In 2010, the Chamber got behind a major business lawsuit to fight it at the U.S. Supreme Court. Now, in a striking about-face, the chamber says the Affordable Care Act is here to stay and should be worked on, not repealed.
Health Care
Hendry County, With Highest Uninsured Rate in Florida, Sees Little Impact From Obamacare
Thirty-five percent of Hendry County’s 33,000 residents under 65 lack health insurance, but nearly a month after the health law’s expansion of coverage began, local health officials say little has changed for most uninsured residents.
Obamacare’s Popularity Overwhelms Florida Blue as System Crashes, Costing Enrollees
Many who signed up and paid Florida Blue for their new plan between Oct. 1 and Dec. 31 say the insurer has lost them in its computer system. Now, when they go to the doctor or try to get a prescription filled, they have to pay the bill themselves or cancel.
Florida Hospital Flagler CEO: State Must Extend Medicaid to Working Poor
The Florida Legislature still has the opportunity this year to draw down $51 billion in federal dollars already sent to Washington to help pay the cost of health insurance for those who cannot afford it, argues Floridfa Hospital Flagler CEO Ken Mattison.
Despite Florida’s Resistance, A New Era Of Health Insurance Begins for Millions
Thousands of previously uninsured Floridians woke up Wednesday morning with peace of mind for the first time in years. More than half of Florida’s nearly 4 million uninsured are projected to qualify for coverage through the Marketplace. Another million would qualify if the Florida Legislature would permit it.
Obamacare Dilemma:
High Deductibles vs. “Huge Fear”
Going without insurance “is like gambling,” says a 43-year-old social worker. But the high deductibles of Affordable Care Act plans make them a hard sell, as the plans sold on the exchange are not as generous as employer-sponsored insurance.
Longing For Stormin’ Norman: How Obama’s Smugness Is Crippling His Leadership
There are leaders out there. The Obama administration administration has let us down by failing to find them. As a result, the task Barack Obama has left himself is to convince us that the Affordable Care Act is a winner, not a clunker.
Medicaid Gap: A Reporter Who Covers Obamacare But Doesn’t Qualify For It
The Supreme Court allowed states to opt out of the Medicaid expansion under Obamacare, as Florida did, but the law didn’t include subsidies for people in those states who earn less than the federal poverty level to buy coverage through the exchanges. They were supposed to be covered under Medicaid. And Medicaid is not there for them.
With 3 Weeks To Go, Consumers Fear Ending Up Without Health Coverage On New Year’s
The next three weeks are critical for consumers keen on getting health coverage as soon as the health law allows it on Jan. 1. People who desire coverage by then need to sign up in the new marketplaces no later than Dec. 23. Consumers can still enroll up to the end of March, but their coverage will begin later.
Despite $51 Billion For the Taking, Florida Unlikely to Expand Health Coverage in 2014
Consumer groups, hospitals and insurers are clamoring for Florida to take the $51 billion in federal funds that have been offered to the state over the next decade to provide health coverage to the working poor. But those who are tuned in politically — even those who desperately want it to happen — say it’s very unlikely in 2014.
School District, County’s Largest Employer, Starts Health Clinic Experiment With Florida Hospital Flagler
The $288,000 annual contract with Florida Hospital Flagler’s Prompt Care Clinic will allow 1,400 of the school district’s 1,700 employees to seek out primary care at no cost, but with some restrictions. The district hopes it will lower the annual increases in premiums that employees and taxpayers have been bearing.
Resisting Obamacare, Florida Becomes National Aberration as Scott Battles Sebelius
Florida officials are callous and secretive, willing to keep information from citizens that could save their lives, according to the Obama administration’s top health official., while Gov. Rick Scott and other state officials are ramping up their attack on the federal online Marketplace and the “Navigators” who will help the uninsured use it to enroll in a health plan for 2014.
“Junk Health Insurance,” Favored by Retailers and Restaurants, Will Survive Obamacare
Reform was supposed to do away with bare-bones health plans that could leave consumers who become seriously ill on the hook for tens of thousands of dollars in medical costs. It won’t, as plans with limited benefits may continue to be offered by some large businesses, especially those with low-paid workers such as restaurant chains and retailers.
Ken Mattison Named Florida Hospital Flagler CEO, Switching With Ottati in Swift Succession
Ken Mattison, for 16 years the CEO at Adventist Health’s Florida Hospital Waterman, has been named to take over for David Ottati at Florida Hospital Flagler, a $156 million business with 1,017 employees in 2011. Ottati will assume Mattison’s position at Waterman, a $205 million hospital with 1,879 employees.
The Missing Link in Ever-Rising Health Care Costs: Personal Responsibility
Car insurance costs go down when drivers drive responsibly for a few years. A similar approach to health care could help bring costs down, but first, Milissa Holland argues, people must take responsibility for their own health and lifesrtyles–and the way they seek out medical help: the ER is usually not the answer.
Gov. Scott’s Health Law in Florida: No Medicaid Expansion, No Insurance Exchange
Gov. Rick Scott will opt Florida out of the insurance “exchanges” the new health law designs to help residents find health coverage, and he will opt out of expanding medicaid, even though the federal government pays all the costs for expansion the first 2 years, and 90 percent thereafter.
Chamber of Commerce and Other Florida Business Groups Howl Over at Health Care Law
Florida business groups had led the charge against the federal Affordable Care Act, calling it a mandate that will fall on the shoulders of businesses still struggling to recover and facing more competition from the Internet, nearby states and foreign suppliers.
U.S. Supreme Court Upholds Health Care Reform, a Major Victory for Obama and the Uninsured
Chief Justice John Roberts joined the left of the U.S. Supreme Court in upholding the 2010 health care reform law, including the individual mandate. The Roberts ruling narrowed the allowance under tax rules, as opposed to the commerce clause. But the entire law was upheld.
Get to Work, Governor Scott, and Implement Health Care Reform Now
Now that the most conservative Supreme Court in the history of our nation has ruled that the Affordable Care Act is constitutional, perhaps it is time to redirect a little of that negative energy used to obstruct reform toward implementing the law and solving Florida’s health care crisis, writes former Florida House Democratic Leader Dan Gelber.
When American Health Care Heads for Texas
If the Affordable Care Act is overturned, the rest of the country should take a good look at the situation in Texas, because this is what happens when you keep Medicaid enrollment as low as possible and don’t undertake insurance reforms.
Stepping Up Obama Snubs, Scott Says He Won’t Implement Health Care Law in Florida
As the Supreme Court prepares to hand down its decision on Obama’s health care reform law, Gov. Rick Scott said on a conference call hosted by right-wing think tanks that Florida wouldn’t rush to implement the law.
Neurologist David Karaffa Joins Florida Hospital Flagler as Staff Physician
Dr. David Karaffa can treat a variety of conditions including seizure disorders, Parkinson’s disease, Alzheimer’s, strokes, migraine, back pain, neuropathy and more.
Uninsured, Unaware of the Health Law Meant To Help Them, or the Court Case Against It
Despite spending tremendous political capital to pass the health law, Democrats are unlikely to win many votes from the law’s future beneficiaries, most of whom live in Republican-dominated states in the South and West.
National Spending on Health Rising to One-Fifth of GDP
Actuaries estimate that health spending will account for 19.6 percent of the gross domestic product (GDP) in 2021, up from 17.9 percent in 2010. On average, 5.7 percent increases in spending are expected for each of the 10 years, although much of the increased spending will come in 2014 and after.
Julia Roberts, a Cancer Patient at Florida Hospital Flagler, Marries Sweetheart of 17 Years
Palm Coast resident Julia Roberts was admitted at Florida Hospital Flagler on May 4. On May 22, in her hospital room, she was married to Terry Adolph after hospital staff took care of vritually all the arrangements.
Being Sick in America
The recently ill are more likely to say the cost and quality of care have worsened over the past five years, compared to people who weren’t sick. A significant proportions say their treatment was poorly managed.
Fighting Obesity Like Cigarettes
America’s obesity epidemic has public health leaders looking at the war on tobacco for inspiration through more informative food labels, limits on marketing to children, and taxes on unhealthy products.
A Quarter of Gov. Scott’s Vetoes Slash Health Spending, Research and Education
A sampling of vetoes included money for such things as meningitis immunizations for children, the Joe DiMaggio Children’s Hospital in Broward County, a fetal-alcohol clinic in Sarasota and a mobile-health unit in rural Gadsden County.
Tea Party’s Medicare Beneficiaries Honk Up Palm Coast Against Federal Health Mandate
Some 50 to 60 Flagler tea party activists clumped around a Palm Coast intersection Monday, protesting “Obamacare” in a distinctly less impressive display of numbers or passions than in previous rallies.
Obamacare’s Days In Court: A Primer
It’s the Super Bowl of Supreme Court cases with consequences for all: the three days of arguments over the constitutionality of Obama’s health care reform begin today. Here’s a clear-eyed explanation of what it’s about and likely outcomes. It’s the Super Bowl of Supreme Court cases: the three days of arguments over the constitutionality of Obama’s health care reform begin today. Here’s a clear-eyed explanation of what it’s about and likely outcomes.
Better Assisted Living Oversight Fails as Legislature Drops Several Health Care Bills
Florida lawmakers ended the 2012 session without passing major health-care bills dealing with assisted-living facilities, malpractice lawsuits and physicians dispensing drugs to workers-compensation patients.
Florida House Passes Sweeping Abortion Restrictions, Including 24-Hour Waiting Period
The bill requires all abortion clinics to be owned and operated by a doctor (only one of Florida’s 68 clinics fits the bill) and presumes, with little scientific evidence, that pain for the fetus begins at 20 weeks.
Give Us This Day Our Daily Contraceptive
Six in ten Americans, including Catholics, said they support a requirement by the Obama administration that health plans supply free contraceptives as a preventive benefit for women. Women registered as independents favor the rule by a 2-1 margin.
Ear, Nose, Throat, Hard Hat:
Florida Hospital Flagler Shows Off Its New Digs
Florida Hospital Flagler’s new Parkway Medical Plaza, opening in July between Walmart and Golden Corral, is a $15 million expansion–and a signal of intensifying head-to-head competition in such fields as imaging and lab work.
Burden To Prove Medical Malpractice Gets Heavier, But ER Doctors Get No Immunity
Florida lawmakers are making it more difficult for lawyers to prove medical malpractice in broad gains against lawsuits for health care providers, but a proposal to make ER doctors immune to lawsuits was dropped.
The Pill, the President, the Policy: a Primer
The Obama administration is revising contraceptive-pill insurance regulations so that religious-affiliated groups don’t have to pay for the coverage. A primer on the controversy and the policy.
Alzheimer’s Disease Research:
Florida’s Inexcusable Indifference to Funding
Florida, the state with the largest per-capita population over age 65, invests zero dollars in Alzheimer’s research, though one in 40 Floridian has the disease–and half do over age 85. Nancy Smith argues the indifference is short-sighted on many levels.
JoAnne King, Who Oversaw Florida Hospital Flagler’s Hospice Expansion, Is Elevated to VP
As administrative director JoAnne King oversaw Florida Hospital Flagler’s expansion into hospice care across county lines last year, a first for a Florida Hospital. She was promoted to vice president for ancillary services, overseeing a half dozen departments, including hospice.
Co-Pay Interruptus: Catholic Bishops Will Sue Feds Over Contraception and Insurance Rules
The United States Conference of Catholic Bishops is promising a legal challenge to federal rules requiring health insurers to provide women with a range of preventive health services, including birth control, without charging a co-payment, co-insurance or deductible.
Florida’s Poor and Elderly Again Brace For Cuts As Legislature Prepares for Tuesday Kickoff
Gov. Rick Scott is proposing further deep cuts in Medicaid payments to hospitals, while lawmakers have filed bills that would help shield emergency-room doctors and workers from costly malpractice lawsuits.
As Autopsies Dwindle, Hospitals Bury Their Mistakes Instead of Learning From Them
Autopsies are conducted on just 5 percent of patients who die in hospitals, letting common diagnostic errors go undiscovered, allowing physicians to practice on other patients with a false sense of security, and short-shrifting understanding of the effectiveness of medical treatments and the progression of diseases.
Educators Deride Scott’s “Smiley Face” Budget, Hospitals Call It “Tax on the Sick”
Despite Scott’s proposed boost, the state would still spend about $210 million less on education under Scott’s plan than it did five years ago, with overall education funding down about $1.6 billion. Hospital advocates call proposed cuts to Medicaid a “tax on the sick.”
800,000 Floridians, Most of them Children, Could Be Booted Off Medicaid Coverage
More than 660,000 of those currently covered by Medicaid are children, and could be booted off the rolls if their parents have to pay $10 a month in premiums, as the Florida Legislature is proposing.
Doing It Right: How To Avoid Becoming Part of The 44,000 People Hospitals Kill Each Year
A bike accident sent Michael Millenson’s wife to three hospitals. It led him to offer a unique perspective on the health care system and how to reduce hospital errors that kill 44,000 to 98,000 people each year.
Florida’s Prescription Express: Doctors Shoving Drugs at Poor Patients, for Millions
Florida regulators are finally getting around to stopping doctors from over-prescribing drugs, some of them risky, to Medicaid patients, and at times to the wrong patients, after enabling the practice despite signs of misconduct.
Rick Scott Opposes Electronic Health Databases Designed to Speed Up Patient Care
Florida’s Health Information Exchange, a national pioneer, replaces paper with electronic records, speeding up patient care and information exchanges between health providers. Rick Scott opposes it, claiming it doesn’t save money and breaches privacy.
Walmart Wants To Be Your Health Care Provider
Walmart wants to become by “the largest provider of primary healthcare services in the nation,” according to a request for information from potential partners sent the same week Walmart–the nation’s largest private employer–scaled back its health coverage for employees.
Running on Faith: Flagler County’s Free Clinic Is a Refuge For Health Care’s Untouchables
The Flagler County Free Clinic in Bunnell has been a commitment of grit and conviction by cancer survivor Faith Coleman and Dr. John Canakaris for the past six years. Now Coleman’s cancer is back, and like all her patients, she has no insurance.
CLASS Act No More: Obama Ends Long-Term Care Program in Defeat for Health Reform
The Obama administration determined the CLASS Act program could not simultaneously meet three important criteria: be self-sustaining, financially sound for 75 years and affordable to consumers.
Rubio’s Rig: Florida’s Answer to Obama Health Law Leaving Small Businesses Cold
Florida’s Marco Rubio-created insurance exchanges aren’t open to individuals, provide no subsidies or tax credits, and no essential health benefits, as federal plans do. The exchanges have not been popular.