NAVIGATION

July 25, 2016

Health Care Trends

Capital Gains

Tallahassee-based Capital Health Plan is a rare bird in the health world: An HMO that has both held down costs and kept its customers happy.

Lilly Rockwell | 9/11/2012

Medicare explosion

Capital Health isn’t immune to the same challenges other insurers face in holding down costs as it complies with the new health care law. Some provisions won’t impact the company, such as eliminating lifetime limits on coverage. “We’ve never had lifetime limits or annual limits,” Hogan says.

Still, the law changes how much Capital Health can charge employers based on the age and gender of patients.

A major challenge for Capital Health is the growth in the number of its Medicare enrollees as the area’s population ages. In just six years, its number of Medicare enrollees has swelled from 5,000 to 13,300, and the company expects to see that number grow further. “The explosion of Medicare is really going to be very significant,” Hogan says. Tallahassee will need more internists — different from family physicians — who understand better how to treat an elderly clientele, he says.

Demand for Medicare is also fueled by Capital Health’s high rankings last year as a Medicare provider. “We’re pretty gratified, but not satisfied,” Hogan says of the growth and praise. “Any time you get satisfied, you can start slipping in terms of attention you need to pay. It’s still a small town, and it’s still a word-of-mouth town. You’re only as good as your last game.”

Tags: Healthcare, Insurance

Digital Access

DIRECT DIGITAL ACCESS
Add digital to your current subscription, purchase a single digital issue, or start a new subscription to Florida Trend.

TABLE OF CONTENTS
An overview of the features and articles in this month's issue of Florida Trend.

ACCESS THIS ISSUE »

Florida Business News

Florida Trend Video Pick

Taking the kids to Kennedy Space Center
Taking the kids to Kennedy Space Center

Space fans old and young will enjoy the many sides of KSC: The sheer size of the suspended Saturn 5 rocket, the IMax movies, the bus tour, the new Angry Birds exhibit, the rocket garden, climbing through the miniature International Space Center, trying out a re-creation of a shuttle landing -- and much more.

Earlier Videos | Viewpoints@FloridaTrend

Ballot Box

In his acceptance speech at the RNC, Donald Trump painted a dark picture, portraying the United States as a diminished and even humiliated nation. He said these are times of crisis, and our way of life is threatened. Do you agree with Trump?

  • Yes - completely agree
  • On the fence
  • Don't agree, see things more optimistically

See Results

Ballot Box
Subscribe