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.
Health Care Business
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.
Yes, That Too: Your Employee-Provided Health Insurance Costs Are Going Up in 2014
The new year will likely bring higher deductibles and co-payments, penalties for not joining wellness programs and smaller employer contributions toward family coverage, but Obamacare isn’t entirely to blame: it is only accelerating pre-existing conditions.
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.
Another Obamacare Surprise: Married Couples Not Eligible For Subsidies Given Single Filers
For middle class married couples who don’t have children, the subsidy cutoff is $62,000. If one spouse makes $30,000 and the other $40,000, they are ineligible for a subsidy when combined. But if they were just living together, each would be eligible for a subsidy.
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.
Republicans Fret as Motor Voter Law
Meets Obamacare
Twenty years ago, Congress passed a controversial law requiring states to allow people to register to vote when they applied for driver’s licenses or social services. That same law is bringing voter registration to the health insurance marketplaces, and again, it is expected to result in legal fights as Republicans fear it will drive up Democratic registrations.
Only 3,600 Floridians Enroll in Affordable Care Act’s First Month; Obama Accepts Blame But Questions Abound
Only 3,571 people have successfully enrolled in a private insurance plan in Florida in the first month of the Affordable Care Act’s federal marketplace. The target was 33,400, resulting in a success rate of just 11 percent, though 3.8 million Floridians are without health insurance.
Popular and Consumer-Driven Provisions Fuel Sticker Shock of Obamacare Premiums
When setting premiums for next year, insurers baked in bigger-than-usual adjustments, driven in large part by a game-changing rule: They can no longer reject people with medical problems. It’s the double-edged sword of Obamacare–a crucial provision that comes with sticker shock for some.
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.
Too Young for Medicare, Too Old for Medicaid, and Neglected By Affordable Health Act
While most of the uninsured will be able to get subsidized health coverage Jan. 1 under the Affordable Care Act, the poorest adults under 65 will be out of luck in many states, including Florida. Many are women in their 50s and 60s, too old to have children still at home so they can’t qualify for Medicaid. But they’re not yet 65 so they don’t qualify for Medicare, either.
A Confederacy of Choices: Marketplace Plans Vary Widely In Costs, In Counties And Across U.S.
Consumers shopping in the new health insurance marketplaces will face a bewildering array of competing plans in some counties and sparse options in other places, with people in some areas of the country having to pay much more for the identical level of coverage than consumers elsewhere.
Flagler Democrats Will Demonstrate For Obamacare in Front of Health Department Tuesday
The noon demonstration by the Flagler County Democratic Club marks the first day of Obamacare’s insurance exchanges, and protests Florida’s sustained opposition, and various obstacles, to the law, including the prohibition against use of local health departments to make it easier for the uninsured to get coverage.
Death Toll From Preventable Hospital Mistakes Ranges Between 210,000 and 440,000
A new study finds that preventable hospital mistakes that lead to patients’ death are far higher than previous estimates, making medical errors the third-leading cause of death in America, behind heart disease, which is the first, and cancer, which is second.
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.
Flagler Health Department Chief Defends Ban on Navigators, Citing Privacy and Logistics
Flagler County Health Department Director Patrick Johnson defended the state’s controversial ban from DOH property against outreach workers called Navigators, who help uninsured people sign up for subsidized health coverage under Obamacare–a law Florida officials have actively and chronically obstructed.
Florida Groups Helping Uninsured Are Getting “Intimidating” Letters from GOP Lawmakers
Eight groups that are hiring and training “navigators” to help uninsured Floridians enroll in Obamacare have been sent letters by 15 GOP members of a U.S. House committee seeking information on their activities — a letter the Obama administration called a “blatant and shameful attempt to intimidate.”
Insurance Commissioner’s Blurry Prediction of Rate Increases Under Obamacare Contradicted
RAND study findings stand in stark contrast to the widely publicized predictions of Florida Insurance Commissioner Kevin McCarty that the individual market would see rate increases of 30 to 40 percent for next year.
“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.
Rallying Cry at Heckles-Free Tampa Town Hall as Vote Approaches: “Defund Obamacare”
Heritage Action for America, part of the hard-right Heritage Foundation, is hopscotching across the South, firing up the anti-Obamacare troops during Congress’ August recess, with a vote on defunding Obamacare scheduled for immediately after Labor Day.