulated pursuant to parts VI and VII of chapter 627, shall establish prospective payment arrangements that provide hospitals with financial incentives to contain costs. Each hospital shall enter into a rate agreement with each health insurer which represents 10 percent or more of the private-pay patients of the hospital to establish a prospective payment arrangement. Hospitals and health insurers regulated pursuant to this section shall report annually the results of each specific prospective payment arrangement adopted by each hospital and health insurer to the board. The agency shall report a health insurer’s failure to comply to the Office of Insurance Regulation of the Financial Services Commission, which shall take into account the failure by the health insurer to comply in conjunction with its approval authority under s. 627.410. The agency shall adopt any rules necessary to carry out its responsibilities required by this section.

(2) The prospective payment system established pursuant to this section shall include, at a minimum, the following elements:

(a) A maximum allowable payment amount established for individual hospital products, services, patient diagnoses, patient day, patient admission, or per insured, or any combination thereof, which is preset at the beginning of the budget year of the hospital and fixed for the entirety of that budget year, except when extenuating and unusual circumstances acceptable to the department warrant renegotiation.

(b) Timely payment to the hospital by the insurer or the insured, or both, of the maximum allowable payment amount, as so negotiated by the insurer or group of insurers.

(c) Acceptance by the hospital of the maximum payment amount as payment in full, which shall include any deductible or coinsurance provided for in the insurer’s benefit plan.

(d) Utilization reviews for appropriateness of treatment.

(e) Preadmission screening of nonemergency admissions.

(3) Nothing contained in this section prohibits the inclusion of deductibles, coinsurance, or other cost containment provisions in any health insurance policy.

History.—s. 81, ch. 92-33; s. 438, ch. 2003-261.

F.S. 408.50 on Google Scholar

F.S. 408.50 on Casetext

Amendments to 408.50

Arrestable Offenses / Crimes under Fla. Stat. 408.50

Level: Degree
Misdemeanor/Felony: First/Second/Third

Current data shows no reason an arrest or criminal charge should have occurred directly under Florida Statute 408.50.

Annotations, Discussions, Cases:

Cases from cite.case.law:

BUFFALO LABORERS WELFARE FUND, v. DI PIZIO CONSTRUCTION COMPANY, INC., 318 F. Supp. 3d 591 (W.D.N.Y. 2018)

. . . fringe benefit contributions owed to the Funds, $3,306.36 in dues checkoffs owed to the Union and $408.50 . . . $95,224.00 with respect to fringe benefit contributions"; "the Audit correctly found a deficiency of $408.50 . . .

THOMAS, v. OLD TOWN DENTAL GROUP, P. A., 300 F.R.D. 585 (S.D. Fla. 2014)

. . . shortfall of approximately 9.5 hours, which, at her regular hourly rate of $43, caused her damages of $408.50 . . . Seeking to recover $408.50 plus liquidated damages, fees and costs, Thomas filed this lawsuit and then . . .

In O CALLAGHAN, T. v. O, 304 B.R. 887 (Bankr. M.D. Fla. 2003)

. . . 114.00, 179.25, 177.75, 365.15, 475.00, 465.00, 390.00, 157.50, 455.00, 280.00, 228.00, 240.00, 326.00, 408.50 . . .

SAUSSY, n k a v. W. SAUSSY,, 560 So. 2d 1385 (Fla. Dist. Ct. App. 1990)

. . . on the motion for attorneys’ fees the wife presented testimony of an expert who testified that $15,-408.50 . . .

In LBH ASSOCIATES LIMITED PARTNERSHIP,, 109 B.R. 157 (Bankr. D. Md. 1989)

. . . 2,010.00 62.50 42.00 790.50 7,713.00 10.00 150.00 441.00 57.00 494.50 2.783.50 1,793.00 5.731.50 1.435.50 408.50 . . .

BULLOCK, v. ADMINISTRATOR OF ESTATE OF P. KIRCHER, B. W. H. J. G. Jr. L. K. W. Jr. E. H. G. Jr. J. Jr. F., 84 F.R.D. 1 (D.N.J. 1979)

. . . BACINE 75 408.50 30,637.50 55,147.50 H. NEWBERG 150 5.50 825.00 1.485.00 J. . . .

P. Jr. R. v., 42 T.C. 766 (T.C. 1964)

. . . This deficiency resulted solely from the Commissioner’s determination that the amount of $408.50 which . . . petitioner deducted under the designation of “Deductions for involuntary pensions,” the amount of $408.50 . . . was and is correct, for each of the following reasons: (1) Petitioner’s payment of said amount of $408.50 . . .

BEATTY SAFWAY SCAFFOLD CO. v. UP- RIGHT, INC. a, 306 F.2d 626 (9th Cir. 1962)

. . . The jury returned a verdict of $12.25 based on a 3% royalty on the one $408.50 sale. . . .

In LINCOLN INDUSTRIES,, 166 F. Supp. 240 (W.D. Va. 1958)

. . . From this amount there shall be deducted the sum of $6,-408.50, balance of the principal indebtedness . . . The Trustee will pay to Textile from the “furniture account” the sum of $6,-408.50, being the balance . . .

CONTINENTAL SUPPLY CO. v. MARSHALL, 52 F. Supp. 717 (W.D. Okla. 1943)

. . . The mortgagee entered the premises and completed the same at an expenditure of $408.50. . . .

In RINKER, 174 F. 490 (M.D. Pa. 1909)

. . . Prices: Total Consideration., Less allowance for 2nd hand apparatus $2227.75 408.50 Net: Price. $1720.25 . . .

LUCAS COUNTY v. JAMISON, 170 F. 338 (C.C.S.D. Iowa 1908)

. . . its doors, it had on deposit, subject to check or draft, with the National Bank of the Republic, $54,-408.50 . . .