November 28, 2023

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Jason Weida is the secretary for Florida’s Company for Wellbeing Care Administration, which has been named in a lawsuit.

Phil Sears/AP


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Phil Sears/AP


Jason Weida is the secretary for Florida’s Company for Health and fitness Treatment Administration, which has been named in a lawsuit.

Phil Sears/AP

A toddler with cystic fibrosis living in Jacksonville, Fla. missed months of her medicine after she and her mom were being minimize off from Medicaid.

And in Miami-Dade county, a just one-year-outdated missed a regimen vaccination – her mom bought a contact the day before the appointment informing her the check-up was canceled because the child no more time had insurance coverage.

These two kids and their mother and father are suing the condition of Florida alleging that their Medicaid protection was terminated without the need of proper observe or a probability to contest the condition agency’s decision.

The lawsuit was filed Tuesday in the U.S. District Courtroom in Jacksonville by the Florida Health and fitness Justice Undertaking and the Countrywide Wellbeing Regulation Method, and the grievance was shared completely with NPR.

Attorneys for the plaintiffs believe it to be the 1st lawsuit of its kind due to the fact Medicaid “unwinding” commenced in April. The complaint suggests the plaintiffs’ owing method rights ended up violated and are asking the court to instruct the point out Medicaid agency to end disenrolling Floridians “until eventually well timed and lawfully ample detect of termination has been offered to them.”

Tens of millions out of Medicaid, most for paperwork factors

For 3 a long time for the duration of the COVID-19 pandemic, no 1 experienced to go via any form of renewal system to remain on Medicaid. Now that safety has occur to an stop, and every single condition is examining eligibility for anyone on its rolls.

So far, far more than 5.2 million men and women have lost Medicaid nationally, in accordance to reports from 45 states and the District of Columbia analyzed by wellness exploration business KFF. And 74% of people today, on common, are getting rid of coverage for paperwork explanations, not because they in fact no longer qualify for protection, according to KFF.

Extra than 400,000 Floridians have shed protection so far, while KFF’s Jennifer Tolbert details out, this is in portion a reflection of the measurement of the plan in this country’s third most populous condition. “Interestingly, nevertheless, Florida’s disenrollment amount is 31%, which is down below the over-all average of 38%,” Tolbert claims.

She provides that lots of Medicaid recipients in the state are kids and low-revenue mother and father since Florida did not broaden Medicaid, a single of the handful of remaining states to hold out on carrying out so.

The Florida Division of Children and People sent NPR a flier touting how the point out is “continuing to lead on redeterminations.” It reported 1.9 million beneficiaries had been redetermined to day, and 89% responded to the kind sent out by the company.

“This is a

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3 min read

Dr. Michael Sofianos Jr. cares for around 80 adult and pediatric individuals a week.He is the only dentist serving clients at the Well being Care District of Palm Seaside County’s community health and fitness middle in Belle Glade.”I made use of to apply on the other facet of Lake Okeechobee in Moore Haven,” Sofianos explained. “I was the only dentist at that level in the full county.”Well being Care: New condition drug procedure exertion modeled following Palm Beach front County’s programSofianos Jr. has been with the Health and fitness Care District of Palm Seashore County for a 12 months.”When it comes to access for individuals out here, you will find not a great deal,” Sofianos said. “It truly is unquestionably some thing that wants to improve.The Health and fitness Means and Providers Administration experiences, as of March 31, 2022, about 67% of the nation’s dental wellness shortage regions are in rural The united states.According to the Rural Wellness Exploration Heart, there are many contributing components which contain: minimal slots in Dental Schools, an unwillingness of providers to do the job in rural spots and a big quantity of dentists retiring.Your community: Neighborhood protection from WPBF 25 NewsDr. Sofianos Jr. understood this was wherever he needed to be even prior to he graduated from university.He phone calls his practical experience with his clients fulfilling.”Sufferers normally depart with a smile for the reason that they love every little thing we’re capable to do for them,” Sofianos mentioned. “It can be undoubtedly a truly rewarding encounter. I am in a position to arrive home every day and feel excellent.”Delone Pierce is 1 of his patients. “He is compassionate,” Pierce explained. She travels from West Palm Beach to see him.”I am telling you he’s one particular of the finest dentists I’ve at any time experienced, and I am 53 decades old,” Pierce reported.The Wellbeing Treatment District’s 10 community health facilities throughout the county present a total variety of products and services to help maintain patients healthful, which include healthcare, dental, behavioral well being, women’s wellbeing, pharmacy solutions and extra. They provide all individuals, regardless of their capability to shell out or whether or not or not they have insurance policy. To make an appointment, call 561-642-1000.”At the stop of the day, when you go dwelling, you really feel like you built a adjust, and that’s 1 factor I can unquestionably say out listed here,” Sofianos said.Comply with us on social: Facebook | Twitter | Instagram | TikTok

Dr. Michael Sofianos Jr. cares for approximately 80 grownup and pediatric clients a 7 days.

He is the only dentist serving sufferers at the Overall health Treatment District of Palm Beach front County’s group wellness center in Belle Glade.

“I made use of to exercise on the other side of Lake Okeechobee in Moore Haven,” Sofianos stated. “I was the only dentist at that stage in the whole county.”

Health Treatment: New condition drug treatment work modeled soon after Palm Seaside

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2 min read

TAMPA — Tens of thousands of Tampa Bay citizens may perhaps have to locate new medical professionals by Oct as two of the region’s key wellbeing treatment gamers are publicly sparring around a new insurance plan agreement.

BayCare Health Process this 7 days sent 215,000 letters to individuals insured as a result of Florida Blue, warning that BayCare’s hospitals, medical professionals and lab expert services would be out of the insurer’s network by Oct. 1 if the two can’t agree on new health and fitness care rates.

The deal, which involves agreements on health care bills like medical center treatment, appointments with principal care medical doctors and professionals, and diagnostic providers like X-rays and MRIs, was final negotiated three years ago. BayCare operates 15 hospitals throughout Hillsborough, Pinellas, Pasco and Polk counties in addition to an ambulatory division and BayCare Medical Team, one of the region’s greatest health practitioner teams.

In the letter, BayCare accused Florida Blue of currently being “unwilling to access an agreement that would promise we can sustain the companies that sufferers like you rely on from the physicians you know and have faith in.”

Florida Blue, which is the state’s BlueCross BlueShield service provider, responded with a rebuttal on its web site: “Unfortunately, BayCare is asking for an extremely massive enhance in the amount of money they are compensated to care for our customers. These types of huge raises would greatly generate up how much our customers pay out for solutions at BayCare as properly as how significantly they spend for wellness insurance plan every month.”

Connected: BayCare pays $20 million for improperly boosting Medicaid payments

The dispute over charges arrives as the pandemic and a countrywide shortage of nurses has driven up healthcare facility expenditures by a lot more than 20% considering that 2019, according to a report from the American Healthcare facility Association.

Much of that improve is the outcome of much more nurses quitting permanent work to become deal staff who can command significant weekly charges. In 2019, contract nurses accounted for just beneath 5% of hospitals’ shelling out on nurses. As of January, that quantity experienced soared to almost 40%, the report states.

At the exact same time, much more than a third of overall health care charges — about $800 billion — go towards insurance policy enterprise overheads and company time expended on billing, a 2017 examine in the Annals of Inside Medication located.

The transfer to make the dispute public is most likely an attempt to force the other aspect, said Patrick Thornton, CEO of Anderson Thornton Consulting, a Tampa health coverage specialist. Hospitals benefitted from the pandemic via federal subsidies for dealing with those with COVID-19, he claimed. In the meantime, insurance corporations collected premiums but had decreased payouts as hospitals delayed non-COVID-19 treatment.

“It’s two heavyweights just stepping into the ring, and who’s likely to flinch initial is what it boils down to,” he said.

Both equally BayCare and Florida Blue blamed every single other when questioned about

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2 min read

Drawers opened and shut. Garbage bags filled with clothes, birthday cards and pocketbooks. They had to go.

So did 95-year-old Judith Goodman.

Goodman had called Raydiant Health Care of Brandon her home for 13 years. By the next day, she would be gone.

“I feel horrible — I don’t want to leave,” she said late last month as she watched her two daughters pack her belongings. “But what can I do?”

Residents of the 120-bed Tampa Bay nursing home learned in June that it was closing. They said they were told that they had 30 days to find places to live.

About half of its 87 residents left within a week of the announcement, according to a spokesperson for the Centers for Medicare & Medicaid Services.

The nursing home on Wednesday became the latest in Florida formerly affiliated with Consulate Health Care to lose its federal benefits since May because of poor patient care. The federal government considers termination of Medicare and Medicaid a “last resort,” implemented only after “all other attempts” fail to resolve health and safety deficiencies.

Related: Consulate nursing homes are changing names. Are they changing ownership?

A bankruptcy filing and bad press have plagued Consulate — the state’s largest nursing home chain — over the past few years. The local nursing home, about 14 miles east of Tampa, appears to have changed hands at least twice since January. Such corporate intrigue is a mere secondary concern, however, for vulnerable residents who are caught in the fallout of the for-profit industry.

Goodman sat in her wheelchair next to her roommate’s bed. She and her roommate had greeted the morning together like always.

By noon, the roommate had already moved out. Goodman wasn’t sure if she’d see her again.

Judith Goodman, 95, sits among her things as her daughters prepare to move her out of Raydiant Health Care of Brandon on June 26, 2022.
Judith Goodman, 95, sits among her things as her daughters prepare to move her out of Raydiant Health Care of Brandon on June 26, 2022. [ Hannah Critchfield ]

‘A last resort’

The news broke during bingo.

Residents recalled tears in the nursing home administrator’s eyes as she delivered the message on June 21: Within a month, the place would close. Residents suddenly found themselves in need of housing.

That same day, the federal government said it would terminate Raydiant Health Care of Brandon’s Medicare contract, according to a letter, stating that it had failed to “meet Medicare’s basic health and safety requirements.”

Related: Bill changing Florida nursing home standards was written by the industry, emails show

The nursing home no longer can receive federal money for the services it provides. The loss of such payments often makes it difficult for a place to survive, as Medicaid pays the bills for more than half of all nursing home residents in Florida. Individual costs can approach $80,000.

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FORT LAUDERDALE, Fla. (AP) — A Florida dentist was arrested Thursday on charges that he hired strike adult males 8 decades in the past to kill his sister’s ex-spouse, a prominent law professor, so she could shift back to the Fort Lauderdale location from Tallahassee with her two kids.

Charles Adelson, 45, was currently being held Thursday with no bond at the Broward County jail on fees of first-degree murder, conspiracy to commit murder and solicitation to commit murder immediately after staying arrested at his home by U.S. marshals. He is awaiting transfer to Tallahassee. His legal professional reported Thursday he is innocent.

Adelson and other users of his family members have very long been cited by prosecutors and investigators as probable suspects in the July 18, 2014, killing of Florida Point out College law professor Daniel Markel by two men at his Tallahassee household. Markel, 41, had been married to Wendi Adelson, who experienced been not able to return to South Florida due to the fact Markel had joint custody of their younger kids after a very contentious divorce.

Leon County Point out Lawyer Jack Campbell reported in a statement that Adelson was indicted by a grand jury following experts were ready to enrich the sound on an April 2016 movie recording created secretly of him conversing to a previous girlfriend and personnel, Katherine Magbanua. She was billed six months later with arranging the killing. Adelson had been under surveillance.

“This recording features statements by Charles Adelson which can be read plainly for the 1st time,” Campbell stated.

Magbanua is scheduled to be retried up coming month on a to start with-diploma murder charge soon after a jury hung in 2019. Prosecutors say she hired Sigfredo Garcia, the father of her two youngsters, to commit the murder and that he enlisted the support of his childhood good friend, Luis Rivera.

Prosecutors stated the two guys drove from South Florida to Tallahassee to execute the approach, stalking Markel on the morning of the capturing as he dropped off his children at day care and stopped at the health and fitness center. When Markel returned home, Garcia shot him as he sat in his vehicle talking on his cellphone.

Garcia is serving a life sentence after currently being convicted of initially-degree murder in 2019. Rivera is serving a 19-yr sentence after pleading responsible to next-degree murder in trade for testifying towards Garcia and Magbanua.

David Markus, Adelson’s lawyer, said his shopper is innocent and tied the arrest to Magbanua’s retrial.

“Prosecutors have no new information that led to this arrest. The timing positive does stink, doesn’t it? On the eve of a extensive-awaited demo of (Magbanua), this move has the scent of desperation,” Markus mentioned in an emailed assertion.

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