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.

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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.

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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.

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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.

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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. 

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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.

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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.

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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

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.

The Office of Insurance Regulation is scheduled to present that and other information on the state's Affordable Care Act implementation Tuesday to the Florida Health Insurance Advisory Board. Made up mostly of industry representatives, it was created to advise state agencies.

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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.

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HNF Stories
7:30 am
Fri August 22, 2014

FDA Panel Says No; Docs Say Yes

Dr. Ronald Wheeler
YouTube.com

Sarasota urologist  Ronald Wheeler says he's going to continue doing a controversial prostate-cancer treatment, even though an FDA panel recently voted against it and even though the state could punish him for it.

Because the U.S. Food and Drug Administration has not approved the French device that Wheeler uses for high-intensity focused ultrasound, called HIFU, he has been treating his patients in Mexico.

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HNF Stories
7:50 am
Tue August 19, 2014

15 FL Scientists Named 'Most Influential'

Roy Baumeister, Ph.D, FSU psychologist
Credit YouTube.com

A list of "cutting-edge" scientists who have the most influence on their fields -- using citations by other scholars as the yardstick -- includes 15 researchers based in Florida.

While most are known only in their field of study, a handful have made news. One even co-authored a bestseller.

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HNF Stories
4:58 am
Tue August 12, 2014

'Predatory' Doctor Prevails in Hearing

David Simon, D.O.

A Lake Worth family doctor accused of beating, choking and locking up a patient during a year-long sexual relationship should be allowed to continue practicing, a state hearing officer says. 

Dr. David Simon should not lose his license over the affair, Administrative Law Judge John G. Van Laningham in Tallahassee wrote late last month.  While Simon should not have engaged in sex with a patient – Florida law prohibits that under any circumstances – he has not been in trouble before and deserves probation, Van Laningham wrote.

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HNF Stories
7:22 am
Thu August 7, 2014

So Are Premiums Up or Down?

Elizabeth Carpenter of Avalere Health, a consulting company.
Credit Avalere.com

Some premiums on the federal health exchange for 2015 are going up. Some are going down. That's all the public really knows right now.

But it appears that the big idea behind the marketplace -- creating competition -- may be working, since three new companies have joined the 11 early adopters, according to Florida's Office of Insurance Regulation.

The OIR released a forecast for a 13 percent premium hike for 2015 plans on the federal marketplace (Healthcare.gov) earlier this week.

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HNF Stories
12:53 pm
Fri August 1, 2014

Sexting Doctor: 'I Was Stressed Out'

Dr. Tuan Dean
Credit TriCounty Physicians LLC website

A doctor accused of sending sexually explicit videos and texts to a patient should be barred from treating females and should be suspended until he completes a psychiatric evaluation, the Florida Board of Medicine said Friday.

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HNF Stories
1:59 am
Thu July 31, 2014

Doctor Faces Discipline for Sexting

Tuan Kishfran Imran Dean
Credit TriCounty Physicians LLC website

A doctor who got into trouble for sexting at work will be called before the Florida Board of Medicine on Friday to explain why he should be allowed to keep practicing.

Dr. Tuan Kishfran Imran Dean, a family practitioner in The Villages, was working at a Doctor Today walk-in clinic in Lakeland when he displayed inappropriate conduct in August 2011, according to Department of Health records.

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HNF Stories
8:01 am
Tue July 29, 2014

Behind the Scenes at FMA

Lawrence Floriani, M.D.
Credit Dr. Larry Floriani

The Florida Medical Association surprised many this week when word came that its House of Delegates embraced a resolution calling for the legislature to expand Medicaid, the state-run program that's supposed to cover low-income people.

The money to do so, an estimated $51 billion over 10 years, had already been set aside by the federal government to begin in January this year, but the state House of Representatives refused to take  it. The FMA delegates want the Legislature to change its position.

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HNF Stories
10:45 am
Mon July 28, 2014

FMA Supports Medicaid Expansion

Dr. Aaron Elkin
Credit DrElkinMD.com

  The Florida Medical Association's House of Delegates overwhelmingly adopted a resolution supporting Medicaid expansion to cover uninsured low-income adults at FMA's annual meeting on Sunday, according  to doctors who were there.

(Editor's note: This story has been updated with the statement from FMA.)

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HNF Stories
7:39 am
Fri July 25, 2014

FL Medicaid Overhaul Dings WellCare

Credit Tampa Tribune

WellCare Health Plans, Inc. saw its stock price plunge more than 20 percent at one point on Friday after announcing its second-quarter net loss of $7.5 million, due mainly to high medical expenses in connection with the expensive rollout of Florida Medicaid's statewide managed care program.

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HNF Stories
2:18 am
Thu July 24, 2014

FL #1 in Rebates; Blue Owes $20M

Insurers must pay $41.7 million in rebates to Florida individuals and employers this summer, an amount that far exceeds refunds in any other state, according to a federal report released Thursday. 

Companies affiliated with Florida Blue in Jacksonville -- Blue Cross and Blue Shield of Florida and Health Options Inc. -- owe a total of $20 million, nearly half of the total.

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HNF Stories
11:04 am
Tue July 22, 2014

Appeals Courts Split on Subsidies

US Court of Appeals, Washington, DC
Credit US Court of Appeals

An appeals court in Washington, D.C. issued a decision Tuesday that would wipe out an estimated $4.8 billion a year in subsidies to Florida individuals and families who signed up for a health plan on the federal health marketplace this year. That would make health insurance unaffordable to most of the nearly 1 million Floridians who enrolled.

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HNF Stories
8:58 pm
Thu July 17, 2014

$4.8B in FL Subsidies at Stake

Credit commons.wikimedia.org

A court case challenging the Affordable Care Act's subsidies for plans sold on the federal marketplace could have an outsize effect on Florida, according to a new analysis.

A ruling is expected any day on Halbig v Burwell from a three-judge panel of the U.S. Court of Appeals in Washington, D.C. If the government loses and further legal maneuvers fail, the 34 states that rely on the federal exchange would see a $36-billion loss of subsidies, three Urban Institute researchers project.

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HNF Stories
11:00 pm
Wed July 16, 2014

How HMOs Hid Rates on State Site

Health News Florida Editor Carol Gentry
Credit Lottie Watts

How much will it cost Floridians to buy coverage next year on Healthcare.gov? Lots of people want to know, but the insurers are keeping the prices secret in an unprecedented way.

(Editor's note: This is a conversation between WUSF All Things Considered Host Craig Kopp and Health News Florida Editor Carol Gentry.)

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HNF Stories
7:53 am
Tue July 15, 2014

FL in Last Place for ACA Grants

Florida ranks last in the country in per-person funding from the Affordable Care Act, a new study shows, and that doesn’t even include the billions of dollars the state is forfeiting by saying no to Medicaid expansion.

The Center for Healthcare Research & Transformation at the University of Michigan performed the analysis of ACA grant totals between the time the law was signed in March 2010 and the end of September 2013.

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HNF Stories
10:48 am
Thu July 10, 2014

State Blasts Insurers for Hiding Rates

Credit Florida Office of Insurance Regulation

Florida health plans were wrong to use a state "trade secrets" law to hide their rate proposals from the public, the Office of Insurance Regulation says in letters to 15 insurers. 

In what became a nationwide embarrassment for Florida, insurers falsely placed a "zero" on the public rate-filing form for 2015 in the run-up to the June 27 reporting deadline. OIR officials say their intention was apparently to hide their actual rate proposals from one another, but it backfired when Health News Florida reported on the unusual phenomenon.

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HNF Stories
4:20 am
Thu July 10, 2014

Lawyers, Patients Fight Cost of Records

Barbara Allen, lead plaintiff in records suit.
Credit WUSF/CGentry

Doctors used to give patients a copy of their medical records for free. But that service is waning, as today's large group practices shed the hassle and risk by outsourcing the record-handling.

For-profit companies in the new "release of information" or "disclosure-management" industry include HealthPort Technologies LLC in suburban Atlanta and Bactes Imaging Solutions LLC in San Diego.

They say it is costly to process record requests in compliance with patient privacy laws. In Florida, they get $1-a-page for hospital records, whether the copies are on paper or digital.

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HNF Stories
8:10 am
Tue July 8, 2014

$267M Demand Is Not Coercion: FHA

Bruce Rueben, president of the Florida Hospital Association
Credit WFSU.org

Federal health officials are issuing audit reports and rushing to collect $267 million in alleged overpayments to some Florida hospitals to close the books on an old program, says Florida Hospital Association President Bruce Rueben.

FHA argues against a rush to judgment, saying some of the audits are still preliminary. Also, the group says, it’s unreasonable to expect hospitals to repay millions of dollars in one year. 

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HNF Stories
11:16 am
Thu July 3, 2014

Officials Shrug Off Medicaid Jobs Report

Incoming House Speaker Steve Crisafulli, R-Merritt Island

If President Obama was hoping the lure of 63,800 jobs would sway Florida's Republican officials to expand Medicaid, he was mistaken.

Neither the governor nor legislative leaders had anything positive to say about the estimate by the Council of Economic Advisors released by the White House on Wednesday. The report offered a state-by-state forecast of the number of jobs that could be expected from expansion of health insurance to the low-income uninsured.

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HNF Stories
8:00 am
Thu July 3, 2014

Rebel Urologist Faces Trial; FDA Panel to Review Device

Dr. Ronald Wheeler
Credit YouTube.com

A Sarasota urologist who diagnoses prostate cancer in an unusual way and treats U.S. patients at a clinic in Cancun will not agree to a suspension from practice.

Dr. Ronald Wheeler has rejected an offer from the Florida Board of Medicine to let him keep his medical license if he agrees to a year of suspension and an $80,000 fine, according to the Department of Health.

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HNF Stories
5:39 pm
Tue June 24, 2014

State Backtracks on Rate Proposals

The information posted by health insurers on a state website indicating they would not seek a rate increase for 2015 in Florida's individual market was "incorrect" and has been taken down, the Office of Insurance Regulation said late Tuesday afternoon.

Unfortunately, the false information came to light only after Health News Florida published an article on Tuesday with the headline: "No Rate Increase? Can It Be?"

The answer, it turns out, is no.

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HNF Stories
10:54 am
Tue June 24, 2014

No Rate Increase? Can It Be?

Update: Late Tuesday, the state Office of Insurance Regulation said information posted about 2015 individual market health insurance rates was incorrect and has been taken off its website. See more.

Something unprecedented may be unfolding in Florida's individual health-insurance market: None of the nine companies that have filed their 2015 rate requests so far wants an increase.

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HNF Stories
10:54 am
Wed June 18, 2014

Florida Premiums Average $68/Mo.

Floridians who bought health insurance on the Affordable Care Act marketplace and received tax credits got a pretty good deal, according to federal data.

They spent an average of $68 a month, considerably less than the national average of $82, the charts show. (See page 23 in the report)

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