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.
Health Care Business
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.
Florida Cabinet Hypes Identity Thievery of Affordable Health Act “Navigators”
There is no danger that so-called “navigators” will steal people’s identities or feed information into a giant federal database, said Greg Mellowe, policy director for the consumer group Florida CHAIN. The group is one of the non-profits that will get a share of federal grant money for the “navigator” program.
Family Insurance Premiums Rise 4% for 2nd Year, Still More Than Double Inflation Rate
With average family plan premium topping $16,000 for the first time, with workers paying on average $4,565, workers will feel an increased pinch: More than a third have annual deductibles of at least $1,000 before insurance kicks in, while wages continue to grow far more slowly than health insurance costs.
Breast Cancer Therapy Technique at Florida Hospital Flagler Now Reduces Radiation Exposure
The Prone Breast Board radiation therapy technique, allowing patients to rest on their stomach rather than their back, significantly decreases radiation exposure to the lungs and heart.
Some 600,000 Floridians Getting Rebates from Insurers Not Complying With Health Care Law
Because insurers are overspending on profits and administration instead of medical care, the amount that must be refunded in this state by Aug. 1 tops $54 million. That’s only half of what insurers had to pay in rebates to Floridians last year. Nationally, insurers are refunding $504 million.
How Horses Help Patients Cope With Cancer and Other Ailments, Even When Insurers Won’t
It’s not a prescription that a doctor can write. It’s not something insurance will usually pay for. But more patients are finding out how horseback riding, or even just being around the animals, can help them feel better.
Ken Mattison Named Florida Hospital Flagler CEO, Switching With Ottati in Swift Succession
Ken Mattison, for 16 years the CEO at Adventist Health’s Florida Hospital Waterman, has been named to take over for David Ottati at Florida Hospital Flagler, a $156 million business with 1,017 employees in 2011. Ottati will assume Mattison’s position at Waterman, a $205 million hospital with 1,879 employees.
Sen. Aaron Bean’s “Health Choice Plus” Plan for Florida’s Poor: Flimsier Than a Band-Aid
What kind of health coverage can you buy for $20 to $30 a month? None. That may sum up the real-world prospects for Health Choice Plus, the plan for low-income uninsured Florida adults that State Sen. Aaron Bean’s committee approved Tuesday along party lines.
1.7 Million Floridians Could Get Lower Premiums Under Obamacare, But Don’t Know It
The premium assistance, which begins Jan. 1, will come in the form of tax credits for low- and middle-income workers and their families. The money will flow directly to the patients’ health plans, which simplifies matters and means patients don’t have to come up with cash and wait for reimbursement.
When Harm in the Hospital Follows You Home, and Changes Your Life
A conversation between some of the 1,550 members of a Patient Harm Facebook community and Dr. Gerald Monk, who specializes in the aftermath of patient harm for both patients and providers. What emerges is a portrait of the long journey that begins after the unthinkable happens.
Small Businesses Self-Insure, Evading Obamacare Requirements, and Threatening It
As more small employers avoid the health act’s requirements through self-coverage, small-business marketplaces intended to cover millions of Americans could break down and become unaffordable.
With 1 in 5 Floridian Uninsured, Backers of Broader Coverage Want Lawmakers to Act
Although Florida lawmakers have made it known they have no intention of going along with an expansion of Medicaid under the federal health care law, legislative leaders say they’re open to crafting an alternative that would find some way to expand health care coverage to many more uninsured as the law envisions.
Florida Among States Where Out-of-Pocket Health Costs Exceed Reform Law’s Cap
Even when deductibles are included, 36 percent of policies offered to individuals on the private market exceed the new health law’s allowable limit. Once the cap is enforced, consumers may see higher premiums instead.
For Children’s Advocates, Scott’s “Florida Families First” Budget Blurs Reactions
Backers of early childhood education and an expansion of Medicaid were disappointed, educators were guardedly happy about raises, and others applauded more money for prevention services to keep youths out of the juvenile justice system, plus $145,360 for juvenile health and mental health.
Beyond Doctor’s Orders: When Health and Fitness Are Not Always a Matter of Choice
The discipline it takes aside, getting healthy can be costly, writes Milissa Holland, in many more ways than one: healthy food is more expensive, exercise isn’t always as easy as deciding to do it, and even health insurance plans for the poor are becoming intractable. An invitation to discuss a central issue in most people’s lives.
Low Premiums, High Deductibles, Higher Risks: The Health Plan Gamble
The gamble of lower health premiums in exchange for higher deductibles is appealing, but people are losing the gamble and getting stuck with insurmountable expenses even as high-deductible plans are becoming more frequent by default.
Pilates in the Park Raises Awareness and Money Locally
With more than 100 people in attendance, the third annual Pilates in the Park raised awareness and funds to help with screening mammograms, diagnostic studies and education.
How Nursing Homes Get You: Signing Away Your Right to Sue
Signing arbitration agreements at nursing homes prevent families from suing the home should something go wrong. Agreeing to arbitrate is generally not in families’ best interests. It’s expensive, proceedings are secret, and nursing homes have the advantage.