|Managed Care Bill Marks Major Reform|
Insurers No Longer Able to “Look-back” More than Two Years
The Florida Medical Association came away with a win this legislative session heralded as one of the most significant managed care reform laws in more than a decade.
The law, known as the Managed Care Bill (SB 1012), most notably prevents insurers from reversing payments up to 30 months after dolling them out. Instead, insurers will have just 12 months to re-open claims for possible reversal in addition to a six-month review period already in existence. Insurers use this so-called “look-back period” to take a closer look at medical necessity...
|Equipment Leasing and Evergreen Clauses|
If ever there was an aspect of equipment leasing which juxtaposed the legal with the unethical, the “evergreen clause” is it.
An evergreen clause, or evergreen lease as the word implies, signifies a contract that goes on forever. In actuality, it can end, but only after the lessee sends, within a specified time period, a letter stating his intent to return or purchase the underlying equipment...
|Grand Rounds August|
ORMC First in Orlando to Use New Heart Stent
Florida Hospital Named One of America’s Best Hospitals
Edward Jones Receives High Marks from SmartMoney Magazine
Florida Hospital Applies to Expand Transplant Program to Include Heart and Lung Transplants
Brooks Rehabilitation Opens Winter Park Clinic
Nemours Unveils Children’s Hospital Master Site Plan And Expert Design Team
New CEO joins Florida Hospital Ormond Memorial
New Building Ground Breaking In Downtown St. Petersburg
MORSE LLC- CyberKnife Centers of Miami and Palm Beach Mark Expansion Into Southwest Florida
Mosaica Partners’ Kolkman to Chair HIMSS Healthcare Information Exchange Steering Committee
Moffitt Cancer Center Ranks on U.S. News & World
Report’s List of America’s Best Hospitals for Cancer
|Helping Neonates Through the Pain|
Newborn babies in intensive care units feel pain just as strongly as older children and adults. Yet, most endure hurtful procedures without the benefit of pain medicine or therapies, according to a study published in the July issue of the Journal of the American Medical Association.
The study, “Epidemiology and Treatment of Painful Procedures in Neonates in Intensive Care Units,” was authored by Ricardo Carbajal, MD, a professor of pediatrics in Paris who specializes in pain management. The data was collected bedside at multiple hospitals over a 16-month period and involved 430 neonates whose average stay in intensive care units was about eight days...
|Physician Spotlight: Dr. Alan F. List|
Alan F. List, MD, was recently appointed executive vice-president and physician-in-chief of Tampa’s H. Lee Moffitt Cancer Center and Research Institute. Prior to his current position, he was division chief of Moffitt’s Hematologic Malignancies Division, Department of Interdisciplinary Oncology...
WENDY R. LEVINE GROSS
|Seminole County Medical Society:|
The Seminole County Medical Society would like to extend a great big thank you to all those who helped get H.R. 6331 passed! Recently, many doctors practicing in Florida were faced with a tough decision: Remain in or opt out of the Medicare program. This difficult decision was brought on by “The Medicare Improvements for Patients and Providers Act of 2008” H.R. 6331 which called for a stop to the 10.6% cut this year and a 5% cut next year in Medicare physician payments. In a state where so many patients rely on Medicare, the physicians who care for these patients have gradually seen their insurance, medical supplies, staff costs, and overhead across the board increase year after year...
|Building a Healthy America from Kids’ Minds, Bodies |
As president-elect of the American Academy of Pediatrics, David T. Tayloe Jr., MD, will be taking the reins of the Academy as a new administration takes hold in Washington.
Regardless of the outcome of November’s elections, Tayloe and other AAP leaders are working now to educate government officials on how healthcare reforms can affect America’s children. Among the top goals is bringing parity to the way the government administers funding for kids’ health in relation to that of groups like the elderly and disabled...
|Orange County Medical Society|
Medicare Improvements for Patients and Providers Act of 2008
Thanks to the overwhelming number of physicians, patients and staff who contacted Florida’s Congressional delegation, organized medicine has been able to stop the scheduled 10.6% cut in Medicare payments that was to take effect July 1, 2008...
|Squaring Off on Vaccine Safety|
Between the recent decision of the Department of Health and Human Services’ Division of Vaccine Injury Compensation in the Hannah Poling case and the media splash earlier this summer that accompanied actress Jenny McCarthy’s “Green Our Vaccines” march on Washington, D.C., groups that have long espoused the underlying dangers of the U.S. immunization program believe they have reason to feel vindicated...
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