Medicaid expansion

According to a recent FAFP (Florida Academy of Family Physicians) communication AHCA has informed the FAFP that the logistics for increasing Medicaid rates to Medicare levels will most likely not be completed until sometime in April, yet confirmed that retroactive payments will be made to make up the increases due for services billed between January 1 and implementation. One of several complicating factors is deciding how payments will be made to the managed care companies and then passed through to the physicians. That's an important issue because I just received a contract asking me to join the Preferred Medical Plan as a provider offering $15 reimbursement per Medicaid patient! I guess the private insurance companies will benefit greatly from the Medicaid expansion and the "increased" reimbursement for physician will follow the trickle down economics model. So who will gain from the federal subsidies? The private corporations and NOT the patients nor the physicians. Again, privatizing the profits and socializing the risk! Nothing changes!! Yours Bernd