Checking the heartbeat of Florida well being care information and coverage
Welcome again to Prognosis, a vertical that focuses on the crossroads of well being care coverage and politics.
— Expire or prolong —
For 2 years, Florida well being care suppliers have loved civil legal responsibility protections in opposition to COVID-19-related claims.
However these protections are set to run out June 1 until lawmakers agree to increase them.
Gov. Ron DeSantis held a information convention earlier this week during which he introduced his intent to pursue laws to proceed to ban vaccine mandates for each personal and public employers and bar masks mandates in faculties. The legislation, which licensed the Division of Authorized Affairs to sanction companies that violated the legislation as much as $50,000, can also be scheduled to sundown June 1.
DeSantis mentioned Tuesday there continues to be a push for vaccine and masks mandates and due to this fact the life span of the legal guidelines should be prolonged.
“It’s simply nuts we’re nonetheless doing this,” DeSantis mentioned. “We imagine there’s no turning again from our route.”
To look at DeSantis talk about masks mandates, please click on on the picture beneath:
However DeSantis didn’t point out the civil legal responsibility protections or extending them past June 1.
As a refresher, the COVID-19 legal responsibility protections had been initially handed in SB 72.
The invoice required plaintiffs to fulfill heightened pleading necessities of alleging information in adequate element to assist every component of their declare; show by the larger weight of the proof that the well being care supplier was grossly negligent or engaged in intentional misconduct; and overcome any affirmative protection acknowledged within the statute that’s correctly raised by the well being care supplier defendant.
The COVID-19 legal responsibility protections for well being care suppliers initially had been set to run out on March 29, 2022, which was one 12 months after DeSantis signed SB 72.
Final 12 months, the Legislature agreed to increase the protections by June 1 when it handed SB 7014.
So far, no laws has been filed to increase the protections past June 1.
— Sticker shock —
The quantity of premium reported by managed care plans working in Florida’s Medicaid managed care program continues to extend.
Eleven managed care plans reported incomes $17.19 billion in Medicaid premiums within the third quarter of 2022, in keeping with the newest out there information posted by the Florida Workplace of Insurance coverage Regulation. That’s $5.71 billion greater than what the plans reported being paid in Medicaid premiums within the second quarter of 2022, or in April, Could and June.
A Florida Politics assessment of Medicaid enrollment information posted by AHCA reveals the variety of folks within the Medicaid managed care program elevated in the course of the months of July, August and September, with Q3 enrollment within the managed medical help (MMA), long-term care (LTC) and the kids’s medical providers (CMS) applications reaching a excessive of 4,445,820 as of Sept. 30, 2022.
Enrollment elevated by about 123,000 in the course of the third quarter.
The $17.19 billion in Medicaid premium excludes Youngsters’s Well being Insurance coverage Program (CHIP) premium.
In all, the 11 Medicaid managed care plans earned practically $34.86 billion within the first 9 months of the calendar 12 months 2022, in keeping with the OIR quarterly studies, that are compiled from info the managed care plans report back to the Nationwide Affiliation of Insurance coverage Commissioners (NAIC) and the state insurance coverage workplace.
The managed care plans earned considerably extra premiums because the 12 months progressed, reporting $6.18 billion in Q1, $11.49 billion in Q2, and $17.19 billion in Q3.
I welcome your suggestions, questions and particularly your ideas. You’ll be able to electronic mail me at [email protected] or name me at 850-251-2317.
— Begin the clock —
Florida’s Medicaid program presently has greater than 5.6 million enrollees, in keeping with the December enrollment report compiled by AHCA and posted to the web site this week.
However that’s about to alter. The spending invoice handed by Congress late final month contained a provision that ends a requirement that states hold folks enrolled in Medicaid so long as there was a COVID-19 public well being emergency.
The Biden administration — as anticipated — final week prolonged that public well being emergency related till April.
Congress, nevertheless, is ending the Medicaid steady enrollment requirement on the finish of March. The federal authorities can also be going to part out elevated matching charges by the tip of 2023.
Which means states can start to disenroll folks from Medicaid in April, however state Medicaid officers should observe sure guidelines to stay eligible for the elevated federal funding that’s being phased out.
Well being care advocates have pressed the DeSantis administration for particulars as to the way it plans to sort out the large job of deciding who’s eligible for this system and who is just not.
However as a part of the transition — which has been referred to as the “unwinding” of the continual enrollment provision — federal authorities are requesting that states present info as they start this course of.
AHCA and the Division of Youngsters and Households, which handles eligibility willpower on behalf of the state, are slated to look earlier than the Senate Well being Coverage Committee Monday to provide Senators an replace on the “unwinding.”
— CRNA Week —
(Visitor column by Michelle Canale, DNP, CRNA, APRN, FAANA)
Yearly throughout america, Licensed Registered Nurse Anesthetists (CRNAs) administer greater than 50 million anesthetics to sufferers, and I’m proud to rely myself among the many practically 60,000 CRNAs celebrating our career throughout Nationwide CRNA Week, Jan. 22-28.
The American Affiliation of Nurse Anesthesiology (AANA) established CRNA Week in 2000 to tell the general public about anesthesia security and the advantages of receiving anesthesia care from CRNAs. Throughout Nationwide CRNA Week, nurse anesthetists educate sufferers, co-workers, and others about who we’re and what we do — from collaborating for transformative wins in well being care coverage to saving lives and advancing affected person care.
Nationwide CRNA Week offers the well being care group and the larger public alike the chance to mirror on the heroic work and distinctive experience of CRNAs and future CRNAs — college students enrolled in nurse anesthesiology applications — whereas recognizing the ability and resilience of our group.
This 12 months’s theme “The Unique Anesthesia Specialists,” acknowledges our lengthy historical past as the primary suppliers of anesthesia since 1863. Nurses first supplied anesthesia on the battlefields of the American Civil Warfare. Throughout World Warfare I, nurse anesthetists turned the predominant suppliers of anesthesia care to wounded troopers on the entrance strains.
Right now, CRNAs have full follow authority in each department of the navy and are the first suppliers of anesthesia care to U.S. navy personnel as the only real anesthesia suppliers on ahead surgical groups, on the entrance strains, on navy ships, and for plane evacuation groups across the globe. Extra right here.
— RULES —
AHCA has altered its proposed adjustments to Rule 59A-4.110 on dietary providers for nursing houses. Extra right here.
The Board of Medication proposes amending Rule 64B8-9.0091 concerning workplace surgical procedure registration and inspection and to create language to outline “workplace,” and the requirement for pre-registration inspections. Extra right here.
The Board of Osteopathic Medication proposes altering Rule 64B15-14.0076 on workplace surgical procedure registration and to create language to outline “workplace,” and the requirement for pre-registration inspections. Extra right here.
The Board of Osteopathic Medication proposes amending Rule 64B15-19.002 to replace, make clear and add new violations and penalties into the rule. Extra right here.
The Board of Pharmacy proposes amending Rule 64B16-26.1032 on immunization administration certification purposes. Extra right here.
— ETC —
— Mayo Clinic in Florida was named one of many High 50 hospitals within the nation by Healthgrades. Healthgrades used 2019-21 Medicare information to guage the efficiency of practically 4,500 U.S. hospitals within the therapy of 31 situations and procedures, together with coronary heart assault, pneumonia and sepsis. Healthgrades is a part of RV Well being, a Purple Ventures enterprise, and its manufacturers embrace Healthline, Healthgrades, Medical Information Right now, Greatist, Psych Central, Bezzy and Platejoy. For extra info on the strategy Healthgrades used, click on right here.
— Baptist Well being Basis acquired a $2 million donation from Miami-based insurance coverage firm BMI to roll out Baptist Well being’s digital affected person sensible TV and engagement system. The sensible system provides sufferers leisure, digital communication with care groups, video chat capabilities, translation providers, meal ordering, care schooling movies and photograph sharing from their hospital rooms, in keeping with a Jan. 10 information launch from Coral Gables-based Baptist Well being. “Digital sensible TV and engagement programs symbolize the way forward for inpatient hospital care, with larger choices for on-demand leisure and facilities, and the power to remain linked with family members. It’s going to enhance affected person security and make it simpler for our medical employees to offer the very best degree of care,” mentioned Rogelio Ribas, M.D., company vice chairman of Baptist Well being Worldwide.
— Miramar Democratic U.S. Rep. Sheila Cherfilus-McCormick reintroduced laws condemning assaults on reproductive rights and reaffirming a dedication to “advancing reproductive justice and judicial reform.” “Final Congress, my Democratic colleagues and I firmly demonstrated to the American folks that we worth ladies’s proper to decide on,” she mentioned. “By principally party-line votes, Home Democrats handed consequential laws such because the Ladies’s Well being Safety Act and the Making certain Entry to Abortion Act. These items of laws aimed to guard entry to abortion on the federal degree within the wake of the U.S. Supreme Court docket’s unprecedented determination to overturn Roe v. Wade.”
— LOBBYING —
—Nick Iarossi, Ron LaFace, Megan Fay and Christopher Schoonover have registered to foyer for Coventry.
—Robert Beck has registered to foyer for Elder Supply.
—Jennifer Jankowski Inexperienced, Timothy Parson and Adam Potts have registered to foyer for the Florida Assisted Residing Affiliation.
—Jorge Chamizo, Timothy Philpot and Melissa Joiner Ramba have registered to foyer for Do No Hurt.
—Philpot additionally has registered to foyer for Prime Therapeutics.
—James Daughton, Douglas Bell, Allison Liby-Schoonover, Andrew Palmer and Karl Rasmussen have registered to foyer for the Florida Dental Hygienists’ Affiliation.
—Paul Ledford registered to foyer for the Florida Hospice & Palliative Care Affiliation.
—Paul Hawkes has registered to foyer for the Florida Optometric Affiliation.
—Hawkes additionally has registered to foyer for the Security Web Hospital Alliance of Florida.
—David Custin has registered to foyer for HCA Healthcare.
—Lizbeth Benacquisto has registered to foyer for Hope HealthCare Companies.
—Jared Willis has registered to foyer for Sufferers Rising.
— ROSTER —
—The College of South Florida Faculty of Nursing has named Canale as assistant dean for the nurse anesthesia main. She beforehand served because the director of the nurse anesthesia program at USF’s Faculty of Nursing since 2017. She additionally serves as president of the Florida Affiliation of Nurse Anesthesiology, advocating on behalf of Florida’s 5,400 CRNAs.
—Orlando Well being has named Amy Wheeler the CFO of Dr. P. Phillips Hospital in addition to assistant vice chairman for the Florida system’s southeast area. Earlier than her appointment at Orlando Well being, Wheeler was CFO of Piedmont Eastside Medical Heart in Snellville, Georgia for six years. Orlando Well being operates 23 hospitals and emergency departments and employs greater than 25,000 folks.
—Linda Boyce Haller, govt director of the Henry E. Haller Jr. Basis, has been named to the Broward Well being Basis board of administrators. “Linda is such a valued member of our group — caring, compassionate and beneficiant — and we’re thrilled to have her on our board,” Broward Well being Basis President Scott Ford mentioned in a ready launch. “She leads by instance and is an admired supply of inspiration to so many.” The Broward Well being Basis’s purpose is to enhance the well being of its group by offering sources to advertise, assist and improve the applications and initiatives of the North Broward hospital district, which operates as Broward Well being, one of many 10 largest public well being care programs within the nation.
— ICYMI —
In case you missed them, here’s a recap of different important well being care coverage tales lined in Florida Politics this previous week:
—Once more: DeSantis is asking for sweeping new COVID-19 laws that may make everlasting bans on vaccine and masks mandates whereas blocking anybody from taking actions in opposition to docs who disagree with “the popular narrative of the medical group.”
—Shortfalls stay: The Florida Division of Corrections continues to be coping with staffing shortfalls, and legislators within the Senate and Home are listening to. The Senate Prison Justice Committee, the Home Justice Appropriations Subcommittee, and the Home Prison Justice Subcommittee heard comparable displays, which outlined progress made in remedying staffing shortfalls, together with a reminder that legislative work nonetheless must be executed in 2023.
—New director: The Governor has named Luis Soler, a captain within the U.S. Navy Reserve, as director of the Florida State Guard. Till his promotion, Soler served as deputy director and chief of operations for the State Guard, a World Warfare II-era civilian power the Florida Legislature resurrected final 12 months with a $10 million price range earmark.
—Curing most cancers: Jill Biden’s advocacy for curing most cancers didn’t begin together with her stepson’s demise in 2015 from mind most cancers. It started a long time earlier, lengthy earlier than she got here into the nationwide highlight, and will now be additional energized by her personal brush with a standard type of pores and skin most cancers.
—Properly executed: The Florida Bar is recognizing Tallahassee lobbyist Ron Guide for his 35 years of service working with and for Florida’s poor and underserved communities, together with professional bono contributions to fight homelessness and youngster abuse. Guide, the daddy of Sen. Lauren Guide, additionally lobbies on well being care points.
— FOR YOUR RADAR —
Other than protection by Florida Politics, these tales are price your time.
—“Some well being dangers from local weather change in Florida might shock. This one impacts tens of millions” through Sierra Lyons of the Miami Herald — A few of the well being impacts of local weather change are apparent and already clear in Florida, resembling extra instances of warmth stress and mosquito-borne tropical illnesses. However it might be stunning that as local weather situations intensify, well being consultants say it additionally will improve the danger of illness and demise for folks with diabetes. That’s vital for Florida, the place a staggering 1 in 10 residents are a part of the nationwide diabetes epidemic in keeping with information from the Facilities for Illness Management and Prevention. Many on the highest danger, consultants say, are the poor and communities of shade.
—“With demand hovering for coronary heart transplants, Florida hospitals ramp up” through Cindy Krischer Goodman of the South Florida Solar-Sentinel — With coronary heart illness the No. 1 killer in america, coronary heart transplants hit file highs in 2022. In Florida, demand has by no means been larger. Ten hospitals within the state carry out coronary heart transplants, every with their very own standards. Because the 12 months kicks off, greater than 200 individuals are on the waitlist, in keeping with the Organ Procurement Transplantation Community. Some Floridians is not going to reside lengthy sufficient to switch their failing coronary heart, however innovation is giving extra of them an opportunity.
—“Florida fee urges sweeping psychological well being reforms” through Sam Ogozalek of the Tampa Bay Instances — A state fee is urging Florida to enact sweeping reforms to its patchwork system of psychological well being care. The suggestions come from the Fee on Psychological Well being and Substance Abuse, which was created in 2021 after the Parkland grand jury referred to as Florida’s psychological well being system “a large number.” The state’s Division of Youngsters and Households supplied the fee’s interim findings to the Tampa Bay Instances. The group should submit a closing report back to the governor and state legislative leaders by Sept. 1. The preliminary report blasts Florida’s system as being advanced and inequitable.
—“Authorized boundaries stymie Florida adoptees’ seek for household medical historical past” through Alice Herman of Spectrum Information — In 2017, Lia Epps started researching her organic household. Nevertheless, in Florida, adopted folks should not have an automated authorized proper to their start data — solely restricted, non-identifying details about their start dad and mom. She thought of petitioning a choose, which can begin the discharge of her data. “The factor about petitioning a choose is it’s not assured,” Epps mentioned. “You must have a compelling purpose, and me eager to know my medical historical past, which is actually necessary — that’s not sufficient.”
—“Florida Tech pronounces a partnership to convey a medical faculty to Brevard County” through Joe Mario Pedersen of WMFE — Florida Institute of Expertise is opening Brevard County’s first medical faculty subsequent 12 months. The technical school will likely be doing so by a partnership with the Burrell Faculty of Osteopathic Medication, a New Mexico personal faculty. The colleges entered into an affiliation settlement in November and plan to launch a four-year osteopathic medical faculty on Florida Tech’s Melbourne campus.
— PENCIL IT IN —
1 p.m. — The Bureau of Emergency Medical Oversight, Mind and Spinal Wire Harm Advisory Council meets. Place: groups.microsoft.com. Electronic mail [email protected] or name (850) 245-4967 for a replica of the agenda.
9 a.m. — The Board of Podiatric Medication holds a workshop on proposed adjustments to Guidelines 64B18-17.001 and 64B18-17.002 on persevering with schooling wanted for license renewal and approval of continuous teaching programs, respectively. Place: meet.goto.com.
1:30 p.m. — The Florida Board of Nursing Possible Trigger Panel meets. Name (888) 585-9008; participant code: 275112502.
2:30 p.m. — The Board of Medication — North Possible Trigger Panel meets. Electronic mail [email protected] or name (850) 558-9858 for a replica of the agenda.
— Pleased birthday to Capitol Technique Group President Jon Costello.
— Pleased birthday to Tim Heart, CEO of the Capital Space Neighborhood Motion Company.
3:30 p.m. — The Senate Well being Coverage Committee meets to obtain an replace on the upcoming Procurement for Statewide Medicaid Managed Care — AHCA. Place: Room 412 of the Knott Workplace Constructing.
— Pleased birthday to Karen Woodall, Co-founder and Government Director on the Florida Heart for Fiscal and Financial Coverage dba the Florida Folks’s Advocacy Heart.
9:30 a.m. — The Senate Youngsters, Households, and Elder Affairs Committee meets and can hear a presentation from DCF on Postsecondary Training Companies and Help (PESS), Prolonged Foster Care (EFC), and Aftercare. Embrace Households will make a presentation on the Keys to Independence program. The Florida Institute for Youngster Welfare and the Workplace of Program Coverage Evaluation and Authorities Accountability (OPPAGA) will make displays on aiding youth in foster care and unbiased residing applications in Florida, respectively. There additionally will likely be a panel dialogue with youngster welfare professionals and stakeholders on numerous applications and providers that serve older foster youth Place: Room 37 of the Senate Workplace Constructing.
11 a.m. — The Home Well being & Human Companies Committee could have a panel dialogue on pharmacy profit managers. Place: Room 17 of the Home Workplace Constructing.
3:30 p.m. — The Home Healthcare Regulation Subcommittee will hear an replace from the Division of Well being on a 2022 invoice (HB 5) and will likely be supplied with an summary of the Youngsters’s Well being Insurance coverage Program by Florida Wholesome Youngsters Company. Place: Room 102 of the Home Workplace Constructing.
1 p.m. — The State Client Well being Info and Coverage Advisory Council (SCHIP Advisory Council) advert hoc committee will talk about potential modifications to the well being info change encounter notification service settlement. Place: gotowebinar.com/register. Agenda and assembly supplies right here.
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