Columbia/HCA Healthcare Corp. said government spending caps and lagging business are forcing it to cut 106 jobs in Florida.
The healthcare giant's Winter Park, Fla.-based home health division announced the move April 8.
Fifty of the workers are nurses and home health aides, Columbia spokeswoman Beth Tuttle said. The rest are administrators. The company also is closing six home health offices in Florida's Tampa Bay area.
The employees were given 30-day notices that their jobs were being terminated.
Nashville-based Columbia is trying to sell its home healthcare division. The unit's operating and marketing arms have been targeted as part of a sweeping federal fraud investigation into whether Columbia overcharged government healthcare programs.
Columbia, the nation's largest for-profit healthcare company, has lost business since the investigation became public and has said it plans to shrink itself considerably to cut costs.
Tuttle said the cutbacks in Florida won't compromise home healthcare delivered by Columbia.
"I can assure you that our patients are not going to see a difference in the level of or quality of care they receive," Tuttle said.
Tuttle said many home health agencies have made similar cuts in the wake of new caps on how much Medicare will pay for home care. Last fall, Medicare officials imposed new annual limits on the total payments an agency can collect.
Medicare spends $18 billion a year on home healthcare-up from $2.5 billion just a few years ago-and had been enrolling about 100 new home healthcare providers a month until the new limits were imposed.