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Health Care Business

What Takes So Long? A Behind-The-Scenes Look At The Steps Involved In COVID-19 Testing

March 30, 2020 | FlaglerLive | 2 Comments

A machine at the UW Medicine Virology laboratory in Seattle extracts genetic material called RNA from patient samples to allow the analysis of potential COVID-19 cases on March 11. (Dan DeLong for KHN)

Even for people who are able to get tested for the coronavirus, and there’s still a big lag in testing ability in hot spots across the U.S., there can be a frustratingly long wait for results — not just hours, but often days. Here are some answers why.

CDC Bungling of Coronavirus Testing Likely To Haunt Nation For Months To Come

March 24, 2020 | FlaglerLive | 14 Comments

A clinical lab technician at the UW Medicine Virology laboratory in Seattle processes patient samples for COVID-19 on March 11. (Dan DeLong for KHN)

The CDC distributed just 200 tests roughly equally to 100 public health labs in all 50 states in early February. That decision presaged weeks of chaos, in which the availability of COVID-19 tests seemed oddly out of sync with where testing was needed.

Coronavirus Prevention Is Not Overreaction: Flagler Schools Should Extend Spring Break

March 12, 2020 | Pierre Tristam | 47 Comments

wols fantome bleu

With the coronavirus and its many knowns and unknowns, what may look like an overreaction today is the most effective form of prevention, and should not be given the chance to look like playing catch-up weeks from now. 

How Kidneys, Hearts and Other Lifesaving Organs For Transplant Go Missing In Transit

February 10, 2020 | FlaglerLive | 3 Comments

unclaimed organ transplants

In a nation where nearly 113,000 people are waiting for transplants, scores of organs — mostly kidneys — are discarded after they don’t reach their destination in time.

Palm Coast Unveils UNF’s Futuristic MedNex Foothold in Town Center as Officials Lobby Lawmakers

February 7, 2020 | FlaglerLive | 1 Comment

What the University of North Florida's MedNex hub may look like in Palm Coast's Town Center. (© FlaglerLive)

Renderings of UNF’s MedNex project in Palm Coast’s Town Center, along with a new infographic about the innovative plan, are part of a lobbying offensive planned for next week by Palm Coast officials to advocate for the initiative.

Diagnosed With Dementia, She Documented Her End-of-Life Wishes. Caregivers Said No.

January 21, 2020 | FlaglerLive | 5 Comments

Nursing homes may not follow a patient's directives at the end of life, even when the directives are documented. (zeitfaenger.at)

Nursing homes where people with dementia live their final days may refuse to honor the patients’ wishes to withhold food if is required by law to offer regular daily meals, with feeding assistance–or force-feeding–if necessary.

Physician Assistants and Certain Nurses Could Practice Independent of Doctors Under Proposed Law

December 11, 2019 | FlaglerLive | Leave a Comment

It could be a different world for many Florida nurses if a bill in the state legislature becomes law. (Wikimedia Commons)

Bill sponsor Cary Pigman, R-Avon Park, said the proposal (HB 607) would go a long way toward improving patients’ access to primary-care providers, especially in medically underserved areas of the state.

Elizabeth Warren’s Medicare For All: Unfair and Irresponsible

November 23, 2019 | Pierre Tristam | 45 Comments

elizabeth warren medicare for all

Elizabeth Warren’s Medicare for all proposal is right in principle but is not realistic, fair or honest and it ensures that Warren’s candidacy will not succeed at a time when a door knob should have the capabilities of defeating Donald Trump.

Behind AdventHealth’s da Vinci Robot, Sharp Improvements in Patients’ Recovery and Lesser Pain

November 21, 2019 | FlaglerLive | 3 Comments

Dr. Steven Brown, a surgeon at AdventHealth Palm Coast, describing his work with the da Vinci robot at a Common Ground breakfast this morning at the Hilton. (© FlaglerLive)

Dr. Steven Brown, a surgeon behind the da Vinci robot at AdventHealth Palm Coast, described the machine’s successes through 1,000 surgeries at a Common Ground breakfast presented by the Chamber of Commerce this morning.

UNF’s MedNex Plan With Palm Coast as Hub Creating “A Lot of Buzz” as Committee Deliberates

November 19, 2019 | FlaglerLive | Leave a Comment

University of North Florida President David Szymanski presenting the MedNex concept to the Florida Board of Governors' Budget and Finance Committee this morning at Florida Gulf Coast University. (Via the Florida Channel)

University of North Florida President David Szymanski this morning briefed a committee of the university system’s Board of Governors on UNF’s plans for an innovative “medical nexus” that would include Palm Coast and AdventHealth as key partners.

Obamacare Premiums Will Fall 4% and Number of Insurers Will Increase By a Third

October 27, 2019 | FlaglerLive | 3 Comments

obamacare premiums

The news comes despite the Trump administration’s persistent attempts to undermine the Affordable Care Act, which created the market with the goal of providing comprehensive health coverage at affordable prices and reducing the number of Americans without health insurance.

Think ‘Medicare For All’ Is The Only Democratic Health Plan? Think Again

October 17, 2019 | FlaglerLive | Leave a Comment

Bernie Sanders, Joe Biden and Elizabeth Warren during Tuesday's Democratic presidential debate on CNN. (© FlaglerLive via CNN)

If you tuned in for the first five nights of the Democratic presidential debates, you might think “Medicare for All” and providing universal care are the only health care ideas Democrats have. They’re not.

New Round of Medicare Penalties Hits 2,583 Hospitals, Including All Local Hospitals in 3 Counties

October 2, 2019 | FlaglerLive | 1 Comment

All but 17 percent of general hospitals in the nation were hit with penalties. (© FlaglerLive)

Although Medicare began applying the penalties in 2012, disagreements continue about whether they have improved patient safety. On the positive side, they have encouraged hospitals to focus on how their patients recuperate, and some now assist them in procuring medications and follow-up appointments.

Let Medicare For All End Cruelty of Using Health Care Coverage as a Bargaining Chip

September 26, 2019 | FlaglerLive | 27 Comments

If we already had Medicare for All, the United Auto Workers could be using their collective power to fight for higher wages and better benefits. Instead, GM gets to use the health of its employees as a bargaining chip.

AdventHealth Names Katie Palacios Director of Strategic Program Management

September 24, 2019 | FlaglerLive | Leave a Comment

Katie Palacios. (AdventHealth)

Katie Palacios has been selected to serve as the director of strategic program management for the AdventHealth facilities in Flagler, Lake and Volusia counties.

Millions of Americans’ Medical Images and Data Are Available on the Internet. Anyone Can Take a Peek.

September 22, 2019 | FlaglerLive | 1 Comment

Medical images and health data belonging to millions of Americans, including X-rays, MRIs and CT scans, are sitting unprotected on the internet and available to anyone with basic computer expertise. The records cover more than 5 million patients in the U.S. and millions more around the world.

UNF Pitches Medical Hub in Palm Coast’s Town Center in Major Partnership With City, Schools and AdventHealth

September 20, 2019 | FlaglerLive | 6 Comments

unf palm coast mednex

The University of North Florida is submitting a $23 million request to the State Board of Governors that includes Palm Coast’s Town Center as a hub of an innovative concept of medical higher education that ties directly to medical-sector jobs in Northeast Florida, a concept UNF calls MedNex.

Despite Repeated Calls For Unity, Democrats Throw Debate Punches On Health Plans

September 13, 2019 | FlaglerLive | 10 Comments

Biden v. Castro. (ABC)

Unity was in the air on Thursday, as a trimmed-down cast of 10 Democratic presidential candidates met on the debate stage again and nodded to the stakes: the possibility of another four years of President Donald Trump.

St. Augustine’s Flagler Hospital Planning Medical Inroad in AdventHealth’s Palm Coast Backyard, on Matanzas Woods Parkway

September 6, 2019 | FlaglerLive | 14 Comments

Florida Hospital has a contract on 4 acres at the southwest corner of Matanzas Woods Parkway and Belle Terre Parkway, land owned by Palm Coast's First United Methodist Church. (c FlaglerLive)

Flagler Hospital–now Flagler Health Plus–has a contract to buy 4 acres on Matanzas Woods Parkway, where it would build a small medical-village type development, down the road from AdventHealth’s planned stand-alone emergency room.

Among Hurdles For Those With Opioid Addictions: Getting The Drug To Treat It

August 19, 2019 | FlaglerLive | 2 Comments

harm reduction drugs

Among the barriers to buprenorphine access: too few medical providers are certified to write the prescriptions. But pharmacists are also a part of the problem. Because they fill the prescriptions, pharmacists are the gatekeepers for the drug, and not all of them are willing to take on that role.

No Medicare For All, But Biden’s ‘Incremental’ Health Plan Still Would Be A Heavy Lift

July 29, 2019 | FlaglerLive | 10 Comments

joe biden health law

The former vice president has specifically repudiated many of his Democratic rivals’ calls for a “Medicare for All” system and instead sought to build his plan on the ACA’s framework.

‘Shared Savings’ By Shopping For Lower Health Care Costs? Ballyhooed Florida Plan a Bust

June 17, 2019 | FlaglerLive | Leave a Comment

No such thing as shopping for care. (© FlaglerLive)

The idea of Florida’s ballyhooed shared-savings programs is to give policyholders an incentive to look for cheaper health services. Early results show no such benefits.

Why Some CEOs Are Figuring Out That ‘Medicare For All’ Is Good For Business

June 10, 2019 | FlaglerLive | 12 Comments

Richard Master, CEO of MCS Industries in Easton, Pa., stands in a showroom of the company's picture frames and wall decor. He says one of the biggest impediments to keeping labor costs in line has been the increasing expense of health coverage in the United States. (Phil Galewitz/KHN)

As health costs continue to grow, straining employer budgets and slowing wage growth, CEOs and others in the business community are beginning to take the Medicare for All option more seriously.

Floridians Have a Right To Access Medical Malpractice Records. Shands Sues to Prevent That.

May 30, 2019 | FlaglerLive | 1 Comment

Cloudy arguments. (Facebook)

Under Florida law, patients have the right to access adverse medical incident reports, which can play an important role in malpractice cases. UF Health Jacksonville says federal privacy law trumps Florida’s constitutional amendment.

A ‘Precedent-Setting’ Suit Puts Opioid Drugmaker Johnson & Johnson On Trial, Starting Today

May 28, 2019 | FlaglerLive | Leave a Comment

The trial begins today at the Cleveland County Courthouse in Norman, Okla. (Cleveland County)

Johnson & Johnson is accused of overstating the benefits of opioids and understating their risks in marketing campaigns that duped doctors into prescribing the drugs for ailments not approved by regulators.

Senate Approves Vast Deregulation of Hospital Expansions and Opens Way For Canadian Drugs

April 29, 2019 | FlaglerLive | 1 Comment

Another hospital building boom ahead? (US Army Corps of Engineers)

Under longstanding law, hospitals have needed to seek certificates of need from the state Agency for Health Care Administration to build facilities or to add certain services.THat would be eliminated.

Flagler’s Improved Health Ranking Masks Poor Access to Care and Persistent Obesity and Smoking

March 29, 2019 | FlaglerLive | 6 Comments

Flagler’s health ranking jumped to 9th best in Florida, from 14th last year, in the latest rankings, but the jump masks continuing problems with access to primary and mental health physicians, continuing obesity, smoking and sexually transmitted diseases.

For Use in Joints, Pipes or Bongs: Smokable Medical Pot Finally Hits Florida Market

March 23, 2019 | FlaglerLive | 6 Comments

smokable pot

In other states where medical marijuana has been legalized, smokable products comprise between 40 and 60 percent of sales. Florida voters in 2016 approved a constitutional amendment that broadly legalized medical marijuana.

Halifax Health Among Hospitals Paid Less By Medicare Over High Rates of Infections and Patient Injuries

March 3, 2019 | FlaglerLive | 1 Comment

halifax health

The penalties pit hospitals against one another in a race to prevent the most infections, blood clots, cases of sepsis, bedsores, hip fractures and other complications. Each year, the quarter of general hospitals with the highest rates are punished, even if their records have improved from the previous year.

Discharged, Dismissed: ERs Often Miss Chance To Set Overdose Survivors On ‘Better Path’

February 17, 2019 | FlaglerLive | 8 Comments

What now? (Jamal Afzal)

It’s an opportunity that’s being missed in emergency rooms everywhere: the next step — a means to divert addicted patients into treatment — remains elusive once an addict is released from an emergency room.

A Quarter of Florida’s Physicians Skip Required Opioid-Prescription Training

February 4, 2019 | FlaglerLive | Leave a Comment

Must not have trained for American ones. (Smabs Sputzer)

The Florida Department of Health now is preparing to send non-compliance letters advising the providers that they have 15 days to take the mandated course or face disciplinary action.

Medicare for All: No Country for “Can’t”

February 4, 2019 | FlaglerLive | 13 Comments

medicare for all

Medicare for all could be the most efficient, cheapest, and provider-friendly—but not perfect—part of what could be a health system that promotes health, saves lives, and creates a sense of social solidarity.

New Florida Doctors Won’t Have To Disclose Their Own Drug or Mental Health Histories

January 15, 2019 | FlaglerLive | 5 Comments

physicians doctors mental health history drugs

State regulations will eliminate a question about past treatment of mental health and substance abuse for doctors applying for licenses, replacing it with a question about current conditions.

It’s Now AdventHealth Palm Coast: Florida Hospital Flagler Changes Name, and Signs

January 3, 2019 | FlaglerLive | 8 Comments

Signs have changed on the campus of what used to be Florida Hospital Flagler, now AdventHealth Palm Coast. (© FlaglerLive)

Florida Hospital Flagler officially became AdventHealth Palm Coast this morning, with some 15 signs changed over to reflect the company’s re-branding across nearly 50 hospitals in nine states.

Federal Judge Strikes Down Entire Affordable Care Act, Putting Law In Peril–Again

December 15, 2018 | FlaglerLive | 12 Comments

Florida's Pam Bondi is among the attorneys general challenging the Affordable Care Act. (Rick Scott)

Judge Reed C. O’Connor struck down the law, siding with Republican state attorneys general to say the tax bill passed by Congress last December effectively rendered the entire health law unconstitutional.

In Health Insurance Wastelands, Rosier Options Crop Up For 2019

November 25, 2018 | FlaglerLive | 6 Comments

health care premiums 2019

Across all 50 states, premiums for the average “benchmark” silver plan, which the government uses to set subsidies, are dropping nearly 1 percent.

Florida Hospital Flagler Will Open Stand-Alone ER Near Matanzas High School and I-95

November 20, 2018 | FlaglerLive | 2 Comments

The future AdventHealth’s 12-bed stand-alone ER represents a $25 million investment in north palm Coast and the addition of some 40 jobs near Matanzas High School as that part of town grows.

Voters in 3 Red States Approve Obamacare’s Medicaid Expansion, Bringing Total to 36

November 13, 2018 | FlaglerLive | 12 Comments

medicaid expansion

Florida under Gov. Rick Scott repeatedly blocked Medicaid expansion, which provides benefits to all adults earning up to 38 percent above the federal poverty line, an annual income of $16,753 or less.

Ex-Dr. Fruehan Claims Statute of Limitations Elapsed in Charge of Inappropriate Touching, But Dates May Not Be On His Side

October 22, 2018 | FlaglerLive | 13 Comments

Florence Fruehan, in the orange shirt, faces an accusation that he improperly touched a woman during a medical exam, when Fruehan was a physician. He has since been ordered to stop practiving medicine and has agreed to surrender his license. He also serves on the East Flagler Mosquito Control District board, an elected panel of three chaired by Julius Kwiatkowski, above in the yellow shirt. (© FlaglerLive)

Florence Fruehan, the former Palm Coast physician accused of inappropriately touching a woman during a consultation at his office, will argue in court that the misdemeanor battery charge against him should be dismissed because the statutes of limitations has passed.

Between Frittatas, Colonoscopies and Rebranding at Florida Hospital Flagler

September 27, 2018 | FlaglerLive | 4 Comments

Wally deAquino, Dean Abtahi and Issam Nasr, physicians at Florida Hospital Flagler, headlined a Common Ground breakfast this morning at Palm Coast’s Hilton.

Avoidable Sepsis Infections Send Thousands Of Nursing Home Seniors To Gruesome Deaths

September 10, 2018 | FlaglerLive | 5 Comments

Willie Jackson died on infections resulting from bed sores and apparent negligence in nursing homes. (Shana Dorsey)

No one tracks sepsis cases closely enough to know how often these severe infections turn fatal. But the toll — both human and financial — is enormous, an investigation finds.

The $109,000 Heart Attack Bill Is Down To $332. What About Other Surprise Bills?

September 4, 2018 | FlaglerLive | 14 Comments

Drew Calver sits with his wife, Erin, and daughters Eleanor (left) and Emory (middle) in their Austin, Texas, home where he had a heart attack on April 2, 2017. Calver, a high school teacher, has health insurance through his school district, but still faced a $108,951.31 bill. (Callie Richmond for KHN)

The hospital that overcharged a teacher cut the bill not before the huge charge sparked a national conversation over what should be done to combat surprise medical bills afflicting a growing number of Americans.

Obamacare Participants in Florida Will See Lowest Premium Increase In 8 Years

August 30, 2018 | FlaglerLive | 7 Comments

Some people are sleeping more soundly now. (Tiago Costa)Some people are sleeping more soundly now. (Tiago Costa)

The rate increases are some of the lowest ever requested by Florida insurance companies since the federal health law passed in 2010.

McCain’s Complicated Health Care Legacy: Hating Obamacare Long Enough to Save It.

August 26, 2018 | FlaglerLive | 6 Comments

John McCain and Barack Obama at the White House ion 2013. (White House)

While McCain was instrumental in the passage of the Americans with Disabilities Act in 1990, most of the health initiatives he undertook failed after running afoul of traditional Republican priorities.

Obamacare Out of ICU: Health Insurance Premiums Are Stabilizing Despite GOP Attacks

August 25, 2018 | FlaglerLive | Leave a Comment

The Affordable Care Act is still ailing, but it's being wheeled out of intensive care and into more regular rooms. (© FlaglerLive)

The improvements stem from less political uncertainty over health policy, steeper than necessary increases this year, and better understanding of the markets.

Dr. Fruehan Will Surrender License, Quitting Medicine in Face of Allegation of Sexual Improprieties With Patient

August 23, 2018 | FlaglerLive | 69 Comments

dr. florence fruehan

Palm Coast physician Florence Fruehan will surrender his license ahead of the conclusion of a state investigation into allegations that he groped a female patient. He is also under local sheriff’s investigation.

Purdue Pharma’s OxyContin Sales Pitch Downplayed Risks Of Opioid Addiction

August 19, 2018 | FlaglerLive | 6 Comments

oxycontin pills

More than 1,500 pending civil lawsuits, filed mostly by state and local governments, allege that deceptive marketing claims helped fuel a national epidemic of opioid addiction and thousands of overdose deaths.

Florida Hospital Flagler Will Change Name to AdventHealth Palm Coast in Companywide Rebranding

August 14, 2018 | FlaglerLive | 17 Comments

adventisthealth palm coast

The change to AdventHealth Palm Coast, by Jan. 2, is part of a company-wide rebranding across all 47 Adventist Health System hospitals and dozens of other facilities in nine states.

America’s Pre-Existing Condition

August 3, 2018 | Pierre Tristam | 26 Comments

trash-talking the unemployed (George Segal)

Florida is among the states suing to end the requirement that people with pre-existing conditions be covered by insurers. It’s the latest cynical attempt to end Obamacare.

Florida Hospitals and Halifax Health Named Among 150 Top Places to Work in Healthcare

April 17, 2018 | FlaglerLive | 6 Comments

'Our organization’s culture is something our employees can be proud of,' says David Ottati, CEO of Florida Hospital's Flagler and Volusia hospitals. (© FlaglerLive)

Adventist Health System, which includes the Florida Hospitals in Volusia and Flagler counties, was recognized by Becker’s Hospital Review as one of the top places to work in health care.

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