Tag: Physician Leadership

AI-generated illustration of a brass hourglass with muted red sand standing beside a navy stethoscope on a bare walnut desk, with empty red waiting-room chairs against a plain navy wall behind it, representing the Medicare open enrollment deadline and the Medicare Advantage plans leaving Florida in 2027.

Florida Loses 51 Medicare Advantage Plans for 2027

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.

AI-generated illustration of a navy armchair with a stethoscope on its seat facing a cream armchair with a red cushion in an empty consultation room, representing a physician seeking mental health care.

Mental Health Care and Your Florida Medical License

Many physicians still believe that seeing a psychiatrist will end up on a license application. In Florida the application asks only about conditions that impaired practice. What the Board of Medicine form asks, how section 456.076 and the Professionals Resource Network work, and five steps to take.

AI-generated illustration of a closed brass padlock standing inside the coiled loop of a navy stethoscope on a bare walnut counter, with an empty muted red waiting-room chair against a plain navy wall behind it, representing marketplace insurance coverage canceled by CMS and the Florida physicians left to find out at the claim.

760,000 ACA Plans Canceled: A Florida Physician Guide (2026)

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.

AI-generated illustration of an antique brass balance scale on a bare walnut counter with a plain unlabeled glass medicine vial on one pan and a brass weight on the other, a navy stethoscope beside it, against a navy wall, representing the price of insulin weighed against pharmacy benefit manager rebates in the Florida Attorney General's lawsuit.

Florida Insulin Price Lawsuit 2026: What Physicians Should Do

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.

AI-generated illustration of a brass drafting compass, a navy stethoscope, and a brass key on a red ribbon on a bare walnut desk in an empty Florida physician office, representing the geographic reach of a physician noncompete clause.

Florida Physician Noncompetes: How to Read the Clause

Most Florida physicians now sign employment contracts, and the restrictive covenant on page fourteen decides where they can practice next. What sections 542.335 and 542.336 say, why the 2025 CHOICE Act skipped physicians, where the FTC stands, and five things to read before you sign.

AI-generated illustration of a brass hourglass with its sand nearly run out beside a navy stethoscope on a bare walnut desk, an empty red chair behind it, against a navy wall

UnitedHealthcare’s Oct. 1 Prior Auth Cut: Florida Fine Print

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.

AI-generated illustration of a brass balance scale on a walnut table with a navy stethoscope draped over one pan, an empty red chair behind it, against a navy wall

Off-Duty Speech Can Cost a Florida License: 2026 Ruling

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.

AI-generated illustration of an empty Florida exam room with a white physician coat and stethoscope hanging on a navy wall beside an empty red stool

The $541M Villages Health Upcoding Case: Florida Lessons 2026

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.

AI-generated illustration of a single unlabeled vaccine vial on a bare wooden counter in an empty pediatric exam room, with an exam table and stethoscope out of focus behind it

Florida School Vaccine Rule 2026: Doctors Have Until Sept. 14

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.

AI-generated illustration of a stethoscope and a judge's gavel on a physician's desk, representing Florida's Patient Brokering Act and marketing contract risk for independent clinics

The Marketing Deal That Can Turn an Independent Clinic Into a Patient Brokering Case

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.