Complaints alleging that the Jackson Health System is barring Miami-Dade residents from the hospital’s charity care program have been filed with the Internal Revenue Service and U.S. Department of Health and Human Services, the Miami Herald reports.
Insurers can no longer reject customers with expensive medical conditions thanks to the health care overhaul. But consumer advocates warn that companies are still using wiggle room to discourage the sickest — and costliest — patients from enrolling.
Some insurers are excluding well-known cancer centers from the list of providers they cover under a plan; requiring patients to make large, initial payments for HIV medications; or delaying participation in public insurance exchanges created by the overhaul.
While most Americans are required to obtain health insurance under Affordable Care Act’s mandate, others are exempt from purchasing insurance by joining medical bill-sharing groups, the Miami Herald reports.
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.
Pediatricians challenging how the state pays for Medicaid services to children could see the nine-year-old case end in October, the Miami Herald reports.
The lawsuit, filed in 2005, claims that the Agency for Health Care Administration, Department of Health and Department of Children and Families violated federal law, and also hampered patient access by making low Medicaid payments to providers, the Herald reports.
What’s in a name? When it comes to health plans sold on the individual market, these days it’s often less than people think. The lines that distinguish HMOs, PPOs, EPOs and POS plans from one another have blurred, making it hard to know what you’re buying by name alone - assuming you're one of the few people who know what an EPO is in the first place.
“Now, there’s a lot of gray out there,” says Sabrina Corlette, project director at Georgetown University’s Center on Health Insurance Reforms.
Florida looks to lose more federal money set aside for Medicaid than any state that has opted out of expanding the health care program for the poor, says a new report from the Robert Wood Johnson Foundation and the Urban Institute.
Low-income consumers struggling to pay their premiums may soon be able to get help from their local hospital or United Way.
Some hospitals in Florida, New York and Wisconsin are exploring ways to help individuals and families pay their share of the costs of government-subsidized policies purchased though the health law’s marketplaces – at least partly to guarantee the hospitals get paid when the consumers seek care.
I recently attended the Florida Medical Association annual meeting, where the organization develops policies for the coming year. The legislative agenda is drafted and approved.
FMA delegates from the specialty groups and county medical societies will vote on each resolution coming before the House. FMA lobbyists will then bring approved policy to Florida’s legislators and congressional representatives.
Republicans were quick to pounce Monday on Florida’s announcement that residents buying health insurance on the individual market for next year will face a 13.2 percent average increase in monthly premiums — one of the steepest rate hikes announced for any state. “Obamacare is a bad law that just seems to be getting worse,” said Florida Gov. Rick Scott, a Republican who is running for re-election.
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.)
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.
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.
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.
The White House will release a state-by-state report Wednesday which estimates that a Medicaid expansion in Florida would generate 63,800 jobs from 2014-2017. Most of the jobs would be in health care, while providing health care to 848,000 people, according to the Tampa Bay Times.
The number of health insurers willing to compete in the federally run Health Insurance Marketplace for Florida enrollees for 2015 has grown, according to forms filed with a state agency by Friday's deadline. One that stayed out last year, giant UnitedHealthcare, is among them.
Orlando Health announced Wednesday that it is no longer seeking a partner for merger or acquisition because its own finances are healthy and there is no longer a need, the Orlando Sentinel reports. While the not-for-profit health-care system had received several proposals, its board decided Monday to remain independent, a decision that goes against the nationwide trend of hospital mergers. The board also decided to begin a national search for a new
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?"
Some people refuse to buy insurance that complies with the Affordable Care Act for political reasons. Others simply don't think it's really affordable.
The New York Times reports that a growing number of them have turned to the religious loophole in the health law. Two of those profiled are Florida women who are members of a faith-based nonprofit called Christian Healthcare Ministries.
Two health organizations filed a complaint with federal health officials Thursday alleging some Florida insurance companies are violating the Affordable Care Act by structuring their insurance plans in a way that discourage consumers with HIV and AIDS from choosing those plans.
The National Health Law Program and The AIDS Institute of Tampa said four insurance companies offering plans in Florida through the federal online exchange required HIV and AIDS patients to pay a percentage of their often expensive drugs instead of a flat co-pay.
Tampa Bay Times columnist John Romano tells how Indiana Gov. Mike Pence, a long-time opponent of the Affordable Care Act, nevertheless has asked the federal government for ACA funds to cover his state's uninsured citizens.
Floridians who feel they have been deluged by negative political ads with an anti-"Obamacare" theme are not mistaken: A new study shows spending on negative Affordable Care Act ads dwarfed positive ones 15 to 1.
An example of one such ad by Americans for Prosperity aired for three weeks in the Panhandle district of Congressman Steve Southerland, R-FL.