Doctors Administrative Solutions is pleased to announce that it has been named for a record SIXTH consecutive year to the Tampa Bay Business Journal Fast 50 list, which recognizes the fastest growing privately held companies in the Tampa Bay region. We’re thrilled to share this honor with our entire team, our partners and our clients!
For the 6th year in a row, Doctors Administrative Solutions has been recognized on the Tampa Bay Business Journal Fast 50 list, honoring the fastest growing privately held companies in the Tampa Bay area. DAS is the only company to find itself on the list for 6 consecutive years. Congratulations to the DAS team, partners and clients who all contribute to our successes!
Two of the largest hospital operators in Tampa Bay are kickstarting a joint venture designed, in part, to keep people out of the hospital.
West Florida Health, the not-for-profit health care company owned 50-50 by Tampa General Hospital and Florida Hospital, will focus on wellness and services provided outside of the hospital setting. The joint venture unveiled three key initiatives on Friday: an outpatient medical center in Brandon that will break ground later this year, a home care agency that will launch in February and a hospice operation which still requires state regulatory approval. It also has established a board of directors that includes Tampa Bay Lightning Owner Jeff Vinik, Lykes Insurance CEO John Brabson Jr., and leaders of both health care systems.
Tampa General and Florida Hospital are not merging existing hospital systems or selling their hospital operations, which are revenue generators for the organizations under current reimbursement mechanisms. But the joint venture will help them prepare for future reimbursement models based on “population health,” a system in which health care providers get a set amount of money annually to take care of a patient, said Michael Schultz, president and CEO, Florida Hospital, West Florida region.
“We’ll get $12,000 a year to take care of you and we need to figure out a way to keep you in the most cost-effective health care service, keep you connected to your primary care doctor and out of the hospital, help you manage your health care experience so we make sure ends meet with that total dollar of population health,” Schultz said.
The joint venture will help both providers have a stronger presence in the marketplace. Two key competitors – HCA and BayCare Health System – each have about a 30 percent market share, while Tampa General and Florida Hospital combined have another 30 percent.
TGH and Florida Hospital are both nonprofits and community-minded with a focus on the under-served, and Schulz and Jim Burkhart, president and CEO of Tampa General, have known each other since before Burkhart came to Tampa in early 2013. “You can fight everybody or you can find people you have things in common with and decide you are going to try to take costs out of the system and duplication out of the system,” Burkhart said.
Burkhart described their relationship as one of “co-op-itition.”
“We’re going to cooperate and we’re going to compete,” Burkhart said. “If a baby is going to be delivered and the mother lives between our two hospitals, I want them to come to Tampa General and Mike wants them to come to Florida Hospital, and the doctor and the mother will decide. But in an outpatient setting, we’ll put something out there with West Florida Health on it, and if they need ultrasound or lab work we’ll share in the revenue.”
In the next month or so, the joint venture also expects to roll out a clinical integration network, the physician arm of West Florida Health. That network will be able to go to insurance companies to get contracted rates, Schultz said. The two hospitals can’t share rates today, Burkhart said.
Doctors Administrative Solutions (DAS) is proud to announce that it was named a two-time winner at this year’s Tampa Bay Technology Forum’s (TBTF) Industry Achievement Awards. DAS was honored as Technology Company of the Year and its Director of Strategic Initiatives, Mallory Tai Taylor, as Young Professional of the Year. The awards honor individual and organizational leaders in the region’s technology industry.
“We are humbled to have been recognized in not one, but two, very meaningful categories,” said CEO David Schlaifer. “The drive, intellect and steadfast commitment to helping independent physicians thrive that is demonstrated by each and every member of our team is truly the driver of DAS’s continued success – and Mallory Taylor epitomizes each of those qualities. She’s the type of individual that every organization hopes to have as part of their leadership team.”
Accepting the Technology Company of the Year award, Schlaifer advised attendees of the gala to “hug a doctor” at their next appointment, noting physician’s struggles to succeed in an increasingly difficult healthcare landscape, and his appreciation for their continued work and loyalty to their patients.
For her part, Mallory Tai Taylor was also recently recognized in the Tampa Bay Business Journal’s Class of 2014 Up & Comers, in the Under 30 Category.
Winners were announced at the TBTF Industry Achievement Awards Gala on November 21, 2014, at the Tampa Grand Hyatt, attended by over 500 regional technology professionals.
Congratulations to Director of Strategic Initiatives Mallory Tai Taylor, who was recognized at the Tampa Bay Business Journal’s Up & Comers awards gala on Monday, November 17th, in the Under 30 category! The awards recognize emerging business professionals in the Tampa Bay region.
Florida Healthcare Plus, a Medicare HMO and drug plan, is under state review for making a $600,000 error in a financial statement and has been temporarily blocked from enrolling any new members, its chief executive says.
The company, based in Coral Gables, was also recently fined $113,200 by the federal Centers for Medicare and Medicaid Services (CMS) for a different type of infraction — “systemic failures” to provide all the benefits due to members under CMS rules.
The fine was explained in a July 17 letter to Florida Healthcare Plus’ CEO Susan Molina from Gerard J. Mulcahy, director of the CMS enforcement group for Medicare Advantage and drug plans. He wrote that in a December 2013 review, CMS determined that the plan had delayed or denied some patients’ access to their medications. Also, some of the HMOs’ members who filed complaints or appeals faced inappropriate delays or denials of the right to access a health service, the letter said.
Molina was not in charge at the time of the December audit. She was brought in by investors to turn the HMO around in January.
The accounting error, which occurred this summer, involved a duplicate listing of a capital contribution on a quarterly report to the Florida Office of Insurance Regulation, Molina said. “They caught it; we didn’t, unfortunately,” she said.
The error caused the HMO to fall below the required amount in capital reserves by a small amount, which was quickly rectified, Molina said. But the damage was done.
“The state of Florida asked us to stop enrolling until they can complete an investigation of our financials to make sure everything is okay,” Molina said. She said the review would start next week and that OIR officials would be on-site Sept. 15.
OIR spokesman Harvey Bennett said the agency cannot confirm or comment on any ongoing reviews.
The enrollment freeze will have only a minor impact unless it lasts more than a month. Open-enrollment season for Medicare plans begins Oct. 15. Florida Healthcare Plus has only 11,000 members.
“We’re small but we believe we can make it through this,” Molina said.
The plan has been in trouble with CMS before, as Health News Florida reported in April. The federal agency fined the plan more than $40,000 that month for failing to notify its members in the fall of 2013 of the changes in the plan for 2014.
Aside from its headquarters in Miami-Dade County, Florida Healthcare Plus also has an office in Tampa.