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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...
DAVID ROSENFELD

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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...
GARY SAULTER

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


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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...
J.L.WEBB

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Medicare Problems Bigger Than Recent Vote
Doctors Elude Cut, Yet Remain in Cross Hairs

Florida doctors are sick and tired of having to fend off proposed payment cuts under Medicare each year, said Jeff Scott, director of legal and government affairs of the Florida Medical Association...
DAVID ROSENFELD

Physician Outcry Blocks 10.6 Percent Medicare Payment Reduction; Congress Overrides Presidential Veto
Calling passage of the Medicare Improvements for Patients and Providers Act of 2008 “a long and winding road,” AMA President Nancy H. Nielsen, MD, applauded the U.S. Congress’ move on July 15 to override President Bush’s veto of the legislation. It is now law, averting a 10.6 percent Medicare physician payment cut...
SHARON FITZGERALD

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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...

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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...
LUCY SCHULTZE

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...

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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...
CINDY SANDERS