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  1. Welcome again to Analysis, a vertical that focuses on the crossroads of well being care coverage and politics.

—Tick tock—

Any day now, Gov. Ron DeSantis is predicted to signal the massive well being care package deal accredited by the Legislature.

Senate President Kathleen Passidomo’s well being care precedence payments (SB 1758/SB 7016/SB 7018) have been despatched to DeSantis on March 12. The Governor has till March 27 to signal them into regulation, veto them, or enable them to grow to be regulation with out his signature.

No different well being care-related payments have been sent to DeSantis for the reason that finish of the 2024 Session.

‘Stay Wholesome’ is on Ron DeSantis’ desk, and he might make a couple of tweaks together with his pen. Picture by way of Colin Hackley.

The primary factor to observe relating to these payments is whether or not the Governor permits all of the spending included within the laws to proceed.

The payments embody greater than $1.2 billion in appropriations which are outdoors the stand-alone finances accredited by lawmakers on the ultimate day of the Session. DeSantis has line-item veto energy for finances objects and that features spending authorizations included in any invoice, not simply the Basic Appropriations Act (GAA).

DeSantis, throughout a information convention held shortly after the 2024 Session concluded, mentioned it was doubtless he would veto finances objects accredited by legislators. He was referring particularly to the 2024-25 finances act nevertheless it’s vital to recollect he might use it in different places as properly.

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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.

— Meet the COVID Class —

Passidomo was adamant that increasing Medicaid wouldn’t enhance entry to well being care and that Florida wanted to develop a future well being care workforce giant sufficient to satisfy the state’s rising demand.

As her laws to do exactly that sat in DeSantis’ workplace, graduating medical college students who started their careers amid the COVID-19 pandemic came upon March 15 the place they’re headed to proceed their medical training.

After months of functions and interviews, medical pupil graduates in Florida, the USA, and internationally realized on the identical day (generally known as Match Day) the place and in what amenities they are going to spend the subsequent three to seven years finishing the coaching wanted to grow to be board-certified.

Medical faculties in Florida held Match Day occasions, the place college students got the envelopes containing their acceptances. The envelopes can’t be opened till midday.

On the Morsani Faculty of Drugs on the College of South Florida, 180 medical students were matched, 31 of whom matched to USF Well being. Six others matched to Lehigh Valley Well being Community and two matched by way of the army. In a press launch, the school mentioned 33% of the scholars will prepare in Florida and 39% will enter main care.

Lots of of Florida medical college students realized the place they’re heading subsequent on Match Day.

A complete of 109 college students from the FSU College of Medicine were matched with residencies. Roughly 45% of those that matched will keep in Florida to start their residency coaching in line with the Tallahassee Democrat.

The College of Central Florida Faculty of Drugs had all of its 117 seniors matched with residency packages together with a document excessive 16 who’re pursuing residencies in psychiatry.

The 128 medical faculty seniors on the University of Florida College of Medicine were matched with residency packages in 26 totally different states and Washington, D.C. Thirty-four graduating seniors have been matched at UF (together with UF Well being Jacksonville and UF Well being Halifax Well being) and one other 20 college students have been matched at different packages in Florida.

All 196 graduating seniors from the Miller College of Drugs on the College of Miami have been matched with residencies. According to UM, the scholars will full residency packages in 30 states. Fifty-three of its college students are staying in Florida, together with 35 who will intern on the College of Miami/Jackson Well being System. Twenty-seven college students will attend residency packages in California, 17 in New York and 11 in Texas.

All 113 graduating seniors at Florida Worldwide College Faculty of Drugs matched. According to the university, 42% of the category will proceed their medical coaching in Florida, and practically a 3rd will keep in South Florida.

Florida Atlantic College announced that 48% of the class of 2024 will conduct their residency in Florida, and 41% will concentrate on main care, together with inner drugs, household drugs and pediatrics. The category of 2024 additionally matched in a few of the best specialties, together with psychiatry, orthopedic surgical procedure, dermatology, cosmetic surgery, urology and a triple board specialty in pediatrics/psychiatry/baby psychiatry, amongst others.

The Nova Southeastern College Dr. Kiran C. Patel Faculty of Osteopathic Drugs and the Nova Southeastern Dr. Kiran C. Patel Faculty of Allopathic Drugs additionally graduated medical college students as did the Lake Erie Faculty of Osteopathic Drugs Bradenton Campus

In accordance with the NRMP, there was a 4.7% improve within the variety of candidates for residencies. A complete of fifty,413 candidates registered within the 2024 Fundamental Residency Match.

The rise in candidates was pushed largely by a rise of practically 2,000 non-U.S. citizen worldwide medical graduates and greater than 600 osteopathic seniors over final yr.

This yr’s Match included 44,853 candidates who licensed a rank order record (“lively candidates”) and 41,503 licensed positions in 6,395 residency coaching packages.

—ACA celebrations scheduled—

The re-election marketing campaign of President Joe Biden plans to focus on the 14th anniversary of the Reasonably priced Care Act, also called Obamacare, over the subsequent few days.

The Biden marketing campaign introduced on Wednesday that it will maintain 20 in-person occasions throughout eight states with “native elected officers and folks impacted by the Reasonably priced Care Act.” On Saturday, Biden, former President Barack Obama, and former Home Speaker Nancy Pelosi will maintain a “nationwide organizing name to mobilize supporters and volunteers round defending the ACA.”

Joe Biden’s re-election marketing campaign is highlighting Obamacare’s 14th anniversary this week.

Florida at present leads the nation in people who find themselves getting medical insurance by way of {the marketplace} established by Obamacare. Greater than 4.2 million signed up for protection throughout the latest open enrollment interval that resulted in January. However Florida Republicans have additionally resisted increasing Medicaid eligibility, which was additionally allowed beneath the ACA.

At one level, DeSantis — when he was working for President —  mentioned he deliberate to roll out this Spring a “large proposal” as a substitute for Obamacare. However DeSantis ended his marketing campaign for President in early January and has been targeted on such points as immigration in current weeks.

Eden Giagnorio, communications director for the Florida Democratic Get together, mentioned that the occasion is internet hosting a press occasion linked to the Reasonably priced Care Act however mentioned that extra particulars on the placement and time will exit later this week.

— CVS Caremark’s recs for weight reduction Rx —

Roughly 70% of CVS Caremark’s plan members embody protection for weight reduction drugs.

With the variety of prescriptions written for GLP-1s hovering from roughly 230,000 in 2019 to greater than 9 million in 2022, CVS issued “concerns” for its plan members to think about to stability the advantages of the protection with the prices.

“CVS Caremark recommends an evidence-based strategy by which plan sponsors consider the well being wants of their respective coated populations.”

The doc additionally incorporates some extra fine-tuned suggestions. It advises that plans can take into account the protection on the “nature of their worker inhabitants.”

For instance, these in industries that have excessive turnover might go for a extra restrictive strategy, whereas well being plans that worth the well being outcomes and whole cost-of-care influence that weight administration can have in stopping continual situation onset or development might go for considerate protection paired with a care administration program.

GLP-1s are a novel class of medicines that influence the mind signaling round urge for food, starvation, and satiety.

On common, GLP-1s scale back physique weight by 21%. GLP-1 gross sales are projected to hit $46.1 billion in 2028.

— Walgreens to put off 324 staff —

Walgreens notified state officers this week of its plans to shut an Orlando distribution heart and lay off 324 staff.

Rebecca Biller, Senior Counsel of Employment Legislation for Walgreens, mentioned the layoffs are a results of the corporate’s efforts to assist construct enterprise momentum and enhance the effectivity of its operations. Biller mentioned that the “separations are anticipated to start on or about Might 17, 2024.

Just a few hundred Walgreens staff shall be searching for work come mid-Might.

“We anticipate that these adjustments, when finalized, could be everlasting, and they’d contain your complete facility. In whole, 324 staff shall be affected by this web site closure,” she wrote within the letter to the state.

“All affected staff will stay employed and obtain their full compensation and advantages for your complete 60-day interval or till they resign, whichever happens first.

“We count on these reductions in pressure to be everlasting, and we’ll present all affected staff with the chance to take part in on-site profession gala’s and/or outplacement providers to help with their transition to different employment.“

—The ultimate countdown? —

The Company for Well being Care Administration anticipates posting the names of the managed care plans and provider-sponsored networks (PSNs) it needs to signal multi-year, multi-billion contracts to supply well being care providers to the poor, aged and disabled.

AHCA issued the Invitation to Negotiate (ITN) for the state’s Medicaid managed care program in April 2023. Initially, AHCA hoped to conclude the procurement by Dec. 11, 2023.

Florida’s current managed care contracts expire Dec. 31, 2024. That is the third time the state has put the Medicaid program out for aggressive bid.

Announcement day is approaching.

“The company’s total targets are for Medicaid enrollees to obtain all medically vital providers in a well timed method and in probably the most acceptable setting, thereby reaching high-quality outcomes whereas containing prices,” the ITN states.

AHCA launched three Medicaid ITNs in 2023, one for its Statewide Medicaid managed care program, which incorporates long run care; one to check whether or not managed care may help combine conventional well being care with home- and community-based providers; and a 3rd for dental providers.

Earlier this yr AHCA awarded a six-year contract to Florida Neighborhood Care.

AHCA anticipates asserting the names of the managed care plans it intends to enter multi-year dental contracts with on March 29.

— RULES —

AHCA introduced it’s withdrawing proposed adjustments to Rule 59G-4.250. Extra here.  

— LOBBYISTS —

Erica Chanti, Rubin Turnbull & Associates: Hospital for Particular Surgical procedure

Christopher Dudley, David Hagan, Karis Lockhart, The Southern Group: Youth Disaster Middle

— ETC —

— PruittHealth Ponte Vedra submitted an expedited CON utility to switch CON #10721 from PruittHealth – 4-3, LLC to PruittHealth Ponte Vedra to determine a brand new 120-bed neighborhood nursing dwelling. Extra here.

— TBO Holdings’ CON functions to switch CON #10724 from RSBRM FL LLC to itself to determine a 60-bed neighborhood nursing dwelling was accredited. Extra here.

— The Facilities for Medicare & Medicaid Providers (CMS) introduced a brand new voluntary mannequin that empowers main care suppliers in eligible Accountable Care Organizations (ACOs) to deal with folks with Medicare utilizing modern, team-based, person-centered proactive care. Dubbed the ACO Major Care Flex Mannequin, it’ll present a one-time superior shared financial savings cost and month-to-month potential main care funds (PPCPs) to ACOs. The superior shared financial savings funds present ACOs with wanted assets and suppleness to cowl prices related to forming an ACO (the place related) and administrative prices for required mannequin actions.

— Baptist Well being Basis acquired its largest single donation this week, a $50 million present from Ken Griffin, founder and CEO of Miami-based hedge fund Citadel and founding father of Griffin Catalyst.

— 9 HCA Healthcare East Florida Division hospitals have been honored with the celebrated 2024 Affected person Security Excellence Award 2024 by Healthgrades. These receiving honors embody HCA Florida Aventura Hospital; HCA Florida JFK Hospital; HCA Florida Kendall Hospital; HCA Florida Northwest Hospital; HCA Florida Palms West Hospital; HCA Florida Raulerson Hospital; HCA Florida St. Lucie Hospital; HCA Florida Westside Hospital; and HCA Florida Woodmont Hospital.

— ROSTER —

— Stacey Brandt, govt vice chairman and Chief Administrative Officer of Tampa Basic Hospital (TGH), was acknowledged as a part of Trendy Healthcare’s 2024 class of Ladies Leaders.

— College of Miami Miller College of Drugs alumnus Jeffrey Jacobs, was honored with Corridor of Fame recognition on the Miller School’s Medical Alumni Association (MAA) award ceremony this month.

Dr. Maria Gutierrez, College of Miami President Julio Frenk, Dr. Jeffrey Jacobs, Dean Henri Ford and Dr. Alberto Mitrani on the MAA Corridor of Fame Award Ceremony. Picture by way of UM.

Ambuj Kumar, M.D., MPH, Director of analysis methodology and biostatistics, and affiliate professor within the Division of Inner Drugs on the USF Well being Morsani Faculty of Drugs, just lately acquired the Apply Tips Distinguished Service Award from the American Society for Transplantation and Mobile Remedy

— ICYMI —

In case you missed them, here’s a recap of different important well being care coverage tales coated in Florida Politics this previous week.

Pressure to expand Medicaid in Florida keeps slowly rising” by way of Christine Jordan Sexton of Florida Politics — The trouble to deliver Medicaid enlargement to Florida should wait a minimum of one other yr — although many different southern states that resisted the enlargement supplied beneath Obamacare have had second ideas and altered path. The query is whether or not Florida shall be one of many final states within the nation to enact enlargement — just like the way it was among the many final states to enact the preliminary Medicaid program that was first licensed in 1965. Florida didn’t come on board till 5 years later.

Rare disease grant program to ‘push the boundaries of science and medicine’ awaits Gov. DeSantis’ signature” by way of Janelle Irwin Taylor of Florida Politics — Greater than 7,000 identified uncommon ailments that have an effect on roughly 350 million folks throughout the globe — together with some 30 million Individuals. Now, Florida could also be providing these people some much-needed hope. The Legislature handed a invoice (SB 1582) that might create a grant program to fund scientific and scientific analysis on uncommon ailments. It awaits DeSantis’ signature.

Legislature sends ‘Live Healthy’ bills to Gov. DeSantis” by way of Christine Jordan Sexton of Florida Politics — Senate President Passidomo’s proposal to fortify a community of suppliers, together with dental hygienists and physicians, to arrange for the getting old Child Boomers who name the Sunshine State dwelling has been despatched to DeSantis. The Governor can have 15 days to signal the invoice, veto it, or enable it to grow to be regulation with out his signature. Nevertheless, in recent times, the Governor has had payments despatched to him shortly earlier than he acts.

This is human behavior’: Sheriff candidate wants to legalize prostitution in Miami-Dade” by Jesse Scheckner of Florida Politics — Former Miami Dade Faculty Police Chief Jeff Giordano simply unveiled a titillating coverage proposal in his bid to grow to be Miami-Dade County’s first Sheriff in a long time: He needs to legalize prostitution. The world’s oldest profession isn’t going wherever, he mentioned, so it needs to be protected, authorized, and controlled to assist get rid of “street-corner prostitution rackets” and improve testing for sexually transmitted ailments.

— FOR YOUR RADAR —

Apart from protection by Florida Politics, these tales are price your time.

DCF call center has second-longest wait times in the country; $12M might help” by way of Jackie Llanos of the Florida PhoenixFloridians calling the Division of Kids and Households (DCF) for assist with Medicaid and different packages face the second-longest wait occasions within the nation, in line with a February report from the Facilities for Medicare and Medicaid Providers (CMS). On common, folks have to attend 42 minutes to speak to an agent, and 44% of calls get deserted.

VP Harris calls for marijuana rescheduling, leniency” by way of The Related Press — Vice President Kamala Harris and rapper Fats Joe led a White Home dialogue Friday on easing marijuana penalties, with Harris saying it’s “absurd” that the federal authorities classifies marijuana as extra harmful than fentanyl, the artificial opioid blamed for tens of hundreds of deaths yearly the USA. Harris, a former state prosecutor in California, additionally criticized the federal classification of hashish as “patently unfair.” The federal government at present is reviewing the way it classifies marijuana, and Harris urged that the method be wrapped up as rapidly as attainable.

— PENCIL IT IN —

Thursday

Completely happy birthday to Home Speaker Paul Renner!

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Analysis is written by Christine Jordan Sexton and edited by Drew Wilson.

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