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health care reform

Trump Administration Plan to Add Medicaid Work Requirement Stirs Fears

November 16, 2017 | FlaglerLive | 22 Comments

In poor health. (Patrick Feller) medicaid

advocates who see the changes as a way for states to kick millions of adults off the program and undermine its mission of providing health coverage to the poor.

Obamacare Exchanges In Limbo as GOP Repeal Fails and Trump Ramps Up Sabotage Talk

July 19, 2017 | FlaglerLive | 18 Comments

President Trump railing against the Affordable Care Act on June 22. (White House)

Even as premiums increase about 18 percent, Florida Blue, the state’s largest health insurer, said those rates would go even higher if government subsidies disappeared.

Latest Republican Health Bill Cuts Costs At Expense of People With Pre-Existing Conditions

July 17, 2017 | FlaglerLive | 13 Comments

It's turning into Cruzcare. (Jamelle Boule)

The proposal would let insurers sell health coverage outside the ACA exchanges with no provisions for prescription drugs, mental illness, hospitalization or almost any other benefit.

GOP Defends Health Bill With Euphemisms, False Statements and Deleted Comments

May 30, 2017 | FlaglerLive | 9 Comments

Paul Ryan's handling of the American Health Care Act has been a study in palimpsests. (Mario Piperni)

Since the passage of the American Health Care Act, Republican members of Congress have tried to swing public opinion to their side, but through deceptive means.

David Ottati Returns: Ex-Florida Hospital Flagler CEO Takes Over 3-County Region

May 8, 2017 | FlaglerLive | Leave a Comment

David Ottati, a regional Adventist Health CEO, headed Florida Hospital Flagler for several years. (© FlaglerLive)

David Ottati’s rise in the Adventist organization is again bringing him to Flagler County as he takes over leadership of a seven hospital-region including Florida Hospital Flagler.

Preexisting Condition: How Health Care Wrangle May Play Out Over Obamacare Repeal

May 4, 2017 | FlaglerLive | 20 Comments

paul ryan obamacare dismantling

As Trump pushes for a bill, the latest snag is over whether people with preexisting health conditions should have guaranteed access to affordable coverage, as the ACA mandates.

As Washington Piddles, Liberal California Forges Ahead With Universal Health Care Ideas

April 10, 2017 | FlaglerLive | 12 Comments

single payer health care california

Organized labor and two lawmakers are leading the charge for a single, government-financed program for everyone in the state. Another legislator wants to create a commission that would weigh the best options for a system to cover everyone.

GOP Plan Scraps Individual Mandate Only to Create New, 30% Penalty For Laggards

March 23, 2017 | FlaglerLive | 9 Comments

Paul Ryan's version of Obamacare does not eliminate penalties so much as it redefines them. (Tony Alter)

The GOP approach is called a “continuous coverage” penalty. It increases premiums for people who buy insurance if they have gone 63 consecutive days without a policy during the past 12 months.

Lawmakers’ Letters to Constituents on Health Care Are Full of Lies and Misinformation

March 22, 2017 | FlaglerLive | 10 Comments

Pathological lying is epidemic in the debate to 'repeal and replace' the Affordable Care Act. (Phil Konstantin)

As the GOP tries to rewrite–or “repeal and replace–the Affordable Care Act, lawmakers in both parties are incorrectly citing statistics, making false claims and leaving out important context in letters to constituents.

Ron DeSantis’s First Principle: Do Harm

March 10, 2017 | FlaglerLive | 56 Comments

The author's required radiation mask. (© FlaglerLive)

Obamacare repealer Rep. Ron DeSantis, whose congressional district includes Flagler, has a solution for cancer patients without insurance: the emergency room. A few corrections are in order.

Health Savings Accounts Gain GOP Favor as Obamacare Sub; Gimmickry May Hurt Most

February 6, 2017 | FlaglerLive | 4 Comments

health savings accounts gimmickry

Expanding the use of such accounts, greatly favored by Wall Street, is part of almost every GOP replacement plan under consideration on Capitol Hill. But less well off people and the sick would not likely benefit.

Trump On Your Side? Repealing Obamacare Is a Tax Break For Rich at Poors’ Expense

January 24, 2017 | FlaglerLive | 39 Comments

obamacare repeal tax break inequality

If Obama’s health law is reversed, taxes will go down for the rich and up for the poor, while millions lose coverage. It is redistribution for the wealthy.

Only 20 Percent Of Americans Support Health Law Repeal Without Replacement Plan

January 7, 2017 | FlaglerLive | 8 Comments

obama repeal

More than a third of those said they would not want the law repealed after being told that some people with preexisting health problems would no longer be able to get insurance.

With Florida leading the Way, Obamacare Enrollment Jumps Despite Trump Threats

December 22, 2016 | FlaglerLive | 15 Comments

obamacare demise

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

December 11, 2016 | FlaglerLive | 12 Comments

tom, price health human services

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.

Opting Out of Obamacare: When Penalties Are Preferable to Unaffordable Premiums

November 20, 2016 | FlaglerLive | 13 Comments

obamacare optout

Amid the uncertain future of Obamacare in a Trump administration, some resisters are feeling vindicated and other consumers simply don’t see the need to sign up.

Those Double-Digit Health Insurance Rate Hikes in Florida? Blame State GOP.

October 27, 2016 | FlaglerLive | 42 Comments

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?

July 18, 2016 | FlaglerLive | 7 Comments

sanders clinton health care

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

July 11, 2016 | FlaglerLive | 16 Comments

obama public option

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 Health Summit Concludes With One Overriding Prescription: Expand Access to Care

April 26, 2016 | FlaglerLive | 1 Comment

florida health care access

While senators have focused heavily on access, the House and Scott have pushed for health-care changes that include reducing or eliminating some longstanding regulations. They contend that such ideas would create more competition and lower health-care costs.

IRS Could Easily Signal to 10 Million Uninsured Working Poor Eligibility for Coverage. But It Doesn’t.

April 11, 2016 | FlaglerLive | 8 Comments

health insurance working poor

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

March 21, 2016 | FlaglerLive | 3 Comments

obamacare changes 2017

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.

Health Insurers Moving to Undermine Obamacare By Limiting Enrollment

February 8, 2016 | FlaglerLive | 17 Comments

health care reform open 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

January 24, 2016 | FlaglerLive | 7 Comments

bernie sanders single payer system

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.

Small Businesses to Obamacare’s SHOP Option: Not Interested

November 5, 2015 | FlaglerLive | 3 Comments

obamacare shop option

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.

2.8 Million Floridians Still Uninsured Even as Just 20% Fall in Medicaid Gap

October 14, 2015 | FlaglerLive | 3 Comments

florida uninsured

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.

8.8 Million More People Got Health Insurance Last Year, Largely Due to Obamacare

September 19, 2015 | FlaglerLive | 9 Comments

health insurance enrollees record

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.

Affordable Care Act Becoming Less Affordable as Florida Insurers Prepare Big Rate Hikes

July 20, 2015 | FlaglerLive | 38 Comments

affordable care act obamacare insurance increase

If 1.6 million more Floridians have insurance thanks to Obamacare, sticker shocks keep coming as insurers have submitted 14 rate-hike requests to state regulators.

Supreme Court Upholds Obamacare Subsidies, 6-3, Protecting Benefits For 1.3 Million Floridians

June 25, 2015 | FlaglerLive | 37 Comments

barack obama obamacare

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.

More Than 1.3M Floridians May Lose Their Obamacare Subsidies, More Than Any Other State

June 8, 2015 | FlaglerLive | 39 Comments

health subsidies floridians

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

June 7, 2015 | FlaglerLive | 1 Comment

veuve cliquot florida legislature budget

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.

As Gov. Scott Seeks Information For His Health Commission, Hospitals Signal He’s On His Own

May 20, 2015 | FlaglerLive | 2 Comments

gov rick scott health care commission

As Gov. Rick Scott’s newly created health-care commission prepares to meet Wednesday to begin sifting through data about hospital funding, the governor’s request for information has been met with hospitals essentially telling him to go look it up.

Gov. Scott Threatens to Delay Tax Cuts and Education Funding Hike Over Budget Standoff

May 12, 2015 | FlaglerLive | 3 Comments

gov. rick scott budget lip funding threats

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

May 11, 2015 | FlaglerLive | 7 Comments

Carl Hofer's 'Maskerade' gov. rick scott hospital panel

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

May 9, 2015 | FlaglerLive | 4 Comments

florida legislature 2015 session health care

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.

Legislators Set Special Session For June 1 But $2.2 Billion in Health Aid for Poor at Risk

May 6, 2015 | FlaglerLive | Leave a Comment

florida capitol special session legislature 2015

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.

Obamacare Mandate Be Damned: Health Plans Still Stint On Birth Control Coverage

May 4, 2015 | FlaglerLive | 13 Comments

contraception coverage obamacare affordable care act

Health insurance plans around the country are failing to provide many legally-mandated services including birth control and cancer screenings, five years after the Affordable Care Act made it a requirement.

The Florida Legislature MessedUp. Ten Big Issues At Impasse and Beyond.

May 3, 2015 | FlaglerLive | Leave a Comment

florida capitol lawmakers

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.

Gov. Bizarre: Scott Suing Federal Government Over One Pot of Money Even As He Rejects Another

April 18, 2015 | FlaglerLive | 10 Comments

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

April 15, 2015 | FlaglerLive | 2 Comments

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

April 13, 2015 | FlaglerLive | 6 Comments

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

April 6, 2015 | FlaglerLive | 14 Comments

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

March 16, 2015 | FlaglerLive | 16 Comments

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.

Gripes Aside, 6,000 Palm Coast and Flagler County Residents Enrolled in Obamacare as Deadline Approaches

February 6, 2015 | FlaglerLive | 17 Comments

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.

More States Lean Toward Medicaid Expansion, But Florida Remains a Holdout

January 28, 2015 | FlaglerLive | 4 Comments

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.

Obamacare Snags: He Wants To Be Insured But Still Can’t Afford It.

December 3, 2014 | FlaglerLive | 15 Comments

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

As Large Businesses Look to Dump Employees on Obamacare, Smaller Firms Snub Subsidies

December 1, 2014 | FlaglerLive | 1 Comment

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.

Florida Hospital Flagler To See Medicare Payments Reduced 0.37% Per Patient, one of 148 Penalized in State

October 7, 2014 | FlaglerLive | 3 Comments

The penalty will constitute a minor blip on Florida Hospital Flagler's revenue, which totaled $166 million in 2012. (© FlaglerLive)

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

October 5, 2014 | FlaglerLive | 4 Comments

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.

Family Insurance Premiums Rise Modestly For 3rd Year, But Still Approach $17,000

September 11, 2014 | FlaglerLive | 9 Comments

family insurance premiums costs

While both critics and supporters of the Affordable Care Act are likely to find fodder for their positions, the report portrays 2014 as a relatively stable year for employer coverage, with little change in the type of plans offered or their costs.

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