A “health district” run by public officials closes a public meeting under a bogus exemption to the Sunshine law, and gets a blank check to secretly talk about whatever it wishes, though it affects public policy.
Health Care Business
Some of Your Privacy Rights Are Waived In Medical Malpractice Lawsuits, Court Rules
The Florida court’s decision stemmed from a controversial 2013 law the Republican-controlled Legislature passed after a lobbying battle between groups such as doctors and plaintiffs’ attorneys.
Supreme Court Upholds Obamacare Subsidies, 6-3, Protecting Benefits For 1.3 Million Floridians
Some 1.3 million Floridians and millions more across the country will not lose their health insurance subsidies as the U.S. Supreme Court this morning ruled decisively, by a 6-3 vote, that the subsidies are legal and must remain in place, even in states that have not established their own health insurance exchanges.
Citing “Competition,” Lawmakers Want Hospitals Deregulated. Hospitals Disagree.
The measure would eliminate what is known as the hospital “certificate of need” process in Florida, which requires state review and approval of building new hospitals, replacing hospitals and offering certain complex, costly medical services such as organ transplants.
Senator Blasts “Hypocritical” House Over Rejecting Medicaid Money While Getting Set to Borrow
Disagreements led Senate Appropriations Chairman Tom Lee, R-Brandon, to label the House as “hypocritical” for rejecting federal Medicaid expansion funding while being willing to issue bonds to pay for environmental projects.
More Than 1.3M Floridians May Lose Their Obamacare Subsidies, More Than Any Other State
Floridians received at least $389 million in March from the federal government to help pay for their health insurance. The subsidies are at the center of a Supreme Court case challenging the health law. The case will be decided this month.
Proposals: Scrap Hospital Regulatory Process, Give Some Nurses More Power to Prescribe Drugs
House Republicans filed six bills Wednesday that delve into hot-button issues such as getting rid of a regulatory process for new or expanded hospitals and allowing advanced-registered nurse practitioners and physician assistants to prescribe controlled substances.
Senate Leaders Propose Compromise in Budget Impasse, Gov. Scott and House Reject It
Scott and House Republicans have repeatedly said they have no interest in using Medicaid expansion funds from Obamacare to close a $2.2 billion budget gap and insure more Floridians.
Feds’ $1 Billion Pledge Cuts Florida Health Deficit in Half, Easing Legislative Standoff
If Florida has to instead offset the remaining $1.2 billion deficit for low-income healthcare with tax revenues, that could eat into funding for other priorities, like public education and tax cuts.
One Way to Lessen That Pain: Insurers May Not Charge for Anesthesia in Colonoscopies
Although the ACA health law made it clear that the colonoscopy itself must be free for patients, it didn’t spell out how anesthesia or other charges should be handled.
At Rymfire Elementary, A Medical Lab Radiates School’s Health, Fitness and Science Flagship
Rymfire Elemetary teamed up with Florida Hospital Flagler and the Education Foundation to develop a student-centered medical lab as part of the school’s health-centered flagship program, and showcased it to acclaim Tuesday evening.
Gov. Scott Threatens to Delay Tax Cuts and Education Funding Hike Over Budget Standoff
A roughly $261 per student increase from the current year is at stake, as is a a $690 million tax-cut package, if a health care-fueled budget impasse continues in the Legislature.
Gov. Scott Stacks Hospital Panel Without a Single Hospital Expert in Overt Snub
Scott’s commission is to make recommendations for a special legislative session on health funding scheduled to begin June 1, but it includes beef, housing, real estate, banking and hospitality experts, but no health care executives.
The Florida Legislature MessedUp. Ten Big Issues At Impasse and Beyond.
Lawmakers will come back sometime in May or June for a special session to negotiate and pass a budget. But with the 60-day regular session formally ending Friday, here is where 10 major issues stand.
Google Glass In The ER: Health Care Moves A Step Closer To Cheaper Telemedicine
For a fraction of the cost of current telemedicine technology, Google Glass may give patients and doctors quicker, more accurate referrals to specialists, improving efficiency and care.
Gov. Bizarre: Scott Suing Federal Government Over One Pot of Money Even As He Rejects Another
The lawsuit plays into a heated battle over a Senate plan to use $2.8 billion in Medicaid expansion funding to help lower-income Floridians purchase private health insurance. But the House and Scott — who once favored straight-up Medicaid expansion — oppose that idea.
Geography as Destiny: Hospitals Leave Downtowns For More Prosperous Digs
By moving to wealthier areas, hospitals can reduce the percent of uninsured and lower-paying Medicaid patients, but relocations often spark anger from those left behind, who worry about loss of jobs and of access to care, particularly for the poor.
Fearing Loss of $1 Billion in Federal Aid, Senate Again Considers Medicaid Expansion
Florida’s budget faces an unexpected deficit. Accepting the federal Medicaid money could potentially offset the loss of the Low-Income Pool Funds. But the plan faces stiff opposition.
1.6 Million Floridians, 6,000 in Flagler, May Lose Health Subsidies: Supreme Court Decides
Subsidies may be lost for 90 percent of ACA participants if the U.S. Supreme Court rules that residents of states like Florida, which have no health marketplace of their own, may not qualify for federal subsidies. The Supreme Court hears arguments in the case next week.
Despite Obamacare Rules, Some Contraceptives May Still Require Co-Pay
Even though an unplanned pregnancy would cost an insurer a lot more than the contraceptives to prevent it, some insurers still try to limit what they cover.
Gripes Aside, 6,000 Palm Coast and Flagler County Residents Enrolled in Obamacare as Deadline Approaches
Brisk enrollment in Flagler County and Palm Coast is nevertheless accompanied by individuals’ continued struggles, financial and ideological, over the Affordable Care Act even as Florida leads the nation in Obamacare enrollments, with 1.3 million people, and more expected ahead of the deadline.
How to Easily Navigate Big Changes in Fine Print of Obamacare Plans Before Deadline
Even if you’re getting the same plan — of the nearly 2,800 health plans offered in 2014, about 1,700 of them will exist in the same form next year — their benefits may not stay the same. Here’s an easy way to figure it all out.
Obamacare Snags: He Wants To Be Insured But Still Can’t Afford It.
The law requires all Americans to carry health insurance, but despite subsidies, it isn;t a given that some workers can afford their portion of premium costs. One of those people is Leaburn Alexander
Faith Coleman, Founder of Flagler County Free Clinic and Champion of Grit, Is Dead at 60
Even as she battled a cancer that kept recurring over the past 11 years, Faith Coleman created in the Flagler County Free Clinic one of the county’s most crucial and enduring institutions, which a board of directors now vows to preserve in her memory.
As Large Businesses Look to Dump Employees on Obamacare, Smaller Firms Snub Subsidies
Few employers are embracing a temporary Obamacare subsidy for small businesses while large businesses are hiring brokers to help them shift employees to government-subsidized plans, which the Obama administration says is illegal.
Obamacare 2.0: Open Enrollment Starts With Few Glitches as Floridians Sign Up Over the Weekend
Sharply contrasting with last year’s roll-out, enrollment for the Affordable Care Act, which started Saturday, has gone smoothly, as the federal government expects nearly 10 million insured by the time the window closes in February.
For 1 Million Floridians, Health Insurance Again in the Balance as Supreme Court Rethinks Subsidies
Enrollment and subsidies, along with provisions such as the prohibition on excluding people with pre-existing conditions, are now at risk, because once again, the Supreme Court will decide whether the Affordable Care Act lives or dies.
Florida Hospital Flagler To See Medicare Payments Reduced 0.37% Per Patient, one of 148 Penalized in State
The penalty is intended to jolt hospitals to pay attention to what happens to their patients after they leave and reduce the rate of readmission of Medicare patients.
Canceled Health Insurance: Round 2 Approaching, And It’ll Cost You More
Thousands of consumers who were granted a reprieve to keep insurance plans that don’t meet the federal health law’s standards are now learning those plans will be discontinued at year’s end, and they’ll have to choose a new policy, which may cost more.
Insurers’ Latest Ploy: Shifting Costs to the Sick By Making Them Pay More For Drugs
The Affordable Care Act is designed to forbid it, but health insurers are finding a new way to extract money from policy holders with pre-existing conditions–by steering them to more expensive drugs.
Law Be Damned: Some Insurers Still Refuse to Provide Coverage for Contraceptives
There’s not much leeway for employers and insurers in deciding whether they’ll cover contraceptives without charge and in determining which methods make the cut, yet that hasn’t stopped some from trying.
1 in 6 Big Businesses Planning to Offer “Junk” Health Insurance Below ACA Standards
Many thought such low-benefit “skinny plans” would be history once the health law was implemented. Instead, 16 percent of large employers will offer lower-benefit coverage along with at least one health plan that does qualify under ACA standards.
Average Cost of Silver-Range Insurance Plans Will Decline in Florida Marketplace
About 75 percent of Floridians live in areas where the second-cheapest silver premium will actually decline, said Tasha Bradley, a spokeswoman for the federal Department of Health and Human Services.
Warts and All, Obamacare Saved Me From Bankruptcy
FlaglerLive Editor Pierre Tristam exposes his health care bills before and after Obamacare, and before and after cancer, to show how without the Affordable Care Act, he and his family would have face ruin.
Florida Blue Raising Premiums 17.6% for Exchange Policies as Obamacare Ire Spikes
A dearth of younger and healthy enrollees and a greater-than-expected surge of people seeking expensive health services are factors driving up premiums. A new polls shows disapproval of Obamacare spiking in July.
Florida Insurers Owe $41.7 Million in Rebates to Individuals and Companies, Topping Nation
The latest round of paybacks brings Florida’s three-year total from the Affordable Care Act’s rebate program to almost $220 million. This year’s rebate will average $65 per family in Florida, according to the report from the U.S. Department of Health and Human Services.
In a Major Blow to Obamacare, Court Rules Health Insurance Subsidies Illegal in 36 States, Including Florida; 2nd Court Disagrees
The decision is a potentially fatal blow to the Affordable Care Act, but it conflicts with an opposite conclusion by a different appeals court on the same day. In Florida, 91 percent of those enrolled get an average monthly subsidy of $278 a month. Most could not afford the premiums without the subsidies, which would disappear if the decision sticks.
Florida Inverse: 2nd Highest Level of Uninsured, Dead Last in Affordable Care Grants
Judging by the grant totals of other states, Florida appears to have forfeited at least $100 million and possibly $300 million or more, not even including $51 billion the state is forfeiting by saying no to Medicaid expansion.
For Floridians, Affordable Care Act Lives Up To Its Name: Average Monthly Premium Is $68
The $68 a month average premium is considerably less than the national average of $82. The plans are subsidized through tax credits taken in advance. Ninety-one percent of those who enrolled in Florida received the financial help, averaging $278 a month.
Lobbyists, Lawyers and Investors Line Up to Cash in on Florida’s Nascent Pot Industry
Lawmakers broadened eligibility for medical marijuana to include cancer patients as well as those suffering from severe muscle spasms or seizures, thereby opening up the market for potential sellers. The strain of marijuana is high in cannabidiol (CBD) and low in euphoria-inducing tetrahydrocannabinol (THC).
Mega Health Bill Favoring Nurse Practitioners, Trauma Centers and Drs. Without State License Clears House Panel
The bill would protect private for-profit trauma centers, allow for independent practice for nurse practitioners and allow out-of-state doctors to participate in telehealth without a Florida license. The Florida Medical Association opposes the latter two.
Obamacare Tally: Florida Subsidies Average $3,000, But Some Families Complain of Costly Exclusion
And yet only one in four Floridians who qualifies for a subsidy had enrolled in a plan by March 1, leaving 1 million eligible residents uninsured. A mother describes how the law’s employee-insurance provision barred her family from subsidies.
Lawmaker Files Bill Favoring Trauma Centers Run by HCA, Gov. Scott’s Former Company
The proposal, opposed by numerous Florida hospitals, would help the HCA health-care chain keep trauma centers open and could short-circuit a debate about how the Florida Department of Health determines where new trauma centers should be allowed to open.
Senate President Says No to More Authority and Prescription Power For Nurse Practitioners
A House bill would give advanced-practice nurses more authority, including prescribing of controlled substances, and set up a pathway to independent practice, not supervised by physicians. But Senate President Don Gaetz opposes it.
In Major Shift, U.S. Chamber of Commerce Now Urges Fix, Not Repeal, of Obamacare
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.
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.