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Health Care Business

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.

Deal Could End Wrangling Over Trauma Centers Around Florida

February 16, 2018 | FlaglerLive | 1 Comment

Trauma patients airlifted out of Flagler are typically taken to Halifax Hospital's trauma center in Daytona Beach. Florida Hospital Flagler doesn't have a trauma center and has no immediate plans to angle for one, because the local demographics don;t compel it to do so. (© FlaglerLive)

The Legislature has wrangled with whether to continue with current regulations or to allow a more competitive environment that would increase the number of trauma facilities.

For All The Talk Of Obamacare Imploding, ACA Enrollment Is “Remarkably Stable”

February 12, 2018 | FlaglerLive | 1 Comment

The Affordable Care Act that bears Obama's name is still ticking healthily. (BU Interactive News)

ACA plan enrollment ticked downward this year but states running their own marketplaces saw slight gains and did better than those relying on the federal exchange.

Unnecessary Medical Care Is More Common Than You Think

February 1, 2018 | FlaglerLive | 7 Comments

Looking for savings can be challenging. (Michael Feddersen)

A study finds that in a single year more than 600,000 patients underwent treatment they didn’t need, at an estimated cost of $282 million. “Do no harm” should include the cost of care, too, the report author says.

Doctors Join Chorus Against Limits on Painkiller Prescriptions, But Lawmakers Push On

January 23, 2018 | FlaglerLive | 3 Comments

prescription pain limits

The proposal to set legal limits on prescribing for pain medication continued moving forward when it was unanimously approved by the House Appropriations Committee.

To Stay on Medicaid, You May Have To Start Working: Trump’s Decision Sparks Fury

January 15, 2018 | FlaglerLive | 14 Comments

The Trump Administration is opening the way for states to add a work requirements for Medicaid. Florida appears not likely to go that route, at least not this year. (White House)

Trump’s decision to allow states to test a work requirement for adult Medicaid enrollees sparked criticism from doctors, advocates for the poor, and minority and disability rights groups.

Limiting Pain Pills Prescriptions To 7 Days? Florida Surgeons Say No.

January 11, 2018 | FlaglerLive | 12 Comments

No refills. (Adam Cohn)

Lawmakers’ proposal would have patients get additional prescriptions for pain medications from their doctors. Phoning-in refills would not work.

O Canada: Can a Single-Payer Health-Insurance System Work in the United States?

December 28, 2017 | FlaglerLive | 22 Comments

health care insurance single-payer

American support for government-run, single-payer health care, once a fringe opinion, is picking up momentum, with doctors and patients increasingly supportive,

Despite Compressed Sign-Up Period, ACA Enrollment Nearly Matches Last Year’s

December 27, 2017 | FlaglerLive | 14 Comments

'Do you think this window sticker will still be there 10 years from now?,' Rich Menga, who took this shot, asks.

A day after Trump said the Affordable Care Act “has been repealed,” 8.8 million Americans had signed up for coverage on the federal insurance exchange in 2018.

Overriding Medical Marijuana Users’ Pleas, and Voters, Flagler Commissioners Pass Dispensary Ban

December 18, 2017 | FlaglerLive | 41 Comments

Patricia Freytag holds up an object to show Flagler County Commissioner what a medical marijuana product looks like.

The 3-1 vote to ban medical marijuana dispensaries outright Monday evening ends a year-long process that saw commissioners zigzag between approval and prohibition.

Assisted Living Facilities Are Challenging Rule Requiring Generator Power in Emergencies

December 18, 2017 | FlaglerLive | 11 Comments

Not critical enough for them? (Misha Maslennikov)

The Florida Senior Living Association representing 350 assisted living facilities argues the proposed rule creates requirements that are not authorized in state law.

Renner Again at Odds With Local Officials as His Recovery Centers Bill Gains Momentum

December 5, 2017 | FlaglerLive | 2 Comments

Sen. Travis Hutson, left, and Rep. Paul Renner, at October's local legislative delegation meeting. Palm Coast Mayor Milissa Holland, in the foreground, has voiced opposition, along with the city council, to a proposal by Paul Renner to expand the role of surgery recovery centers. (c FlaglerLive)

The House version of the bill is co-sponsored by Paul Renner, who represents Flagler, but whose proposal is opposed by Palm Coast government and the local hospital.

Taken For A Ride: Ambulances Stick Patients With Surprise Bills as Insurers Balk

November 28, 2017 | FlaglerLive | 22 Comments

ambulance costs surprise bills

Ambulance and private insurance companies often can’t agree on a price. That leaves patients stuck in the middle with out-of-network charges that are not negotiated.

Florida’s Opioid Crisis: Thousands of Babies Born to Addicts or Removed From Users’ Homes

November 9, 2017 | FlaglerLive | 13 Comments

nicu opioid crisis florida

More than 4,000 babies were born addicted to opioids in Florida last year, with a 38 percent increase in the number of children under 5 removed from homes because of drugs.

Palm Coast Opioid Dealer’s Arrest Points Only To Fractional, Street-Level Source of Crisis

November 8, 2017 | FlaglerLive | 20 Comments

fentanyl heroin crisis

Palm Coast’s Joseph Colon, 34, has been in and out of jail and prison over drug dealing for years, but his arrest on heroin and fentanyl trafficking charges masks the much broader, more legal source of the crisis.

House Tax Bill: Penalty For No Health Coverage Stays, Medical-Cost Deduction Goes

November 6, 2017 | FlaglerLive | 14 Comments

paul ryan medical deductions

The medical deduction, originally created in World War II, is available only to taxpayers whose expenses are above 10 percent of their adjusted gross income.

Obamacare Enrollment Opens Wednesday For 5th Year: 5 Things You Should Know

October 31, 2017 | FlaglerLive | 9 Comments

donald trump and barack obama obamacare

Despite the efforts of President Donald Trump and the Republican-led Congress, the Affordable Care Act is still the law of the land. But there are changes.

Uncertainty On Generators at Nursing Homes After Governor’s Order Is Invalidated

October 31, 2017 | FlaglerLive | 1 Comment

It's murky. (Judit Klein)

Gov. Rick Scott’s administration appealed the order to the 1st District Court of Appeal and claims the rules remain in effect during the appeal.

Treatment Overkill: Unneeded Scans, Therapy and Surgery Only Add To Patients’ Ills

October 28, 2017 | FlaglerLive | 2 Comments

After Kathi Kolb was diagnosed with breast cancer, her doctor recommended seven weeks of daily radiation treatments. She persuaded him to shorten treatment to three weeks, based on clinical trials showing that the condensed course works just as well. (Katye Martens Brier for KHN)

Though ample evidence shows breast-cancer radiation treatment for many can be drastically cut down, less than half those eligible received it despite the additional cost and inconvenience.

No Maternity Wing or Trauma Unit Any Time Soon, But Florida Hospital Flagler Thrives On

October 19, 2017 | FlaglerLive | 5 Comments

Florida Hospital Flagler CEO Ron Jimenez at this morning's Common Ground breakfast, a production of the Flagler County Chamber of Commerce. (© FlaglerLive)

Florida Hospital Flagler’s top leadership appeared at the Chamber of Commerce’s Common Ground breakfast Thursday morning with a sum-up of making it through recent stormy challenges and glimpses of what’s new within the hospital’s walls.

Stunner On Birth Control: Trump’s Moral Exemption Is Geared To Just 2 Groups

October 16, 2017 | FlaglerLive | 9 Comments

Checking for coverage. (WorldSkills)

A separate rule allowing employers that are not religious organization to deny contraceptive coverage to employees is geared toward anti-abortion groups, but its legal status is doubtful.

Trump Blows Up Obamacare Subsidies: What You Need To Know

October 13, 2017 | FlaglerLive | 23 Comments

Donald Trump ends subsidies by executive order. (Mark Nozell)

Some of Trump’s actions could have an immediate effect on the enrollment for 2018 ACA coverage that starts Nov. 1. Here are five things you should know.

Florida Cuts Payments To HMOs Caring For Poor, Elderly and Disabled By 3.7 Percent

October 11, 2017 | FlaglerLive | 2 Comments

The state attributes the lower Medicaid payments to lower pharmaceutical costs. The cuts affect hospitals almost exclusively. (© FlaglerLive)

The hospital cuts accounted for 94 percent of the reduction in rates, which the state says is attributable to lower pharmaceutical costs. Long-term care is seeing an increase.

Florida Lawmakers Hear Grim Picture of Worsening Opioid Crisis and Lack of Treatment

October 10, 2017 | FlaglerLive | 5 Comments

A hydrocodone pill. (© FlaglerLive)

In the first six months of 2016, deaths caused by fentanyl increased by nearly 140 percent, deaths from heroin overdoses jumped by 25 percent, compared to the same period in 2015.

That Last-Ditch Effort By Republicans To Replace ACA: What You Need To Know

September 21, 2017 | FlaglerLive | 8 Comments

Even he doesn't look convinced, or convincing. (Marc Nozell)

While the chances for this last-ditch measure appear iffy, many GOP senators are rallying around a proposal that would repeal most of the ACA.

How Health Insurers Fuel Opioid Crisis By Denying Claims For Less Addictive But More Expensive Drugs

September 18, 2017 | FlaglerLive | 3 Comments

health insurers opioid addiction

Insurers limiting access to drugs with a lower risk of addiction or dependence. Why? Opioid drugs are generally cheap while safer alternatives are often more expensive.

Uninsured Rate Falls To Record Low Of 8.8%, But Florida’s Rate Still 5th Highest in U.S.

September 17, 2017 | FlaglerLive | 4 Comments

Why not Medicare for all?

Florida’s rate of uninsured would have been lower had Gov. Rick Scott and the Florida Legislature not prevented the federally-funded expansion of Medicaid.

Big Pharma Bullies: How Insurers Force You To Buy Name-Brand Drugs Instead of Generic

August 10, 2017 | FlaglerLive | 9 Comments

generic name brand drugs

Some pharmaceutical companies are cutting deals with insurance companies to favor their brand-name products over cheaper generics. Insurers pay less, but sometimes consumers pay more.

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