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Health

One million Floridians have been disenrolled from Medicaid since 2023

July 30, 2024 By Andrew Powell

(The Center Square) — Data from the Kaiser Family Foundation (KFF) shows over 1 million Floridians were disenrolled from Medicaid since 2023, primarily for administrative reasons.

As of July 12, over 24 million U.S residents have been disenrolled from Medicaid.

The federal government asked states to provide continuous Medicaid coverage to those enrolled during the COVID-19 pandemic, even if their circumstances changed, making them ineligible for coverage.

(Spotmatik/Getty)

Since the pandemic came to an end, Medicaid allowed a year for states to transition back to normal operations. Florida began unwinding Medicaid enrollments in 2023.

According to KFF’s Medicaid Enrollment and Unwinding Tracker, Florida had 1.9 million residents disenrolled from coverage, while 3.1 million have had coverage renewed. Data shows around 64% were terminated for procedural reasons, while 36% of Floridians were found to be ineligible.

Before sending a renewal form or requiring documentation from an enrollee, federal rules specify that states are required to complete administrative renewals, also known as ex parte, to verify ongoing eligibility using available data.

In Florida, 32% of enrollees had coverage renewed through ex parte, while the remaining 68% had Medicaid coverage renewed through a renewal form. Net Medicaid enrollment declines for Florida from 2023 to July 12 was about 24%.

In the neighboring state of Georgia, approximately 792,000 people were disenrolled, while the state renewed coverage for almost 1 million people.

Alabama disenrolled roughly 369,000 people and renewed coverage for approximately 745,000, while Mississippi disenrolled 148,000 people and renewed coverage for 434,000 others.

The Foundation for Government Accountability released a report on the expansion of Medicaid under the Affordable Care Act — also known as ObamaCare — to include able-bodied individuals, which will push up spending even further.

“Surging enrollment has led to skyrocketing spending. In 2013, taxpayers spent $406 billion on the Medicaid program,” the report states. “A decade later, total Medicaid spending has more than doubled, reaching nearly $874 billion.

“Medicaid now consumes nearly one-third of states’ non-capital budgets and is growing nearly twice as fast as state tax revenues. Expanding Medicaid in non-expansion states would burst already tight budgets and kick millions off of private insurance.”

Florida is currently a non-expansion state and provides over two million low-income people with health plans with no out-of-pocket premiums or deductibles.

Published July 31, 2024

Health News 07/31/2024

July 30, 2024 By Mary Rathman

A rendering of the new AdventHealth Meadow Pointe ER. (Courtesy of AdventHealth)

New ER slated for Meadow Pointe
AdventHealth and Pasco County leaders broke ground on July 9 on the new Meadow Pointe off-site Emergency Room (ER) in the quickly developing area between AdventHealth Wesley Chapel and AdventHealth Zephyrhills, according to a news release.

The more than 13,000-square-foot ER, at 5170 Chapel Commerce Drive in Wesley Chapel, will have 12 patient beds, two triage rooms, and will offer imaging and lab services, the release says.

The new emergency room joins AdventHealth’s eight other freestanding ERs across the Tampa Bay area. This also includes an extensive and dedicated EMS fleet with 21 ambulances and AdventHealth AirStar 1, a medical helicopter dedicated to critical patient transport across the region.

Construction on the $26 million project is expected to be completed in the first half of 2025.

Respiratory virus updates
The Centers for Disease Control and Prevention (CDC) has updated its recommendations for vaccination against COVID-19, the flu, and respiratory syncytial virus (RSV), based on recommendations from the Advisory Committee on Immunization Practices (ACIP), according to a news release.

The updated 2024-2025 recommendations are:

  • COVID-19: The CDC recommends everyone ages 6 months and older receive an updated 2024-2025 vaccine when the vaccines are available later this year. The new vaccine is formulated to protect against currently circulating variants of COVID-19 and from potentially serious outcomes of COVID-19 illness this fall and winter.
  • Flu: The CDC recommends everyone ages 6 months of age and older, with rare exceptions, receive an updated flu vaccine to reduce the risk of influenza and its potentially serious complications this fall and winter. Most people only need one dose of the vaccine each season. September and October remain the best times for most people to get vaccinated.

• RSV: If you have not already received an RSV vaccine and are age 60 or older, the CDC recommends a single dose of the RSV vaccine for people ages 60 to 74 who are at an increased risk with certain chronic medical conditions such as lung or heart disease, or they live in nursing homes or other long-term care facilities, as well as everyone age 75 and older. The best time to get vaccinated is in late summer or early fall, before RSV usually starts to spread in a community. However, eligible adults can get an RSV vaccine at any time.

The newly renovated 13,000-square-foot practice features state-of-the-art facilities, including an in-house laboratory, procedure room, classrooms and 11 exam rooms. (Courtesy of AdventHealth)

New medical education program opens
AdventHealth Wesley Chapel hosted a ribbon-cutting on July 16 for the hospital’s new Family Medicine Residency practice. The state-of-the-art facility will play a critical role in addressing the growing health care needs of one of the fastest-growing areas in Pasco County and Florida, according to a news release.

The newly renovated 13,000-square-foot practice features an in-house laboratory, procedure room, classrooms and 11 exam rooms. Residents and supervising physicians will provide comprehensive family medicine services, including lab work, 4D ultrasounds, preventive care, minor procedures and chronic disease management.

The program will train eight residents over three years, providing them with hands-on experience in a supportive, community-based setting.

Accessibility of health care services can be a struggle in Florida, says report

July 23, 2024 By Andrew Powell

(The Center Square) — A new report says many people in Florida don’t receive needed health care because they lack easy access to adequate services.

Florida TaxWatch recently released its report, Social Determinants of Health: Health Care Access and Quality. According to the U.S. Department of Health and Human Services, social determinants of health are environmental factors that can impact individuals’ health outcomes.

The University of Florida Health’s The Villages Hospital in The Villages. (UF Health The Villages Hospital/Facebook)

These include health care access and quality; education access and quality; social and community context; neighborhood and built environment; and economic stability.

According to the report, these factors can majorly impact a person’s health, well-being and quality of life. The report notes that 80% of a person’s health is determined by social factors, while the remaining 20% results from receiving medical care.

In Florida, many people lack access to health care services, with the biggest barrier being the cost. In a 2019 survey of 1,200 Floridians, 55% had experienced health care cost burdens, while 78% worried they would not be able to afford health care in the future.

The report states Florida ranked 41st in 2021 for overall health care and access, which was attributed to the growing number of uninsured adults, rising insurance costs and policies that make health care less accessible. The report further notes that Florida has consistently ranked in the bottom 10 states for uninsured citizens.

Florida currently has a physician shortage and the report notes this plays a role in access to quality health care. With Florida’s population growing, especially in rural areas, the number of physicians in the Sunshine State is insufficient. By 2030, an additional 22,000 physicians are needed to bridge the gap.

The report notes that as of 2023, only 40% of Florida’s population has employer-sponsored health insurance, while the rate of uninsured Floridians was 11.2% in 2022 — higher than the national average of 8%. Also, in 2022, Florida ranked 46th in the nation for the uninsured population.

Compounding this are the 979,000 people who have been disenrolled from Medicaid, 460,000 of whom are children. Furthermore, access depends on where the person lives. In rural areas, there are roughly 1.3 physicians for every 1,000 people available in the U.S., while urban areas have around 3.1 physicians for every 1,000 people.

Published July 24, 2024

Health News 07/24/2024

July 23, 2024 By Mary Rathman

AdventHealth honors new residents
AdventHealth welcomed 48 new residents into its health care system with a White Coat Ceremony, marking the start of their post-graduate training. The white coat symbolizes their entry into the medical profession and their commitment to professionalism and empathy in medicine.

Dr. Javier Correa, one of the first graduates of AdventHealth Sebring’s Family Medicine Residency Program, treats a patient in the clinic. (Courtesy of AdventHealth)

The new doctors will train with top experts in various Graduate Medical Education (GME) programs at AdventHealth’s West Florida hospitals.

GME programs include new ones such as general surgery and OB/GYN at AdventHealth Tampa, and a Family Medicine Residency Program at AdventHealth Wesley Chapel.

AdventHealth also honored the first graduating class of Family Medicine Residents from AdventHealth Sebring.

Dr. Javier Correa, one of the graduating residents, will stay with AdventHealth Sebring and establish roots in Highlands County, according to a news release. Correa said it was special to be part of the first residency class, adding that he is already building relationships with many of the specialists, which he knows will be beneficial to himself and his patients.

Over the next three years, the AdventHealth West Florida division plans to graduate 88 residents through its programs at AdventHealth Sebring, AdventHealth Tampa and AdventHealth Wesley Chapel.

(Courtesy of AdventHealth)

Checkups for fitness and safety
AdventHealth physicians and staff teamed up with high schools in Hardee County to provide free sports physicals to student-athletes to make sure they are fit and healthy to participate in the upcoming sports season safely. Providers checked blood pressure, completed muscular-skeletal exams and looked for things like heart murmurs, joint tenderness, and neck and back injuries. Student-athletes who participate in football, swim, cross-country track, weight lifting, volleyball, soccer, baseball and basketball received free physicals. Here, a student-athlete gets a blood pressure check with Deloris Lazo, CMA. AdventHealth Centra Care offers sports physicals for $45 without an EKG and $75 with an EKG. For information, visit CentraCare.adventhealth.com/urgent-care/central-florida.

Hypertrophic Cardiomyopathy 101: What every student-athlete should know

July 16, 2024 By Special to The Laker/Lutz News

(Family Features) – You may find it difficult to wrap your mind around the idea of an energetic student-athlete with a cardiac diagnosis. 

Heart conditions may be more often associated with older individuals, but you might be surprised to learn hypertrophic cardiomyopathy is the most common condition responsible for sudden cardiac death in young athletes. 

In fact, it’s the cause of 40% of sudden cardiac death cases.

(Courtesy of Shutterstock)

It’s estimated one in every 500 adults living in the United States has hypertrophic cardiomyopathy, according to the American Heart Association, but a significant percentage are undiagnosed. More than 80% of individuals who experience this condition show no signs or symptoms before sudden cardiac death. 

While sudden cardiac death is rare, it can occur during exercise or in its aftermath. That’s why it’s important for student-athletes and their loved ones to learn more about this condition and talk to a doctor about their risk.

With proper knowledge and the support of a skilled care team, it’s possible to manage hypertrophic cardiomyopathy with heart-healthy actions to prevent complications or worsening cardiovascular conditions like atrial fibrillation (a quivering or irregular heartbeat), stroke or heart failure. 

Hypertrophic cardiomyopathy awareness and education for athletes by the American Heart Association is made possible in part by a grant from the Bristol Myers Squibb Foundation.

What is hypertrophic cardiomyopathy?

Hypertrophic cardiomyopathy is the most common form of inherited heart disease and can affect people of any age. It’s defined by thickening and stiffening of the walls of the heart. The heart’s chambers cannot fill up or pump blood out adequately, so the heart is unable to function normally.

There are different types of this condition. Most people have a form of the disease in which the wall that separates the two bottom chambers of the heart (the septum) becomes enlarged and restricts blood flow out of the heart (obstructive hypertrophic cardiomyopathy).

However, sometimes hypertrophic cardiomyopathy occurs without significant blocking of blood flow (nonobstructive hypertrophic cardiomyopathy). The heart’s main pumping chamber is still thickened and may become increasingly stiff, reducing the amount of blood taken in then pumped out to the body with each heartbeat.

What are possible symptoms?

Symptoms can include:

  • Shortness of breath
  • Chest pain
  • Heart palpitations
  • Fatigue

The severity of symptoms can vary, but if you experience them or if you have a family history of hypertrophic cardiomyopathy or sudden cardiac death, it may be a good idea to speak to your doctor about whether you have this condition.

For some people, symptoms can get worse and new symptoms can appear over time, resulting in people dealing with harsher effects and a diminished ability to do the activities they love. This decrease in functions can be one of the most challenging aspects of the disease. Keeping your health care team aware of any new or changing symptoms allows them to work with you to develop a plan to manage these symptoms and reduce their impact.

How is hypertrophic cardiomyopathy diagnosed?

Medical history, family history, a physical exam and diagnostic test results all factor into a diagnosis. A common diagnostic test is an echocardiogram that assesses the thickness of the heart muscle and observes blood flow from the heart.

If anyone in your family has been diagnosed with hypertrophic cardiomyopathy, other heart diseases or has been told they had thick heart walls, you should share that information with your doctor and discuss the need for genetic testing. Because this condition is hereditary, first-degree relatives, which include siblings and parents, should be checked.

Learn more at heart.org/HCMStudentAthlete.

Source: American Heart Association

Published July 17, 2024

Wesley Chapel hospital welcomes new surgeons

July 16, 2024 By Mary Rathman

BayCare Hospital Wesley Chapel recently welcomed two new surgeons to its growing medical team.

Dr. Kevin Seeras is a board-certified general surgeon whose clinical interests include robotics and bariatric/metabolic surgery. He earned his Doctor of Osteopathic Medicine from the Chicago College of Osteopathic Medicine and continued his education as a general surgery resident at Henry Ford Macomb Hospital in Michigan.

Seeras completed his fellowship in minimally invasive, foregut and bariatric surgery at Stony Brook University in New York.

Dr. Sahand Bamarni is a board-certified general surgeon skilled in performing laparoscopic and robotic techniques for a variety of surgical procedures, such as acute care surgery, mastectomy, skin and soft tissue masses, splenectomy and others.

He earned his medical degree from the University of Duhok College of Medicine in Iraq, followed by a general surgery residency at Duhok’s Azadi Teaching Hospital. The doctor completed an internship in general surgery at the Cleveland Clinic in Ohio and completed a general surgery residency at Brandon Regional Hospital.

Both doctors are accepting new patients ages 18 and older. To learn more, visit BayCare.org/doctors.

Dr. Kevin Seeras (Courtesy of BayCare Hospital Wesley Chapel)
Dr. Sahand Bamarni

The importance of staying hydrated for overall health

July 9, 2024 By Mary Rathman

While much of the U.S. has been experiencing an extreme heat wave, staying hydrated becomes even more crucial to maintaining one’s overall health.

Hydrating one’s body is important to keeping the right balance of water, salt, minerals and proteins to keep cells, tissues and organs functioning optimally.

Dehydration is more than just feeling thirsty. By the time you feel thirsty, your body already is dehydrated, signaling that the concentration of your blood and other body fluids is too high and needs water to restore balance, according to speaker, author and integrative medicine expert Dr. Sina Smith.

Recognizing and addressing dehydration is crucial during the summer months. (Ketut Subiyanto/Pexels)

Dehydration can become severe if not addressed promptly. Early signs include: dry lips and mouth; peeling or cracking nails; frayed and bleeding cuticles; crepey or flaky skin; darker urine and reduced urination frequency.

As dehydration progresses, it affects blood pressure and can cause these symptoms: dizziness and lightheadedness; rapid heartbeat; weakness and fatigue. If a person experiences symptoms such as feeling faint or a fast heartbeat, they should drink water slowly to avoid fainting.

Persistent dehydration can lead to heat stroke with symptoms of confusion, slurred speech, altered mental status and loss of consciousness. In such cases, 911 should be called immediately and cooling measures provided until help arrives.

Dr. Smith says “good hydration aids digestion, which can alleviate common issues such as diarrhea, constipation, GERD, heartburn and upset stomach. Improved digestion enhances nutrient absorption, promoting overall health and reducing embarrassment associated with digestive troubles.”

Proper hydration also supports endocrine system regulation, which enhances sleep quality, prevents hair loss by maintaining balanced testosterone levels, and more.

A general guideline is to drink half your body weight in ounces of water daily, with a  minimum of 64 ounces.

Active individuals should replace about 500 mL of water per hour of sweating, and weigh themselves before and after exercise to gauge fluid loss and drink 13 ounces to 16 ounces of water for every pound lost.

According to Smith, most people do not need sports drinks — a tiny pinch of salt in your water can suffice to maintain electrolyte balance.

Hydration has its own misconceptions, too. Cold drinks constrict blood vessels, slowing absorption. Room temperature or warm fluids are more effective. Caffeinated beverages can lead to increased urination and dehydration. Opt for water, herbal teas or decaffeinated drinks.

Everyone should drink water regularly, listen to their body’s signals, and make informed choices to stay hydrated.

Published July 10, 2024

Health News 07/10/2024

July 9, 2024 By Mary Rathman

Twenty-five volunteers came out to AdventHealth Tampa to help support “Blake’s Blankets.” They created more than 50 blankets to give to kids in the pediatric ER, pediatric unit and NICU. (Courtesy of AdventHealth)

Homemade comfort
Kids at the AdventHealth Tampa Pediatric Unit and Emergency Room now have the comfort of soft, homemade fleece blankets because of the generosity of 25 volunteers.

Volunteers arrived with fabric, needles and thread to AdventHealth Tampa’s Pepin Heart Center to support Blake’s Blankets, an initiative dedicated to providing comfort to pediatric patients, according to a news release.

The initiative was founded by AdventHealth Tampa’s Sandra Burnetter, director of pediatric services, and Rose Trier, a critical care lead in the pediatric emergency room, in memory of Rose’s son, Blake, who passed away in 2022. He had cerebral palsy, was wheelchair-bound and nonverbal.

The hospital is planning its next Blake’s Blankets volunteer event in September and it will be open to the public. Each volunteer session provides community service hours for students.

For more information, visit AdventHealth.com/hospital/adventhealth-tampa/events.

Resident doctors welcomed
AdventHealth welcomed 48 new resident doctors into its health care system with a White Coat Ceremony, marking the start of their post-graduate training. The white coat symbolizes the new residents entering into the medical profession, and their commitment to professionalism and empathy in medicine.

The new doctors will train with experts in various Graduate Medical Education (GME) programs at AdventHealth’s West Florida hospitals.

AdventHealth leaders also honored the first graduating class of Family Medicine residents from AdventHealth Sebring.

The GME programs include general surgery and OB/GYN track at AdventHealth Tampa, and a Family Medicine Residency Program at AdventHealth Wesley Chapel.

Over the next three years, AdventHealth West Florida plans to graduate 88 residents through its programs in Sebring, Tampa and Wesley Chapel.

Mix up your boring meal-planning schedule with a sweet potato salad

July 2, 2024 By Shari Bresin

While the joke goes “no great story ever starts with someone eating salad,” many people’s health journeys started that way, as the right ingredients in salads are nutrient-dense, reduce inflammation in the body, and lower the risk of chronic diseases.

And with 90-plus-degree days here with no end in sight, eating something cold is welcomed.

Try a sweet potato salad at your next summer cookout. (Jess Loiterton/Pexels)

Though the go-to image for most people when they think of salad is a bowl of leafy greens and assorted vegetables, there are lots of varieties out there, including those that don’t have leafy greens (or any vegetables) at all.

In fact, salad has more to do with the salt in the dressing than it does vegetables. It comes from the Latin word “sal,” meaning salt. Back in the days of the Roman Empire, salads were covered in salty, oily dressing (which still holds true today).

Hence why pasta salad, egg salad, three bean salad, rice salad, etc., can claim salad in their title.

In my home, salad night is twice a week — spinach salad to be exact.

It’s an easy no-cook meal, and it’s two less meals I have to think of when it’s time to meal plan every week.

I know some people don’t find salads filling or satisfying as a main dish, but by rotating different toppings (hard-boiled eggs, quinoa, orzo, cashews, and so on), I have yet to be bored of salad night. 

Here’s how to boost your salad-building process. Go down this checklist of food groups and make sure you’re not missing anything:

  • Leafy greens as the foundation (the darker the color, the more nutrition it has): iceberg lettuce is mostly water, so focus on spinach, kale, arugula, Swiss chard or red leaf lettuce for more nutritional value.
  • Vegetable and fruit toppings: get a variety of color for the most nutrition. Between carrots, tomatoes, green/yellow/red peppers, beets, onion, cucumber, mushrooms, apples, berries, citrus and so on, it’s easy to make your salad colorful. Whether fresh, canned or frozen, they all count toward your daily vegetable and fruit intake.
  • Grains: barley, couscous, quinoa or brown rice mixed in with your salad, or whole grain bread or rolls as a side dish.
  • Protein: salmon, chicken, tuna, hard-boiled eggs, chickpeas, kidney beans, tofu, black beans, sunflower seeds or chia seeds.
  • Dairy: cheese can be high in calories, so just sprinkle 1-2 tablespoons of your preferred cheese. You can also use Greek yogurt as the base of a homemade dressing.
With your choice of greens, vegetables, grains, proteins and dairy, you’ll be sure to find a salad combination to match your liking. (Luisa Brimble/Unsplash)

And speaking of dressing, make sure not to overdo it, as prepared dressings (especially cream-based ones) can easily surpass burgers or pizza in calories.

If you’d like to make your own dressing, use this guideline:

  • 3 Tablespoons acid (lemon juice, rice vinegar, balsamic vinegar, red wine vinegar, etc.)
  • ½ cup oil (olive oil, canola oil, etc.)
  • 1 Tablespoon seasoning (herbs, spices, Dijon mustard, parmesan cheese, etc.)

Using one ingredient from each category, mix the acid and seasoning in a container with a tight lid, then add the oil.  

Shake well.  

If you would still rather have something else as your main meal, at least consider a salad as a side dish simply for the health benefits.

Shari Bresin is the Family & Consumer Science Agent for the University of Florida/Institute of Food and Agricultural Sciences Cooperative Extension Pasco County. Pasco County Extension.

RECIPES
We all know the classic potato salad dish, but have you tried sweet potato salad? Here’s a good recipe from University of Maine Extension:

Sweet Potato Salad with Apple Cider Vinaigrette
Makes 6 servings | Serving size: 1 cup

Ingredients
3 large sweet potatoes, peeled and sliced into ¼-inch slices
4 teaspoons olive oil
¼ teaspoon black pepper
¼ teaspoon salt
¼ teaspoon dried thyme
¼ cup scallions, thinly sliced
2 Tablespoons apple cider vinegar or apple juice

Directions
Preheat oven to 400°F.
Place potatoes in roasting pan.
Coat the potatoes with 2 teaspoons of oil, pepper and thyme. Toss well.
Cover pan. (Use aluminum foil; no need for a special pan with a cover.)
Roast 15 minutes or until easily pierced with a fork. Cool.
Toss with remaining olive oil, scallions and apple cider vinegar.
Serve immediately or refrigerate and serve later.

And for a more traditional leafy green salad, try this Whole Meal Salad from Iowa State Extension:

Whole Meal Salad
Ingredients:
2 cups salad greens (romaine, spinach, or mixture)
1 cup chopped vegetables such as cucumber, frozen peas (thawed), onion, tomatoes, carrots, fresh mushrooms or bell peppers
1 egg (cooked and sliced)
1 ounce chicken, beef or pork (cooked and chopped) or 1/4 cup canned beans, drained
1 Tablespoon shredded cheese, chopped dried fruit, or chopped nuts
2 Tablespoons low-fat salad dressing

Directions:
Arrange greens on large plate or bowl.
Add vegetables.
Add egg, meat or beans.
Sprinkle with cheese, dried fruit or nuts.
Drizzle dressing over top.

Published July 03, 2024

Babies Bash celebrates Father’s Day

July 2, 2024 By Mary Rathman

Two Bucs babies enter the 2024 Bucs Babies Bash at the AdventHealth Training Center on June 16. (Courtesy of AdventHealth)

AdventHealth hosted the 2024 Bucs Babies Bash, an annual celebration event to bring families together from the Bucs Babies program. The program is available to families who have delivered a baby in an AdventHealth West Florida Division hospital and offers them access to the Babies Bash starting the year after their child’s birth, according to a news release.

This year’s bash was on June 16, in celebration of Father’s Day.

Fun activities included an outdoor petting zoo, a custom airbrush station, fan football experience, face painting and balloon animals.

Tampa Bay Buccaneers rookie players also met with fans and their families.

More than 2,000 people, including 1,000 children, attended the event.

For more information about the Bucs Babies Program and the Bucs Babies Bash, visit https://lp.adventhealth.com/sports-partnership/buccaneers/westflua/.

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