Thousands of parents were slammed with new rates with less than a month to pay, though they’ll have a chance to leave Florida’s plan for Obamacare in a special enrollment period.
Medicaid and Medicare
Sedated We Stand: Medicare Paid for Nearly 40 Million Tranquilizer Prescriptions in 2013
Florida had more doctors who prescribed large amounts of benzodiazepines than anywhere else in the country with some 144 Florida doctors wrote at least 2,000 prescriptions for them to Medicare patients.
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.
In Breakthrough, Lawmakers Agree on Health Budget and “Significant” Increase for Education
Florida House and the Senate reached tentative agreements Saturday on money to hospitals and providers for the poor, and a $207-per-pupil increase in education funding.
Opposing “Medicaid in Disguise,” Florida House Set to Kill Senate Health Plan Friday
For all of its new provisions, House Republicans said, the so-called Florida Health Insurance Affordability Exchange, or FHIX, remains Medicaid expansion in disguise.
Senate Approves Health Plan to Resolve Budget Impasse, But House Remains Unmoved
Gov. Rick Scott and House Republican leaders staunchly oppose the legislation, which helped grind budget negotiations to a halt earlier this year and spark a special session currently underway.
Federal Government Calls Gov. Scott’s Lawsuit Over Medicaid Expansion “Baseless”
Federal officials fired back in court against Gov. Rick Scott’s contention that the Obama administration has unconstitutionally tried to link expanding Medicaid with the continuation of a key health-care funding program.
Elder Abuse: A Huge, Expensive and Lethal Problem
There is little doubt that elder abuse is growing, driven by growth in the elderly population. To address it, some governments are training police and social workers to investigate it.
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.
Assisted Suicide In Your Back Yard: More Prevalent Than You Think
People don’t talk about it, but assisted suicide happens in states where it’s not legal. Just over 3 percent of U.S. doctors said they have written a prescription for life-ending medication, and almost 5 percent reported giving a patient a lethal injection.
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.
How Health Care Blew Up the 2015 Session
Dramatic miscalculations and eagerness for showdown over health care derailed Florida lawmakers’ plans in the 2015 legislative session–impulses they must guard against if the special session is to go more smoothly.
Gov. Scott Seeks Court-Ordered Injunction Against Federal Government in Health Fight
Lawyers for the state asked Thursday for a federal judge to immediately bar the U.S. Department of Health and Human Services from considering whether the state has expanded Medicaid as the agency weighs a decision on $2.2 billion in funding for hospitals and other health-care providers in Florida.
Legislators Set Special Session For June 1 But $2.2 Billion in Health Aid for Poor at Risk
Florida House and Senate leaders did not put out a list of topics that would be discussed during the special session, leaving room for disagreement over the final “call” that will be issued to lawmakers.
Federal Judge to Florida: Your Children Medicaid Program Is Still in the Poorhouse
Florida Medicaid’s system delays care and outreach to Medicaid-eligible children is inadequate, the federal lawsuit claims. A judge ruled the lawsuit can continue despite a Supreme Court decision Florida cited to dismiss the case.
Florida Senate May Seek to Force House Back in Session in Clash’s Latest Escalation
Florida Senate leaders are considering legal action to force the House to return to the Capitol to finish out the work week as the slow-motion collapse of the regular legislative session appeared to near its end Wednesday.
“Instantaneous Death”: House Adjourns 3 Days Early in Huff Over Standoff With Senate
The House’s premature departure wasn’t completely unpredictable given the intensifying acrimony between House and Senate Republican leaders during the past few weeks over a $4 billion budget impasse rooted in a philosophical rupture over health care for poor and uninsured Floridians.
House and Senate Far Apart on Budget as Health Care For Poor Becomes Bargaining Chip
The Florida House had made a significant concession to the Senate on hospital funding — but said it would only follow through if the upper chamber dropped insistence on using Medicaid expansion dollars to help lower-income Floridians purchase private insurance.
Tennessee and Kansas Also Get Fed Warning to Florida: Expand Medicaid Or Risk Hospital Funds
The federal government confirmed that it gave officials in those states the same message delivered to Texas and Florida about the risk to funding for so-called “uncompensated care pools” — Medicaid money that helps pay the cost of care for the uninsured.
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.
Special Session Ahead for Legislature as Lawmakers Fail To Resolve Budget Clash
Gov. Rick Scott’s administration, federal officials and House and Senate leaders have waged a public war over health dollars, which President Obama’s administration declared Tuesday are tied to an expansion of Medicaid.
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.
In Reversal, Scott Opposes Expanding Poor’s Health Insurance and Opens $2.2 Billion Budget Hole
Scott’s opposition means Florida would again forego $47 billion in federal aid over the next 10 years while fewer poor Floridians would have health coverage–and the state’s budget would lose $2.2 billion in current aid that federal officials will no longer provide to the state under its existing medicaid system, which falls short of federal standards.
Plan to Extend Health Insurance to 800,000 Poor Floridians Crawls Against Steep Hurdles
The new Florida Health Insurance Affordability Exchange Program, or FHIX, would assist Floridians not eligible for Medicaid in purchasing health benefits coverage and gaining access to health services.
More States Lean Toward Medicaid Expansion, But Florida Remains a Holdout
The biggest nonexpansion states are Florida and Texas, where expansion would add a total of 2.6 million uninsured residents to the Medicaid rolls. But both the Florida and Texas legislatures are dominated by Republicans, and expansion remains a long shot.
Flu Visits to Flagler ER Spike 33% Over Last Season, But Officials Aren’t Calling It an Epidemic
Flu visits to the ER were especially pronounced in November. They leveled off a bit in December. But the first week of January saw the numbers spike again, especially compared to last year,
Prominent Central Florida Cardiologist Asad Qamar Is Sued for Medicare Fraud
Central Florida cardiologist Asad Qamar, who claims to have 23,000 patients, is the target of two lawsuits accusing him of systematic Medicare fraud, including padding bills and performing unnecessary procedures.
Medicare Penalties Hit 31 Florida Hospitals Over High Infection Rates; FHF Spared
In its toughest crackdown yet on medical errors, the federal government is cutting payments to 721 hospitals – including 31 in Florida — for having high rates of infections and other patient injuries.
Regrettable Holiday Ritual: Spike in Calls to Alzheimer’s Hotline as Families Grasp Changes
Visiting with relatives over the holidays may raise questions about the physical and cognitive health of family members. Although some change in cognitive ability can occur with age, serious memory problems are not a part of normal aging. Recognizing the difference between normal aging and more serious problems can help you identify when it may be time for you to make the call or see a doctor.
Florida Tries Again to End Decade-Old Lawsuit Calling State’s Children’s Health Care Inadequate
The state Agency for Health Care Administration is making a renewed attempt to scuttle a nearly decade-old lawsuit alleging the state’s Medicaid program has not provided adequate care for low-income children.
Flagler Sheriff’s Deputy Tasers 80-Year-Old Man With Dementia: He Was Wielding a Knife
A Flagler County Sheriff’s deputy on Thursday used his Taser stun gun against an 80-year-old man suffering from dementia as the man refused to put down a butcher knife as he sat in his back porch. The man had earlier allegedly threatened members of his family.
Nursing Home Surveillance: Should You Be Able to Spy On Your Grandma’s Caretakers?
Illinois may be about to join at least four other states that have laws or regulations allowing residents to maintain cameras in nursing home patients’ rooms. Florida is not among them.
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.
Florida Giving Up 63,800 Jobs By Rejecting Federal Medicaid Expansion
Florida has not accepted the offer of federal funds — estimated at $51 billion over a decade — provided in the Affordable Care Act to cover uninsured people who fall into a gap. Florida has about 850,000 of them.
Bright Spot in Florida’s Budget:
A Forward-Looking Agenda on Alzheimer’s
Alzheimer’s is the most costly disease to Medicare and Medicaid — and for a state like Florida with high ratios of older residents, this spells an impending crisis for state budgets. Gov. Rick Scott signed a record-sized state budget that included record-sized wins for the Alzheimer’s community.
California Sharply Improves Regulatory Oversight of Assisted-Living Facilities
The wide-ranging array of proposed regulations would mandate annual inspections of the facilities and increase the size of financial penalties that the state can levy for failures in care. The proposals would also step up mandatory training for assisted living employees, require facilities to employ registered nurses in some instances and demand that California post inspection results online for the public to review.
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.
Medicaid Gap: A Reporter Who Covers Obamacare But Doesn’t Qualify For It
The Supreme Court allowed states to opt out of the Medicaid expansion under Obamacare, as Florida did, but the law didn’t include subsidies for people in those states who earn less than the federal poverty level to buy coverage through the exchanges. They were supposed to be covered under Medicaid. And Medicaid is not there for them.
Despite $51 Billion For the Taking, Florida Unlikely to Expand Health Coverage in 2014
Consumer groups, hospitals and insurers are clamoring for Florida to take the $51 billion in federal funds that have been offered to the state over the next decade to provide health coverage to the working poor. But those who are tuned in politically — even those who desperately want it to happen — say it’s very unlikely in 2014.
Fire Demolishes House in Painter’s Hill and Jumps A1A to Island Estates Before It’s Stopped
A fire that started at about 3:15 this afternoon in a vacant, two-level house at 3518 North A1A, in Painter’s Hill, was fueled by 40 mph winds off the ocean and had quickly engulfed the structure in flames by the time firefighters arrived at the scene.
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.
Kathleen Sebelius to Florida Legislature: That $51 Billion Offer Is Still Good for the Taking
Kathleen Sebelius has visited Florida half a dozen times since June, trying to get the word out to the state’s millions of uninsured to sign up for a health plan., but she hopes the Florida Legislature reverses its opposition to expanding Medicaid and accepting $51 billion over the next 10 years.
Assisted Living Facilities Beware: State Looking to Shut Down Unlicensed Operations
A Florida Senate panel Tuesday instructed the Agency for Health Care Administration to draft legislation — fast — that would allow the state to shut down unlicensed assisted-living facilities as quickly as possible.
Shutdown Geezers: The Medicare
Generation’s Immoral War on Obamacare
Opponents of Obamacare think that by doubling down on hurting Americans through a shut-down, they might stun them into submission. They must be stupider than they let on. The Affordable Care Act has its issues. Lacking for moral high ground isn’t among them.
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.
Another Red State Takes Medicaid Dollars, Contrasting With Florida’s Holdout
Michigan, which like Florida has a Republican governor and legislative majority, has voted to accept federal funds and expand its Medicaid program to the low-income uninsured. It is yet another GOP-dominated state that has done what Florida, which declined $51 billion over 10 years, did not.
Federal Government Approves Florida’s Medicaid Overhaul, Shifting Millions to HMOs
The announcement was a victory for Gov. Rick Scott and Republican lawmakers who approved the proposal to move to statewide Medicaid managed care in 2011, amid controversy about whether the changes would best serve the needs of low-income Floridians.