Republicans have also pledged to repeal the taxes that Democrats used to pay for their health law. Without that funding, Republicans will have far less money to spend on whatever they opt for as a replacement.
Health Care Business
With Florida leading the Way, Obamacare Enrollment Jumps Despite Trump Threats
Despite the Affordable Care Act’s rising prices, decreased insurer participation and a vigorous political threat to its survival, consumer enrollment for 2017 is outpacing last year’s.
How Trump’s Health Secretary Will Alter Policy from Obamacare to Abortion to Birth Control
Tom Price, a Georgia physician who opposes the Affordable Care Act, abortion and funding for Planned Parenthood, among other things, could have a rapid impact without even a presidential order or an act of Congress.
Flagler County Approves 6-Month Moratorium on Medical Pot Dispensaries or Facilities
Flagler County commissioners said the moratorium is not intended to counter the constitutional amendment legalizing medical pot, but to give the county time to figure out what zoning and other regulations may be in place with legalization.
Those Double-Digit Health Insurance Rate Hikes in Florida? Blame State GOP.
Sen. Bill Nelson, once Florida’s insurance commissioner, reminds residents that it was the Republican state Legislature that stripped the office of insurance regulation of the authority to approve, modify or reject rate hikes by health insurance companies, thus leading to current, unacceptable rate hikes.
Pyrrhic Vanishing: Democrats Unite, But What Happened To Medicare For All?
Most health policy analysts — including those who are sympathetic to the idea — say moving from the current U.S. public-private hybrid health system to one fully funded by the government in one step is basically impossible. And that’s making a huge assumption that it could get through Congress.
Obama Renews Call for Public Option in Health Law to Compete With Private Insurers
Before the public option was dropped in 2010 many liberals hoped — and conservatives feared — that having the government provide insurance alongside private companies would be a step toward a full government-run system.
Florida Insurers Requesting an Average 17.7% Rate Increase in Obamacare Plans for 2017
While the requested increases for Florida vary from zero to 40 percent, all requested increases for silver plans are under 14 percent, and half are under 3 percent.
Carmen Bourdeau Is Florida Hospital Flagler’s New ICU Nurse Manager
Bourdeau has been a nurse for nearly 25 years and began her career at Newark Beth Israel Medical Center in New Jersey, as a nurse in the ICU.
Prince’s Reminder: Opioid Epidemic Intensifies But Steps to Curb It Face Challenges
There is broad consensus on the need for more treatment options, more education, more careful prescribing by doctors. But there’s still much debate about the details—and funding–for each of those steps.
Critical Care Physician Muneeruddin Q. Mohammed Joins Florida Hospital Flagler
As an intensivist, Mohammed will work with the hospital’s critical care team in the intensive care unit (ICU).
Construction on Florida Hospital Flagler’s $15 Million Expansion Advances
Construction continues to progress on Florida Hospital Flagler’s $15 million expansion project to add 32 new beds on the second and third floors over the hospital’s emergency department.
IRS Could Easily Signal to 10 Million Uninsured Working Poor Eligibility for Coverage. But It Doesn’t.
About half of the uninsured people in families receiving the earned income tax credit are eligible for significant financial assistance — 4.1 million are eligible for Medicaid, and another 1.1 million are eligible for large subsidies.
Three Changes You Can Expect In Next Year’s Obamacare Coverage
Ahead: more warning about “surprise” medical bills from out-of-network providers, more standardized out-of-pocket costs and better information about the size of the insurers’ network of doctors and hospitals.
Florida Senators Reject Weakening State’s Regulatory Power in Health Care Expansions
The Senate on Wednesday listened to hospitals, nursing homes and hospice providers and killed a bill that would have weakened the “certificate of need” process that gives the state power to review and approval new health-care facilities.
At Florida Hospital Flagler, an Additional 32 Beds as Facility Grows Beyond Rural Stage
The $15-million, 32-bed addition tips Florida Hospital Flagler past the 99-bed threshold, reducing its Medicare dollars by up to $12 million, but hospital officials see the expansion as meeting local needs.
Health Insurers Moving to Undermine Obamacare By Limiting Enrollment
major insurers are seeking to sharply limit how policies are sold to individuals in ways that consumer advocates say seem to discriminate against the sickest and could hold down future enrollment.
Sanders Revives Talk of Single-Payer System, Contrasting Differences With Clinton
Sanders’ main rival for the nomination, former Secretary of State Hillary Clinton, has criticized the plan for raising taxes on the middle class and said it is politically unattainable.
Even Liberals Should Concede:
Obamacare Is Not Working
Between the rapacity of insurers, GOP assaults and its own flaws, the Affordable Care Act is failing its promise to curb costs and make insurance coverage affordable. Republicans have no alternative. But a better one already exists.
Small Businesses to Obamacare’s SHOP Option: Not Interested
Nationally, about 85,000 people have coverage through the online marketplace known as the Small Business Health Options Program, less than a tenth of original projections.
Citing Abuse, Cigna Pulls Out of Florida Health Marketplace, Affecting 30,000 Clients
Individuals can still enroll in a Cigna plan by seeing an insurance agent. But enrollment through the Marketplace, which begins Nov. 1, is the only way to obtain tax credits that subsidize the cost of premiums.
Risks You Didn’t Know About Tylenol, Because Its Marketing Campaign Didn’t Convey Them
Internal company documents that have emerged in a New Jersey trial that ended Friday make clear that marketing for Tylenol did not convey doctors’ concerns about its risks.
2.8 Million Floridians Still Uninsured Even as Just 20% Fall in Medicaid Gap
It’s 1.1 million fewer than in 2013, but almost a third of the uninsured are eligible for Obamacare but haven’t enrolled, 15% have chosen not to enroll in employee-provided health care, and the rest are uninsured for a variety of other reasons.
The Big Pharma Mafia:
Your Money Or Your Life
Hedge fund manager Martin Shkreli’s decision to raise the price of the lifesaving drug Daraprim from $18 to $750 per pill is emblematic of America’s pharmaceutical industry, where price-gouging is the norm.
Rick Scott, Who Made Millions as Hospital CEO, Now Faults Hospital Costs
The proposals are the latest in a series of moves by Scott, who made millions as CEO of HCA/Columbia, to revamp the hospital industry. The Legislature will have to enact his proposals.
Doctors and Pharmacists Complain: Patients Aren’t Getting Their Pain Meds Fast Enough
Pharmacists complain that distributors are limiting their supply of powerful narcotics, forcing the pharmacists to ration their limited stock to their regular patients.
8.8 Million More People Got Health Insurance Last Year, Largely Due to Obamacare
The increase, due to the Affordable Care Act, is unprecedented since the creation of Medicare and Medicaid 50 years ago. Expanding Medicaid–as Florida did not–would have added to the ranks of the insured even more.
Reporter Kicked Out: When Public Officials Abuse Florida’s Sunshine Law, With Lawmakers’ Blessing
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.
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