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Economics Of Health Care Spending

Field Edr.state.fl.us

Health Care Market is Unique 1 zThe field of health economics is a growing research field, but it largely draws on the more general field of applied microeconomics, focusing on issues of demand and supply in the marketplace. zThe health care product is ill-defined (a broad range of goods and services), the need for care is random and unpredictable for most events, and the outcome of

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LONG TERM MEDICAID SERVICES AND EXPENDITURES …

Health Edr.state.fl.us

increase in FMAP through June 30, 2021 due to the Public Health Emergency (PHE) expiring April 21, 2021. It is possible the PHE continues into FY 2021-22 and a further recalculation of state funds would need to be performed. Eligible Population. Health Care Trust Fund (Tobacco Surcharge) $ 726,715,742 $ 781,201,956 $ 716,300,000


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State Employees' Group Health Self Insurance Trust Fund

Health Edr.state.fl.us

Outlook. Health Savings Account (HSA) Deposits reflect a combined increase of $1.9 million for FY 2020-21 through FY 2025-26 due to higher enrollment in the High Deductible Health Plans Overall, expenses across all years of the forecast reflect a combined decrease of …

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FY 2020 21 Appropriation New Forecast Surplus/(Deficit

Trust Edr.state.fl.us

State Mental Health Hospital Program 6.5 5.4 1.2 Program Care for the Elderly 73.1 73.1 0.0 TOTAL MEDICAID SOURCES OF FUNDS General Revenue 6,791.8 6,515.8 276.0 Health Care Trust Fund 726.7 726.7 0.0 Tobacco Settlement Trust Fund 320.8 366.6 (45.8) Other State Funds 498.7 476.3 22.4 Medical Care Trust Fund 19,354.2 20,087.1 (732.9)


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State Employees' Group Health Self Insurance Trust Fund

Trust Edr.state.fl.us

Health Self-Insurance Trust Fund (the Trust Fund) for the fiscal years ending June 30, 2010 through June 30, 2014 to aid in state planning and budgeting in accordance with Section 216.136(9), Florida Statutes. The outlook has been prepared using cash basis methods and modeling and is based on the healthcare benefit and funding designs

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EDR Health Insurance Conference Page

State Edr.state.fl.us

State Employees' Health Insurance Trust Fund Last conference held: October 27, 2004 Executive Summary The outlook for the State Employees’ Health Insurance Trust Fund has improved significantly from the post-session forecast. The fund ended 2003-04 with a balance of $58.3 million, $16.1 million higher than the projection of $42.2 million.

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State Employees' Group Health Self Insurance Trust Fund

Million Edr.state.fl.us

forecasted period. Health care costs will double in 5.5 years if the Trust Fund sustains year-over-year cost increases at this rate. Under the current funding structure, the State as the employer is contributing approximately 84% of the total required annual employee premium ($833.3 million of $987.0 million for Fiscal Year 2004-05).

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EDR Health Insurance Conference Page

State Edr.state.fl.us

State Employees' Health Insurance Trust Fund Last conference held: December 2, 2005 Executive Summary The outlook for the State Employees’ Health Insurance Trust Fund has improved significantly from the post-session forecast. The projected 2005-06 ending balance of the fund gained from

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EDR Health Insurance Conference Page

Prepared Edr.state.fl.us

Group Health Self-Insurance Trust Fund for the Fiscal Years Ending June 30, 2007 through June 30, 2009 to aid in state planning and budgeting in accordance with sec. 216.136(11), Florida Statutes. The outlook has been prepared using cash basis methods and modeling, and is based on the healthcare

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Employment Projections To 2021 Florida Workforce

Services Edr.state.fl.us

Education and Health Services Level Change. Employment Change by Major Industry Sector Florida 2013-2021 6 Ambulatory Health Care Services 419,731 533,213 14,185 3.4 Professional, Scientific, and Technical Services 465,524 564,799 12,409 2.7 Local Government, Including Education and Hospitals 731,231 816,423 10,649 1.5

Mens Health
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EDR Health Insurance Conference Page

State Edr.state.fl.us

State Employees' Health Insurance Trust Fund Last conference held: November 13, 2007 Executive Summary The outlook for the State Employees’ Health Insurance Trust Fund has improved slightly from the February forecast. The projected 2007-08 ending balance of the fund gained from $175.7 million

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Self Insurance Estimating Conference

Costs Edr.state.fl.us

projections, lower projected health care costs in the self-insured PPO and HMO plans, assumptions used to develop ASO fees, and favorable trend factor adjustments in medical costs in the near term. In addition, the Reinsurance fees applicable to plan year 2016 and beyond have been increased to


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2020 FLORIDA TAX HANDBOOK

Scope Edr.state.fl.us

The estimates in the 2020 edition of the Florida Tax Handbook are as accurate as possible given the scope of the document. An attempt has been made to provide point …


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Overview Of Federal Affordable Care Act October 17

Title Edr.state.fl.us

Agency for Health Care Administration Overview of Federal Affordable Care Act October 17 2011October 17, 2011 . Analysis hThis analysis addresses only the direct impact of changes to enrollment in the Title XIX (Medicaid) and Title (XXI) CHIP programs


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Self Insurance Estimating Conference State Employees

Remain Edr.state.fl.us

Health Care Plans from the program, effective January 1, 2018; finalized fully-insured HMO Medicare premium rates; and revised claims trends for PPO and HMO pharmacy claims. The fund is expected to remain solvent through FY 2018-19, with increases in ending cash balances for all years of the forecast when compared to the August 2017 Outlook.


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FIEC Charge Same Fee Analysis

Health Edr.state.fl.us

fee and similar information before, during or after the health care is provided. 1) Statement and Purpose: Many physicians in Florida agree to accept fees for health care covered by health insurance plans or other governmental or private third-party payor programs which limit payments for particular medical treatments, services or procedures.


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Expenditure Social Services Estimating Conference Florida

$2030180 Edr.state.fl.us

$2,030,180 (1) ACA Insurer Fee Liability included in expenditures. Listed on page 45. (2) Prior year expenditures listed on page 95 Kidcare Projections for Fiscal Year 2020-21: March 15, 2021


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Supreme Court Of Florida

Physician Edr.state.fl.us

Physicians' Health Care Charges.[1] (a) A physician shall charge all purchasers the lowest fee for health care which the physician has agreed to accept as full payment for the same health care when the same health care is being paid for in whole or in part through any agreement between the physician and any other purchaser. Nothing in this


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REVENUE ESTIMATING CONFERENCE

Impact Edr.state.fl.us

The term “health care practitioner” is specifically defined in this context. Section 2: Description of Data and Sources The Department of Health indicates that it has no basis for estimating the potential fiscal impact of this provision. The department anticipates the provision to have an insignificant indeterminate negative impact on


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Health Insurance Executive Summary January 2012

Trust Edr.state.fl.us

Employees’ Group Health Self-Insurance Trust Fund (the Trust Fund) for the fiscal years ending June 30, 2012 through June 30, 2016 to aid in the state’s planning and budgeting in accordance with Section 216.136(9), Florida Statutes. The Division prepared the Outlook using cash basis methods and modeling based on the healthcare

Health Insurance
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Expenditure Social Services Estimating Conference Florida

$1312884 Edr.state.fl.us

$1,312,884 (1) ACA Insurer Fee Liability included in expenditures. Listed on page 56. (2) Prior year expenditures listed on page 110 Kidcare Projections for Fiscal Year 2020-21: August 6, 2020


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Comparison Of The November 2020 And March 2021 Forecasts

Difference Edr.state.fl.us

Health Care Trust Fund November 2020 754.9 750.2 740.4 730.8 721.5 712.6 March 2021 755.8 751.1 741.3 731.9 722.5 713.5 Difference 0.9 0.9 0.9 1.1 1.0 0.9 General Revenue Service Charge November 2020 85.4 84.4 83.3 82.1 81.0 79.9 March 2021 85.5 84.5 83.4 82.1 81.1 80.0 Difference 0.1 0.1 0.1 0.0 0.1 0.1 General Revenue Excise Tax


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REVENUE ESTIMATING CONFERENCE Tax Issue: Generator

Health Edr.state.fl.us

Health Care Administration may revoke the nursing home or Assisted Living Facility’s license for failure to comply with this rule. In addition to other remedies provided by law, violation of this rule shall result in a fine or sanction of $1,000 per day.


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Medicaid Executive Summary

October Edr.state.fl.us

For the Prepaid Health Plan – Long Term Care (LTC) category, the actual rate increase on October 1, 2020, was 1.5%. This figure was initially provided in the same August 4, 2020 letter referenced above. In the outer years, LTC capitation rates are projected to increase 1.5% in October of each year.


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REVENUE ESTIMATING CONFERENCE Tax: Other Taxes And …

Agency Edr.state.fl.us

Agency for Health Care Administration, Agency Analysis of 2016 House Bill 1411 (Jan. 13, 2016). Emails and phone conversations with AHCA staff, April 26 and May 4, 2016. There are currently 62 licensed clinics in Florida. The annual cost incurred by AHCA to administer the …


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Health Insurance Executive Summary February 2011

Outlook Edr.state.fl.us

The outlook for the State Employees’ Health Insurance Trust Fund has been revised to take into account recent fund experience and a revised trust fund impact of the Federal Patient Protection and Affordable Health Care Act (PPACA). The outlook has worsened slightly overall as a result of these changes: For 2010-11 the projected ending balance

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Methodology Notes For The SMMC Transition Budget Analysis

Budget Edr.state.fl.us

capitation to other budget issues, such as the PCP fee increase, Health Insurance Providers Fee, or the elimination of self-funded IGTs. This version of the exhibit projects the payment stream including all those elements, and compares the budget year Agency for Health Care Administration March 17, 2014. Expected Payment Pattern of SMMC MMA


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FIEC Charge Same Fee Analysis

Health Edr.state.fl.us

• The amendment will affect the cost of providing health care coverage to state and local government employees. If the government’s health plan reimburses physicians at a rate higher than other plans, the cost to the plan will probably decrease. If the government’s health plan has


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Revenue Estimating Conference Tobacco Tax And Surcharge

Million Edr.state.fl.us

the distribution to the Health Care Trust Fund. The settlement results in refund payments of $29.9 million in FY 2019-20, and tax credits in the amounts of $2.4 million in FY 2019-20 and $10.2 million in FY 2020-21. The performance of the cigarette tax and surcharge was doing better than originally expected, but


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SOCIAL SERVICES ESTIMATING CONFERENCE

Trust Edr.state.fl.us

54.0%: 4,155.2 5.2%: 4,804.5 15.6%: 5,014.6 4.4%: Medical Care Trust Fund 11,827.8: 1.6% 10,376.7-12.3% 11,077.1: 6.7% 12,240.0: 10.5% Refugee Assistance Trust Fund


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Supreme Court Of Florida

Health Edr.state.fl.us

in a health care facility or by a health care provider. (3) The phrase "adverse medical incident" means medical negligence, intentional misconduct, and any other act, neglect, or default of a health care facility or health care provider that caused or could have caused injury to or death of a patient, including, but not


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Expenditure Social Services Estimating Conference Florida

Appropriations Edr.state.fl.us

Agency for Health Care Administration 25-34 Florida Healthy Kids Corporation 35-77 Department of Health 78-97 Estimated CHIP Allotment Balances 98-99 SFY 2015-16 KidCare Appropriations 100 SFY 2016-17 KidCare Appropriations 101 10 Percent Administrative Cap 103-104


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Supreme Court Of Florida

Initiative Edr.state.fl.us

Att’y Gen. re Right of Citizens to Choose Health Care Providers, 705 So. 2d 563, 565 (Fla. 1998); see also Smith v. Coalition to Reduce Class Size, 827 So. 2d 959, 963 (Fla. 2002) (if initiative meets requirements of article XI, section 3, Florida Constitution, “then the sponsor of an initiative has the right to place the initiative on


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Expenditure Social Services Estimating Conference Florida

$1975001 Edr.state.fl.us

$1,975,001 (1) ACA Insurer Fee Liability included in expenditures. Listed on page 45. (2) Prior year expenditures listed on page 95 Kidcare Projections for Fiscal Year 2020-21: December 2, 2020


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REVENUE ESTIMATING CONFERENCE

Distributor Edr.state.fl.us

the Health Care Trust Fund after deducting the GR service charge. Section 210.25(13), F.S., defines “wholesale sales price” as “the established price for which a manufacturer sells a tobacco product to a distributor, exclusive of any diminution by volume or other discounts.”


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Review And Update Of Florida’s Child Support Guidelines

Percent Edr.state.fl.us

childcare, health insurance, and health care expenses are included, the number of cases exceeding 50 percent increases to over two and half percent, with an average order-to-net income ratio of 31 percent for those cases. 6 Thomas J. Espenshade, Investing in Children, The Urban Institute Press, Washington, DC, 1984.


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TOBACCO SETTLEMENT TRUST FUND FINANCIAL OUTLOOK …

Include Edr.state.fl.us

This financial outlook statement does not include the transfer from the Lawton Chiles Endowment Fund to the Biomedical Research Trust Fund under section 215.5601, Florida Statutes, nor does it include the appropriation from the trust fund.

Mens Health
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THE FLORIDA LEGISLATURE

Costs Edr.state.fl.us

the impact on Florida’s public health care costs is indeterminate and may evolve over many years. In part, this is because the vast majority of the new legal market participants are already using and purchasing the product on the black market. • New costs for law enforcement agencies during the startup and implementation phases—The


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Self Insurance Estimating Conference State Employees

Outlook Edr.state.fl.us

meeting health plan costs by $179.4 million. Following is a summary of the Outlook for fiscal years 2011‐12 through 2015‐16. Financial Outlook (Dollars in Millions) Beginning Cash Balance $ 197.8 $ 227.0 $ 126.7 $ 0.0 $ 0.0 Revenues 1,886.3 1,903.8 2,098.1 2,194.5 2,186.3


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REVENUE ESTIMATING CONFERENCE Tax: Ad Valorem Issue

Health Edr.state.fl.us

Districts, there are 32 active hospital, health care, and county health and mental health care districts in Florida – as of March 25, 2015. Of the 32, 5 are dependent districts and 27 are independent districts. Nineteen of the 32 active hospital, health care, and county health and mental health care districts in Florida are authorized to


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Expenditure Social Services Estimating Conference Florida

Health Edr.state.fl.us

Agency for Health Care Administration 25-44 Florida Healthy Kids Corporation 45-87 Department of Health 88-107 Estimated CHIP Allotment Balances 108-109 SFY 2015-16 KidCare Appropriations 110 10 Percent Administrative Cap 111-112


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Demographic Overview & Population Trends

Workforce Edr.state.fl.us

Health Care Workers The per capita need for additional workers in 2030 is a minimum or “at least as” number: z Retiring Baby Boomers will present significant replac ement challenges to ma intaining the existing size of the healthcare workforce. z The demographic shift caused by the aging populat ion will introduce a greater demand for health


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REVENUE ESTIMATING CONFERENCE Tax: Sales And Use Tax …

FS Edr.state.fl.us

REVENUE ESTIMATING CONFERENCE Tax: Sales and Use Tax . Issue: Medical Use of Cannabis . Bill Number(s): CS/CS/CS/HB 307, Enrolled, Engrossed the Right to Try Act, s. 499.0295, F.S., which authorizes experimental treatments for terminal conditions.


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Social Services Estimating Conference Medicaid Caseloads

Hospital Edr.state.fl.us

Mental Health Hospital Dispr Share 71.1 71.1 0.0 TB Hospital Dispr Share 2.4 2.4 0.0 Program Care For The Elderly 36.5 36.5 0.0 TOTAL MEDICAID SOURCES OF FUNDS General Revenue 5,293.5 5,208.4 85.2 Health Care Trust Fund 780.2 771.9 8.3


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SOCIAL SERVICES ESTIMATING CONFERENCE

EXPENDITURES Edr.state.fl.us

Page 1 Agency for Healthcare Administration Bureau of Medicaid Program Finance 8/27/15 SOCIAL SERVICES ESTIMATING CONFERENCE - AUGUST 28, 2015 COMPARISON OF PROJECTED EXPENDITURES TO BASE EXPENDITURES


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FAQ edr.state.fl.us health

What is healthy really means?

Healthy eating means eating a variety of foods that give you the nutrients you need to maintain your health, feel good, and have energy. These nutrients include protein, carbohydrates, fat, water, vitamins, and minerals. Nutrition is important for everyone. When combined with being physically active...

How do you stay healthy?

In order to stay healthy, you need to live an active and aware lifestyle. This means getting at least 30 minutes of exercise daily, eating a well balanced diet, and try and reduce stress in your lifestyle. Becoming more active will help with stress levels and eating a well balanced diet will help keep you healthy.

Is your healthy food really healthy?

Is Your Healthy Food Really Healthy? Give your salad a second look. While salads are a great way to get in your daily vegetables, it's surprisingly simple to... Avoid artificial sweeteners. While reducing the amount of sugar in your diet is always a positive move, artificial... Be picky about popcorn. Popcorn can be a great low-calorie snack when you make it at home. More ...

Is being too healthy unhealthy?

Yep, being too healthy can actually be unhealthy . Orthorexia is an obsession with eating a "pure" diet, which can mean avoiding foods with unhealthy fats, added sugar or salt, genetic modifications, artificial colors, or flavors and preservatives.

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