health care

Power Of Price
2:00 am
Tue September 16, 2014

When Transparency Isn't Always Enough: A Conversation On Health Care Pricing

Credit freedigitalphotos.net

In our Power of Price series, we’ve been exploring how the secrecy shrouding health care pricing can raise costs — the cost of the care itself and the cost to employees who get their insurance through work.

There’s a movement to make those prices more transparent. More than a dozen other states have started something called an “all-payer claims database.”

These databases track what actually gets paid for care at different hospitals by various insurers. They can be used to analyze the true cost of health care and make it public.

Read more
Power Of Price
1:57 am
Mon September 15, 2014

Health Care Pricing Is Complicated. Here's A Beginner's Guide.

If only health care financing was this straightforward.
Credit Pakorn / freedigitalphotos.net

Figuring out the real price of health care is complicated — even if you've already paid your bills. You can hear just how complicated it is here:

And if health care pricing wasn’t convoluted enough, it’s hard to talk about it without running into some conversation-stopping jargon. Words that mean one thing to the rest of the English-speaking world can mean something completely different in health care — like a “charge” that isn’t the same as the price.

To help clarify, here’s a glossary of common terms in the world of health care finance:

Read more
The Sunshine Economy
6:55 pm
Fri September 12, 2014

Power Of Price: A Special Hour On Health Care's Complexity, Secrecy And Cost In South Florida

Patients can know what health care costs them, but can they really know what it costs?
Credit phasinphoto / freedigitalphotos.net

  Almost a year and a half ago, Mt. Sinai Medical Center CEO Steve Sonenreich pledged on WLRN to make public what insurance companies pay his hospital.

He later told us that because of non-disclosure agreements between the hospital and the region’s insurance companies, he legally couldn’t share that information after all.

It turns out these secrecy agreements are standard practice between South Florida insurers and hospitals.

Read more
Health News Florida
11:51 am
Tue September 9, 2014

Adult Obesity Rate Inches Up in FL

Originally published on Fri September 5, 2014 9:24 am

Read more
The Florida Roundup
11:10 am
Fri August 1, 2014

The Florida Roundup: Doctors Banned From Asking About Guns

Under the 2011 Firearms Owners' Privacy Act, doctors who ask about a patient's gun ownership could risk losing their license to practice medicine.
Credit Timmy Gunz / Creative Commons/Flickr

    

On The Florida Roundup: It’s been called the “physician gag rule” or a law that pitted “docs versus glocks.” And a recent federal appeals court upheld the 2011 state law prohibiting doctors from inquiring about patients' gun ownership. The Florida law was the first of its kind in the U.S.

Read more
The Florida Roundup
10:59 am
Fri July 25, 2014

The Florida Roundup: Taking The "Affordable" Out Of The Affordable Care Act?

Health insurance subsidies are on shaky ground after two contradictory court rulings.
Credit cooldesign / freedigitalphotos.net

This week on the Florida Roundup, we're exploring why subsidies to help nearly a million Floridians buy health insurance are on shaky ground.

Read more
Health Care
9:36 pm
Tue July 22, 2014

Dueling Appeals Court Decisions Leave Obamacare Subsidies In Limbo

Credit Amenic181 / freedigitalphotos.net

Some Obamacare insurance subsidies were struck down by one court but upheld by another during a tumultuous day for the Affordable Care Act. One of the rulings is a direct threat to the tax credits that have recently helped thousands of Floridians buy health insurance.

Read more
Health
5:04 pm
Wed July 16, 2014

South Florida Health Center Receives $2 Million Grant Under the Affordable Care Act

Thirteen medical residents started their training on July 1.
Credit Community Health of South Florida

Community of Health of South Florida received a $2 million grant to train primary physicians. The center is the first in the state to receive funding from the Health Resource and Services Administration.  

Thirteen medical residents started a training program this month to meet the needs of many patients newly insured under the Affordable Care Act.

Read more
Health Care
3:22 pm
Wed July 16, 2014

Florida First In Medicaid Coverage For Mentally Ill

Florida is rolling out new Medicaid plans specifically for people with severe mental health diagnoses.
Credit Creative Commons of Charles Bell's Anatomy of the Brain, c. 1802 / Flickr user Shaheen Lakhan

  This month, Florida became the first state to offer a Medicaid plan dedicated to people who are diagnosed with severe mental health disorders.

It’s part of a larger move by the state’s Medicaid officials to move coverage towards a managed care system. It means one organization takes care of and coordinates all of a person’s health care needs: no more separate dental, vision, and internal medicine plans.

Mental health issues are almost twice as prevalent among Medicaid recipients than in the general population.

Read more
Health
5:10 pm
Mon July 14, 2014

Hospitals Fix Early-Birth Problem

Originally published on Wed July 2, 2014 11:18 am

 Close to 50 Florida hospitals have successfully reined in a practice that can cause big problems: Deliberately delivering an infant before the completion of the 39th week of pregnancy.

The American College of Obstetricians and Gynecologists and the March of Dimes are giving a banner of recognition that says "Healthy Babies Are Worth the Wait" to each hospital that meet the criteria, according to a news release from March of Dimes. 

Read more
News
1:36 pm
Fri July 11, 2014

Why Miami's Health Rights Clinic Offers Veterans Free Legal Services

Credit Miami Herald

The Health Rights Clinic in the University of Miami’s School of Law offers free legal services to veterans. They help those who've been denied benefits they may be entitled to, like Social Security.

Ryan Foley, a pro bono attorney for the clinic, says the most common reason veterans are denied is that they have not been able to provide enough evidence to support their claims.

“That is why lawyers are so important to getting veterans the benefits they deserve,” says Foley.

Read more
Newscast
6:19 am
Tue May 27, 2014

May 27, 2014: ProPublica Investigation Reveals Possible Medicare Fraud In Florida

Today on WLRN-Miami Herald News, you heard:

Read more
Medicare Investigation
9:32 pm
Mon May 19, 2014

Florida's Unusual Medicare Charges, And Why They Matter To Patients

ProPublica found unusual Medicare billing patterns in Florida and elsewhere.
Credit cooldesign / freedigitalphotos.net

A group of Florida doctors has been charging Medicare at a surprisingly high rate.

A ProPublica investigation analyzed a recently released Medicare database and found unusual billing patterns in Florida and elsewhere. ProPublica used that same data to create an online tool that lets patients see how individual doctors compare to their peers when it comes to procedures and billing patterns.

Read more
ProPublica Investigation
12:15 pm
Thu May 15, 2014

Florida Docs Charge Medicare Top Rate For Office Visits

An analysis of Medicare billing rates show some doctors charge an unusually high amount for office visits.
Credit Vichaya Kiatying-Angsulee / freedigitalphotos.net

Office visits are the bread and butter of many physicians’ practices. Medicare pays for more than 200 million of them a year, often to deal with routine problems like colds or high blood pressure. Most require relatively modest amounts of a doctor’s time or medical know-how.

Read more
Addiction Recovery
6:27 pm
Tue April 1, 2014

Legislature Wants To Tighten Scrutiny Over South Florida's Multitude Of 'Sober Houses'

Credit freedigitalphotos.net

Rules to govern the so-called "sober houses" that proliferate in Palm Beach and Broward counties have survived one gauntlet of committees in the Legislature and they're ready for a full House vote.

The bill aims to protect the sober houses' complaining neighbors as well as the recovering addicts themselves. Listen to the full story below.

Read more

Pages