CMS says Medicare Advantage will remain stable in 2027, but Florida is losing 51 plans and three Florida hospital systems have left or are leaving Medicare Advantage networks. What physicians are allowed to tell patients before open enrollment begins October 15, and five things a Florida practice should do now.
On August 31, CMS canceled 315,000 HealthCare.gov enrollments covering 760,000 people and did not say so until September 22. Florida has 4.5 million marketplace enrollees, more than any state. What the cancellations mean for September claims, and five things a Florida practice should do this week.
On September 22, Florida sued Eli Lilly, Novo Nordisk, Sanofi, CVS Caremark, Express Scripts, OptumRx, and their rebate aggregators over insulin pricing. What the complaint alleges, why the rebate-for-formulary mechanism reaches the exam room, and five things a Florida physician should do now.
UnitedHealthcare drops prior authorization on 1,700 codes October 1, but only about 120 reach Medicare Advantage, and Lee Health is walking away over denials. What the change actually means for Florida physicians.
A Florida judge recommended a reprimand and a $250 fine for the Boca Raton nurse whose TikTok post drew an emergency license suspension in January. The gap between those two responses is the story, and it belongs to every licensed physician in Florida.
The Villages Health System agreed to a $541.5 million False Claims Act settlement over Medicare Advantage diagnosis codes added to charts months after the visit, often without the treating physician. Every one of those codes carried a physician's name. Here is what Florida physicians should check now.
The Florida Department of Health's proposed Rule 64D-3.046 would drop hepatitis B, varicella, Hib, and pneumococcal vaccines from school entry, add a moral or ethical exemption, and let parents opt out of Florida SHOTS. The Legislature declined the policy in 2026; the agency is doing it by rule. Comments close Monday, September 14. Dr. Orr revisits the two horns of the dilemma he described in 2019 and the third way that lives in the exam room.
A marketing firm offers to fill your schedule for 20 percent of the revenue it brings in. Under Florida Statute 817.505, after the 2019 amendment and State v. Kigar, that contract is a felony exposure for the physician who signs it, and it is closing the access corner of the iron triangle for independent practice.
The FDA authorized Vitestro's Aletta, the first autonomous robotic blood draw device. One trained supervisor, three machines, 94.5% first-stick success. That combination is what bending Kissick's iron triangle actually looks like.
A Chief AI Officer now sits in the hospital C-suite, writing clinical policy through procurement. What Florida physicians must do to keep their seat at the table.