Carol Gentry

Health News Florida Special Correspondent

Carol Gentry, founder and special correspondent of Health News Florida, has four  decades of experience covering health finance and policy, with an emphasis on consumer education and protection.

After serving two years as a Peace Corps volunteer in Colombia, Gentry worked for a number of newspapers including The Wall Street Journal, St. Petersburg Times (now Tampa Bay Times), the Tampa Tribune and Orlando Sentinel.  She was a Kaiser Foundation Media Fellow in 1994-95 and earned an MPA at Harvard’s Kennedy School of Government in 1996.  She directed a journalism fellowship program at CDC for four years.

Gentry created Health News Florida, an independent non-profit health journalism publication, in 2006, and served as editor until September, 2014. She and Health News Florida joined WUSF  in 2012. 

Contact Ms. Gentry at at 727-410-3266 or by e-mail.

Pages

HNF Stories
6:31 am
Thu December 11, 2014

State Takes Over Medicare HMO

Circuit Court Judge George S. Reynolds III
Credit Credit Florida's Second Judicial Circuit

Florida Healthcare Plus, a Medicare HMO with 10,000 members, was declared insolvent Wednesday and turned over to state authorities.

In such cases, state and federal officials help patients move into other health plans or to traditional Medicare. More information is expected on that today or Friday.

The state Division of Financial Services took over the Coral Gables-based plan immediately after the order was issued Wednesday by Circuit Court Judge George S. Reynolds in Tallahassee. DFS is expected to sell off the company’s assets Jan. 1.

Read more
HNF Stories
9:29 pm
Tue December 9, 2014

OB-Gyns Protest Safety Rule

Dr. Karen Harris, OB-Gyn
Credit North Florida Women's Physicians

Florida’s tough new safety rule for medical-office surgery, years in the making, has been delayed at the last minute by an outcry from obstetrician-gynecologists.

The OB-Gyns appeared Friday at the Florida Board of Medicine, which was to have passed the safety rule that day, to ask for an amendment to spare them from some of the provisions.  Board members decided instead to postpone the issue while they figure out what to do.

Read more
HNF Stories
12:47 pm
Fri December 5, 2014

Board Asks Doctor to Undergo Mental Test

At Board of Medicine hearing, psychiatrist Penelope Ziegler (foreground), then Dr. Harry Wilks, then Wilks' attorney Lester Perling.
Carol Gentry WUSF

Clearwater internist Harry S. Wilks should undergo psychological testing to see whether he is still mentally sharp enough to practice safely, the Florida Board of Medicine said today.

Time is of the essence, board members said, since Wilks is currently practicing without supervision. They voted to require that the evaluation be conducted and reviewed by the middle of next month.

Read more
HNF Stories
12:06 am
Fri December 5, 2014

Board Considering Doc's Mental Health

Credit Florida Board of Medicine

A Clearwater internist who was described as unsafe to practice because of mental decline will try to persuade the Florida Board of Medicine that it isn’t true at a hearing today.

Dr. Harry S. Wilks, 72, is expected to appear at the meeting in St. Petersburg to answer questions, accompanied by his attorney Lester Perling.  They are armed with psychiatric and neurological evaluations that they say will refute those presented by the state.

Read more
HNF Stories
8:38 am
Thu December 4, 2014

Middle-Aged, Low Income Fall into 'Gap'

Carlos Seibane is both a patient and volunteer at the St. Petersburg Free Clinic.
Carol Gentry, Health News Florida

When the Affordable Care Act’s federal marketplace opened last year, Beth and Doug Warner of St. Petersburg asked a navigator to enroll them. But they discovered their income wasn’t high enough to get a subsidy.

Without one, Doug Warner said, the policy for the couple would cost $700 a month. “Basically the choice was, ‘Keep the roof over your head or buy healthcare.'”

It’s one of the great ironies of the health overhaul. Floridians most in need of health insurance -- adults below the poverty line -- are often blocked from coverage the Affordable Care Act provides.

Read more
HNF Stories
10:39 am
Wed November 26, 2014

Which Medicare Path Do I Take?

Carol Gentry, Special Correspondent

(Editor's Note: It's Medicare enrollment season, now through Dec. 7, and beneficiaries are trying to decide on a plan. Health News Florida’s Carol Gentry, who has covered Medicare for many years, is seeing the federal program from a new point of view: as a beneficiary. Her first commentary, which aired Oct. 9, was "Medicare's Complexity Can Be Scary." The second one, "Which Medicare Path Do I Take?" is below).

Read more
HNF Stories
5:39 pm
Wed November 19, 2014

Grand Jury Targets Medicare HMO

Florida's insurance officials are recommending a state takeover and liquidation of Florida Healthcare Plus, a Medicare Advantage plan accused of submitting $25.2 million in phony bills to Medicare and Florida Medicaid.

Read more
HNF Stories
6:47 pm
Tue November 18, 2014

Hep C Drugs Cost FL Medicaid $30M So Far

This handout photo provided by Gilead Sciences shows the Hepatitis-C medication Sovaldi.
Associated Press

Florida Medicaid has spent at least $30.6 million in the past year on costly drug treatments for Hepatitis C, according to records from the Agency for Health Care Administration. 

Most of the spending was for Sovaldi, an antiviral approved by the Food and Drug Administration in December 2013. It was fast-tracked after clinical trials showed it had a high cure rate for patients in advanced stages of liver disease who were infected with the most common strain of the Hepatitis C virus.

Read more
HNF Stories
5:37 pm
Tue November 11, 2014

WellCare Questions Medicare Ratings

Medicare Advantage plans that draw a lot of their enrollment from the poor side of town say they're at a disadvantage on the government's five-star ratings scale, which commands respect and governs pay.

One company pressing the issue is WellCare Health Plans, based in Tampa. Its Medicare Advantage plans are rated at 3 or 3 1/2 stars, below the 4-star minimum required for plans to qualify for bonus payments. Plans' premium and bonus payments are kept confidential, but other media report that the bonuses amount to a few hundred dollars per member.

Read more
HNF Stories
5:04 pm
Wed November 5, 2014

WellCare Boasts 4M Members

Drew Asher, WellCare exec
Credit wellcare.com

WellCare Health Plans' stock shot up 7 percent Wednesday after the release of a third-quarter earnings report that showed membership now exceeds 4 million. That's up from 2.8 million members at the same time a year ago, a jump of 43 percent.  

The share price topped $70 for a couple of hours, the first time that has happened since WellCare stock tanked on July 25 at the news that the company would not meet its original financial goals for the year.

Read more
HNF Stories
12:06 am
Tue November 4, 2014

New Whistleblower Charges at WellCare

Attorney Kevin Darkin
Credit tampalawfirm.com

WellCare Health Plans, which paid more than $400 million to settle past accusations of health-care fraud, is once again being sued under the False Claims Act.

The whistleblowers in this case are a half-dozen former WellCare staff members, including the former Vice President of Care Management Dr. Kirk Cianciolo. All are represented by Tampa attorney Kevin Darken, from the same firm that handled the previous whistleblower case against the Tampa-based WellCare.

Read more
HNF Stories
12:01 am
Wed October 29, 2014

Hospitals Take Leap on Prevention

Nearly half of Florida hospitals have earned an "A" on error prevention in a new report card from a business-backed group concerned about patient safety.

Read more
HNF Stories
12:53 am
Tue October 28, 2014

Medicare Plan Fights State Order

Ultimate Health Plans, a scrappy little company north of Tampa, is offering Medicare HMO deals that  sound too good to be true: no premium, no deductible, free gym membership and even cash back.

What's not to like? Ask the Florida Office of Insurance Regulation, which suspects the company lacks sufficient funds to pay claims for its 3,000 members. OIR issued a suspension order Oct. 2, but it was  placed on hold when Ultimate invoked its right to a hearing. It can take months, sometimes years, for the hearing process to unfold.

Read more
HNF Stories
10:37 pm
Thu October 23, 2014

Suspended Medicare HMOs Still Listed

Many Florida shoppers at Medicare.gov will find Day Break and Sunrise among their lowest-priced HMO options. But if they call to enroll in either one, they’re out of luck.

Florida Healthcare Plus, a small Coral Gables company that sponsors the two Medicare Advantage plans, is under state and federal suspension, unable to sign up new members during the current open-enrollment season for Medicare, Oct. 15-Dec. 7. Being frozen at this time of year can be a death sentence for such plans.

Read more
Health News Florida
5:19 pm
Mon October 20, 2014

USF Cancels African Journalists Visit; Ebola Fears Blamed

African journalists from the 2010 Edward R. Murrow Program for Journalists pose along the USF St. Pete waterfront
Credit University of South Florida

Officials at the University of South Florida St. Petersburg have canceled a five-day visit by 14 African journalists that was to begin Oct. 31, because of fears of the Ebola virus.

In a letter today written by Han Reichgelt, regional vice president for academic affairs (see below), he says they're doing so out of an abundance of caution.

Read more
HNF Stories
8:49 am
Thu October 16, 2014

Sickest Medicaid Kids in 'Chaos,' Doctors Say

Florida pediatricians who care for severely disabled children  say the state's overhaul of Medicaid has left  kids, parents and caregivers in turmoil.

Extremely fragile children, including some with tracheostomies and feeding tubes, face barriers in access to specialty care, physical therapy, home medical supplies and other urgent needs, the pediatricians say.

Read more
HNF Stories
7:45 am
Mon October 13, 2014

Eye Surgeon Wins Close Call

Dr. Alan Mendelsohn
Credit myeyesurgeons.com

A letter from the Federal Bureau of Prisons almost cost Alan Mendelsohn his medical practice, only months after resuming it.

The prominent Hollywood eye surgeon, who served 2 ½ years of a four-year prison term on charges of public corruption and tax evasion, was sent to a halfway house in July.  There, residents are required to work during the days but must return each evening.

Read more
HNF Stories
5:29 pm
Sun October 12, 2014

2 Doctors Lose Licenses for Pain Pills

Credit Florida Board of Medicine

Two Gulf Coast physicians lost their medical licenses Friday on similar charges, prescribing large quantities of addictive pain pills in ways the state said endangered the public.

One of them, Dr. Konstantine Yankopolus of Fort Myers, had already been suspended from practice in an emergency order filed by the Florida Department of Health in May 2013. 

Read more
HNF Stories
9:27 am
Fri October 10, 2014

After Prison, Surgeon Returns to Practice

Credit Florida Board of Medicine

A 71-year-old Sebring surgeon who completed his prison sentence on an embezzlement conviction will be allowed to resume practice on probation, the Florida Board of Medicine agreed Friday.

In August 2012, Dr. Alfred Massam pleaded guilty in federal court to improperly taking $1.2 million from his medical practice’s employee pension fund, state records show. He served about 17 months at a minimum-security prison camp and three to four months in a halfway house, wearing an electronic monitor, he said at the board’s meeting in Deerfield Beach.

Read more
HNF Stories
9:59 pm
Thu October 9, 2014

FL Medicare Plan Wins 5 Stars

Just in time for Medicare's open enrollment season, a Florida-based HMO has won the federal government's coveted  five-star rating, a rare honor that brings more than bragging rights. Such plans receive the freedom to enroll new members all year long. 

The winner, CarePlus Health Plans Inc., is a subsidiary of Humana Inc., Florida's largest Medicare vendor. Humana did well in the quality ratings, too,  but was outscored by the little plan it bought in 2005.

Read more
HNF Stories
10:06 pm
Wed October 8, 2014

Medicare's Complexity Can Be Scary

Credit U.S. Department of Health and Human Services

As of Nov. 1, I will be on Medicare, which means I have to enroll this month. I should have plenty of company, since open enrollment for 2015 begins Oct. 15.

As a reporter and editor on the health-care beat, I’ve been explaining Medicare to the public since 1976. So people assume that I understand it thoroughly.  

But writing about Medicare is one thing; living it is another. For advice, I called Barbara Katz, a former reporter and lawyer who recently moved to Longboat Key from another state.  She enrolled in Medicare and a supplemental plan six years ago.

Read more
HNF Stories
7:24 am
Tue September 16, 2014

Damages Reduced in Kickbacks Case

A federal judge has reduced the punitive damages that a Tampa jury imposed in June on national drug-testing firm Millennium Laboratories after finding that it engaged in unfair competition by breaking anti-kickback laws in Florida and two other states.

But Millennium Labs, based in San Diego, still owes more than $11 million to its rival Ameritox Ltd. after the reduction. In Friday's 29-page order, U.S. District Judge Susan Bucklew called Millennium's conduct "fairly reprehensible."

Read more
HNF Stories
10:00 am
Sat September 13, 2014

FL Health Centers Get $13.4M

Four dozen health centers around the state that provide a medical home for uninsured low-income Floridians and for those who are newly insured through the Affordable Care Act will get a share of $13.4 million in federal funds, the U.S. Department of Health and Human Services announced Friday afternoon.

Most of the grants fell into the range of $150,000 to $400,000, but a few of them were for more:

·         Community Health of South Florida in Miami, about $507,000.

·         Manatee County Rural Health Services in Palmetto, about $499,000.

Read more
HNF Stories
1:39 am
Thu September 11, 2014

Will Low Bidder Care for Kids?

Pearline Reno, LPN, with DJ
Carol Gentry/WUSF

In an ordinary house on an ordinary street near Orlando live some extraordinary children. To stay alive, they depend on machines and tubes and the caregivers sent out by an agency called Children First.

Registered nurse Maria Schiavi, co-owner of Children First, says some of the kids they care for were injured in an accident, such as a near-drowning. Others were born with life-threatening problems that modern medicine can’t fix.

Read more
HNF Stories
1:38 am
Thu September 11, 2014

Home-Care Firm Rules Medicaid Market

Medicaid Director Justin Senior
Agency for Health Care Administration

It’s much too soon to say whether this summer’s flood of Florida Medicaid patients into private managed-care plans will accomplish the state’s goals of improving access to care and saving money.

But one result is already clear: The overhaul is concentrating power in the hands of specialty companies over which the state has no direct control.  Some say one such company has essentially taken over home care services and equipment.

Read more
HNF Stories
1:28 pm
Mon September 8, 2014

FL 'Navigator' Grants Total $6.8M

The University of South Florida has been awarded by far the largest grant in the state to hire "navigators" who help uninsured people sign up for health insurance coverage through the federal Marketplace, the Department of Health and Human Services announced Monday.

Only two other Florida organizations won  navigator grants: the Epilepsy Foundation of Florida, $871,275, and the Pinellas County Commission, $535,156. 

Read more
HNF Stories
5:08 pm
Wed September 3, 2014

Medicare HMO Fined, Frozen

Susan Molina, CEO, Florida Healthcare Plus
Credit Linked In

Florida Healthcare Plus, a Medicare HMO and drug plan, is under state review for making a $600,000 error in a financial statement and has been temporarily blocked from enrolling any new members, its chief executive says.

The company, based in Coral Gables, was also recently fined $113,200 by the federal Centers for Medicare and Medicaid Services (CMS) for a different type of infraction -- "systemic failures" to provide all the benefits due to members under CMS rules.

Read more
HNF Stories
9:59 pm
Tue September 2, 2014

WellCare, Centene Medicaid Winners

With the multi-billion-dollar, four-month enroll-a-thon for Florida’s Statewide Medicaid Managed Care program now complete, totals show WellCare Health Plans still on top. 

The Tampa company’s Staywell plan now has more than 600,000 Florida Medicaid members. That’s 23 percent of the state’s roughly 3.3 million residents with Medicaid coverage, according to calculations by Citigroup Global Markets’ analyst Carl McDonald.

Read more
HNF Stories
8:29 am
Tue August 26, 2014

Obamacare Sign-Ups to Rise 23%?

Jack McDermott, Director of Life & Health Products Review, Florida Office of Insurance Regulation
Credit FL Office of Insurance Regulation

Editor's Note: This story has been corrected regarding the way state and federal agencies report Affordable Care Act insurance enrollment . 

The number of Floridians enrolled in individual health plans under the Affordable Care Act in June was 866,485, according to new state data compiled from insurers’ reports. The carriers expect enrollment to rise to 1.1 million next year, an increase of 23 percent.

Read more
HNF Stories
1:34 pm
Fri August 22, 2014

Sexting Doctor Agrees to Suspension

Dr. Tuan Dean
Credit TriCounty Physicians LLC website

A Central Florida doctor who sent sexually explicit photos and videos to a patient has settled disciplinary charges against him by agreeing to a temporary suspension and a permanent restriction on his practice.

Dr.  Tuan Dean, a family practitioner in The Villages, agreed to see only male patients when he returns from suspension, according to documents posted at the Florida Department of Health website. The Florida Board of Medicine earlier this month asked DOH to seek the suspension and permanent restriction through a formal hearing if Dean had not signed the agreement.

Read more

Pages