Affordable Care Act

Health News Florida
9:10 am
Thu August 28, 2014

Jackson Health Faces Charity Care Complaint

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.

Consumer
8:42 am
Thu August 28, 2014

Insurers Find Ways to Discourage Enrollment

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.

Read more
Opinion
2:52 pm
Wed August 27, 2014

Fact-Checking Charge that Obamacare Blocks Florida Insurance Rate Regulation

Originally published on Wed August 27, 2014 2:52 pm

Health insurers want to raise rates in 2015 -- but Florida's insurance regulators are pretty much powerless to stop that.

And the Republican Party of Florida says that's Obamacare's fault.

Is that true?

Read more
Health News Florida
10:14 am
Wed August 27, 2014

ACA Exemptions Include Bill-Sharing

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.

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

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.

Read more
Health News Florida
9:02 am
Tue August 19, 2014

Pediatric Pay Lawsuit Nears End

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.

Read more
Consumer
8:23 am
Tue August 19, 2014

HMO, PPO, EPO: Which Plan Is Best?

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.

Read more
HNF Stories
9:22 am
Mon August 18, 2014

Report: FL Losing Most ACA Medicaid Money

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.

Read more
Consumer
9:06 am
Thu August 14, 2014

Hospitals May Help Pay ACA Premiums

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.

Read more
Health News Florida
10:25 am
Wed August 13, 2014

93K in FL Need to Send Documents to Keep Coverage

The clock is ticking for hundreds of thousands of people who have unresolved issues affecting their coverage under the new health care law. Florida has the most cases at 93,800.

The Obama administration said Tuesday that letters are going out to about 310,000 people whose citizenship or immigration details don't match what the government has on file. 

These consumers need to send in their documentation by Sept. 5. Otherwise their coverage will end Sept. 30.

Read more
Opinion
2:09 pm
Wed August 6, 2014

FMA Supports Medicaid Expansion Money

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.

Read more
Health News Florida
9:08 am
Wed August 6, 2014

Advocates: FL Consumers to Pay for Lawmakers’ Decision

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.

Read more
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.)

Read more
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.

Read more
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.

Read more
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.

Read more
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.)

Read more
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.

Read more
Health News Florida
9:35 am
Mon July 14, 2014

FL Docs Shun Obamacare Plan Holders

Nearly 1 million Floridians have signed up for coverage via the Affordable Care Act (ACA), but some in South Florida are having to battle with doctors for treatment, the Miami Herald reports.

Read more
HNF Stories
10:50 am
Thu July 10, 2014

Uninsured Rate Drops, but Remains High

A lot more Floridians have health coverage compared to a year ago, but the state continues to have one of the nation’s highest uninsured rates, two new studies show.

An estimated 26 percent of working-age Floridians remain uninsured, according to a new Commonwealth Fund survey that looks at enrollment since the Affordable Care Act enrollment launched last October.

Read more
Health News Florida
10:24 am
Wed July 2, 2014

FL Missing Out on 63,800 Jobs?

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.

Read more
Health News Florida
10:24 am
Mon June 30, 2014

More Plans to Compete in '15

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.

Read more
Health News Florida
10:51 am
Wed June 25, 2014

Orlando Health: No Merger

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

Read more
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.

Read more
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.

Read more
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)

Read more
Health News Florida
10:58 am
Wed June 11, 2014

Loophole in Health Law: Ministries

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.

Read more
HNF Stories
9:34 am
Fri May 30, 2014

4 FL Insurers Accused of Discrimination

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.

Read more
Opinion
11:35 pm
Thu May 22, 2014

Scott Turns Back on Needy Uninsured

John Romano

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.

Read more
Health News Florida
10:59 am
Mon May 19, 2014

Anti-'ObamaCare' Ads Dominate

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.

Here is the national story from Associated Press:

Read more

Pages