Even though Florida officials tried to block the implementation of the Affordable Care Act at every turn over the past three years, the state will gain millions in grants and hundreds of new jobs this year from its implementation.
health care reform
Mother’s Day Confidential: News of My Mom’s Death Was Slightly Premature
Receiving a condolence note about my mother sent in error by the hospice company caring for her should have been disturbing. It was merely disappointing–for not being true.
Florida House Rejects $50 Billion in Federal Medicaid Help, Opting for Stingy Alternative
Florida’s rejection of federal aid for the expansion of Medicaid leaves the state with a bare-bones alternative to provide health care for the poor and uninsured while setting a defining marker against Obamacare and the federal vision of health care reform.
So Long, Teeny Weeny Bean Plan: Skeletal Health Plan for Florida’s Poor Is Dying
Sen. John Thrasher says he doubts Sen. Aaron Bean’s small-budget plan for some of Florida’s low-income uninsured will get a floor vote. Bean’s plan was criticized as not much of a plan at all, as it would have cost beneficiaries more than they might have benefited.
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.
For Florida’s Poorest 600,000, a Stingy Health Care Proposal that Cuts to the Bone
The latest proposal to provide health care to Florida’s poorest snubs federal money while creating limited health accounts the poor may tap, but for limited services, and with burdensome conditions of employment–and premiums that most may not be able to afford.
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.
Florida Speaker Weatherford’s Homeschool Blinders to the Poor and Uninsured
Rather than worship his homeschooling past, what Will Weatherford needs to be wondering is what Florida will be like if its 4 million uninsured citizens continue to go without health coverage, argues Rhonda Swan.
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 Senate Kills Obamacare’s Medicaid Expansion, But 3rd-Way Alternative Remains
Florida lawmakers say they want to pursue an alternative plan, possibly expanding Healthy Kids, that would use federal money to help uninsured low-income people get coverage through private insurers. Democrats are not entirely opposed.
Obamacare’s 10-Year Cost to Florida: $5.2 Billion, a Fraction of Planned Expansion
The state’s share would only be a fraction of the $55 billion overall expansion cost, with the federal government paying the rest. Under the law better known as Obamacare, Washington would pay 100 percent of the expansion costs during the first three years and gradually reduce that share to 90 percent in 2020.
Snubbing Scott and Billions in Federal Aid, Florida House GOP Reject Medicaid Expansion
Only a few hours after Florida’s chief economist said the state can’t afford to leave billions of federal dollars sitting on the table, the House committee on the Affordable Care Act voted to do exactly that.
From Bankruptcy to Granny Nannies: Navigating the Shoals of Long-Term Care
Long-term care insurance is expensive, but the costs of long-term care are far more so. The experiences of local residents and businesses contending ding with reality almost everyone will eventually face illustrate the dilemmas of aging in a society with a meager safety net. A special report.
In Major Shift, Scott Endorses Obamacare’s Medicaid Expansion, But Legislature Balks
The announcement was a dramatic move for the Republican governor, who launched his political career as an outspoken critic of President Obama’s efforts to overhaul the health-care system. The announcement also shifts the focus of the contentious Medicaid debate squarely to the Legislature, which would have to approve any expansion.
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.
Ending American Agriculture’s Unhealthy Journey Toward the $4.99 Bag of Potato Chips
We can’t begin to reduce our surging healthcare costs in this country without addressing affordability and accessibility to healthier foods, by not educating the users of the system on personal responsibility and choices, and by moving toward more locally grown food, argues Milissa Holland.
The Missing Link in Ever-Rising Health Care Costs: Personal Responsibility
Car insurance costs go down when drivers drive responsibly for a few years. A similar approach to health care could help bring costs down, but first, Milissa Holland argues, people must take responsibility for their own health and lifesrtyles–and the way they seek out medical help: the ER is usually not the answer.
Medicare Advantage Works As Long As You’re Healthy, But Boots Off Neediest Patients
People leaving medicare Advantage for traditional Medicare are have higher levels of significant health problems, fueling concerns that the private plans cater to more profitable, healthy beneficiaries but don’t provide the most attractive care for the very ill.
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.
State Health Agency Corrects Inflated Costs of Obamacare Scott Had Used to Oppose Reform
Florida’s costs could be as low as $3 billion over 10 years — a huge drop from the nearly $26 billion figure that AHCA produced in a report last month. Even with the changes, it appears that the Scott administration believes that the state’s final tab over 10 years would be higher.
Rick Scott’s Lies: How Governor Intentionally Kept Using Wrong Medicaid Estimates
The state’s chief economist has warned the staff of Gov. Rick Scott that his Medicaid cost estimates are wrong, but Scott keeps using them anyway, skewing Florida’s costs under the Affordable Health Act.
Spying on Grandma: Health Companies Sell Surveillance as a Benefit and a Saving
Health care is joining a national trend toward greater surveillance of everyday life. Whether this costly technology will ultimately prove clinically or economically effective remains uncertain. So, too, is whether a benign health care purpose can help overcome the unsettling “Big Brother” overtones.
One-Fifth of Florida’s Nursing Homes Are On the State’s Watch List for Violations
Twelve of the homes have been on the the state Agency for Health Care Administration’s watch list for more than 100 days. The best way to pick a home for a loved one is to simply visit it, or to check a nursing home inspection database (link included).
Quality Concerns as Florida Medicaid Moves Millions of Poor and Elderly to Managed Care
Senior said much of the state’s negotiations with federal officials have focused on safeguards to make sure that Medicaid’s new Florida version would be based on providing services in people’s homes and communities and would not be a “nursing home light” system..
Obamacare or Bust: U.S. Tells Florida to Either Expand Medicaid or Lose Out on Billions
Under Obamacare the federal government would pay 100 percent of the cost of the expanded eligibility from 2014 through 2016. Florida and other states questioned whether the federal government also would cover the full costs for a partial Medicaid expansion. The Obama administration said no.
Journey for Nahirny: A Walk-A-Thon to Benefit JoAnn Nahirny Friday at Matanzas
A fund-raiser is being organized by the Flagler County Educators Association and the Matanzas High School Student Government Association on Mr.s Nahirny’s behalf Friday, Dec. 7, at Matanzas High School, from 2:30 to 5:30 p.m.
Tumor Gone, Staples Removed, Humor and Grit Intact: A Teacher Returns to Matanzas
On medical leave for cancer treatment since September, Jo Ann Nahirny describes in harrowing and moving detail her final medical hurdles and clearances before deciding to return to her classroom almost a month early, on Dec. 10.
In a Shift, Gov. Scott Will Now Talk Health Care Reform, But With Reservations
Scott sent a conciliatory letter to U.S. Health and Human Services Secretary Kathleen Sebelius, but while seeking a meeting, Scott also expressed doubts about whether a key part of the Affordable Care Act would lower health costs.
Florida Republicans Begin to See Fewer Horns on Obamacare’s Evils
After more than two years of fighting the federal health overhaul, Florida Republican leaders say they need to prepare to carry out the law, while Gov. Rick Scott, in a sharp turnaround, said he wants to negotiate with federal authorities.
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.
Amendment 1: Floridians Will Get Their Say on Obamacare, But Only Symbolically
Lawmakers have proposed a constitutional amendment that, if passed, would say Floridians can’t be forced to buy health coverage. At least in the short term, the measure would appear to have little effect, but House sponsor Scott Plakon, R-Longwood, pointed to what he sees as a “basic right” that Floridians should not be “fined, taxed or penalized for our health care choices.”
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.
Ripped from Her Trenches, a Teacher Mobilizes for Months of Cancer Combat, and Anguish
From feeling like a human easel to a convicted felon, Matanzas teacher Jo Ann Nahirny takes us step by step through the anguish of preparing for cancer treatment and its implications–physical, financial, emotional and spiritual.
Almost 27% of Flagler Residents Under 65 Are Without Health Insurance; Reform Would Help
Obama’s health care reform would almost eliminate the proportion of uninsured, but Gov. Rick Scott’s refusal to join reform’s expanded Medicaid eligibility means that many of Flagler’s 16,774 eligible residents will be shut out of the benefit.
Florida’s Doctors Are Nation’s 3rd Worst When It Comes to Accepting Medicaid Patients
Only 59 percent of doctors in Florida accept accept new Medicaid patients, well below a national average 69 percent. Better reimbursements would improve both rates, but that’s not about to happen in Florida, which is rejecting increased federal aid.
Florida Hospital Flagler’s Parkway Medical Plaza Will See You Now
The $15 million facility on Cypress Edge Drive opened ceremoniously Tuesday. It has several physicians’ offices, a walk-in clinic, a rehab and a woman’s center. Some of the services were shifted from the main hospital campus.
Gov. Scott, on Media Blitz, Hit With “Pants on Fire” Falsehoods Over Health Care Claims
In his media blitz against Obama’s health care reform, Gov. Rick Scott gave a one-sided and misleading account of how much the Medicaid expansion would cost the state, badly misrepresented requirements on small businesses and used a widely debunked talking point about rationing, Politifacts found.
What Fox and CNN Flubbed in Health Care Verdict Scoop: Getting It Right
Fox and CNN reporters who got the health care verdict wrong last week were driven by the intense competition of live TV and online reporting and social media. Those reporters let their competitive instincts overcome the rule we all learned on the college newspaper, writes Bill Cotterell.
Gov. Scott’s Health Law in Florida: No Medicaid Expansion, No Insurance Exchange
Gov. Rick Scott will opt Florida out of the insurance “exchanges” the new health law designs to help residents find health coverage, and he will opt out of expanding medicaid, even though the federal government pays all the costs for expansion the first 2 years, and 90 percent thereafter.
Chamber of Commerce and Other Florida Business Groups Howl Over at Health Care Law
Florida business groups had led the charge against the federal Affordable Care Act, calling it a mandate that will fall on the shoulders of businesses still struggling to recover and facing more competition from the Internet, nearby states and foreign suppliers.
U.S. Supreme Court Upholds Health Care Reform, a Major Victory for Obama and the Uninsured
Chief Justice John Roberts joined the left of the U.S. Supreme Court in upholding the 2010 health care reform law, including the individual mandate. The Roberts ruling narrowed the allowance under tax rules, as opposed to the commerce clause. But the entire law was upheld.
Get to Work, Governor Scott, and Implement Health Care Reform Now
Now that the most conservative Supreme Court in the history of our nation has ruled that the Affordable Care Act is constitutional, perhaps it is time to redirect a little of that negative energy used to obstruct reform toward implementing the law and solving Florida’s health care crisis, writes former Florida House Democratic Leader Dan Gelber.
U.S. Supreme Court Invalidates Most of the Key Provisions of Arizona’s Harsh Immigration Law
The United States Supreme Court has reversed key provisions of the controversial Arizona immigrant law, invalidating Arizona’s–or any state’s–law that would have given state or local police the power to make warrantless arrests of individuals suspected of being undocumented, or “illegal.”
When American Health Care Heads for Texas
If the Affordable Care Act is overturned, the rest of the country should take a good look at the situation in Texas, because this is what happens when you keep Medicaid enrollment as low as possible and don’t undertake insurance reforms.
Stepping Up Obama Snubs, Scott Says He Won’t Implement Health Care Law in Florida
As the Supreme Court prepares to hand down its decision on Obama’s health care reform law, Gov. Rick Scott said on a conference call hosted by right-wing think tanks that Florida wouldn’t rush to implement the law.
Uninsured, Unaware of the Health Law Meant To Help Them, or the Court Case Against It
Despite spending tremendous political capital to pass the health law, Democrats are unlikely to win many votes from the law’s future beneficiaries, most of whom live in Republican-dominated states in the South and West.
National Spending on Health Rising to One-Fifth of GDP
Actuaries estimate that health spending will account for 19.6 percent of the gross domestic product (GDP) in 2021, up from 17.9 percent in 2010. On average, 5.7 percent increases in spending are expected for each of the 10 years, although much of the increased spending will come in 2014 and after.
Tea Party’s Medicare Beneficiaries Honk Up Palm Coast Against Federal Health Mandate
Some 50 to 60 Flagler tea party activists clumped around a Palm Coast intersection Monday, protesting “Obamacare” in a distinctly less impressive display of numbers or passions than in previous rallies.
Obamacare’s Days In Court: A Primer
It’s the Super Bowl of Supreme Court cases with consequences for all: the three days of arguments over the constitutionality of Obama’s health care reform begin today. Here’s a clear-eyed explanation of what it’s about and likely outcomes. It’s the Super Bowl of Supreme Court cases: the three days of arguments over the constitutionality of Obama’s health care reform begin today. Here’s a clear-eyed explanation of what it’s about and likely outcomes.