The faces of Florida’s Medicaid system

MEDICAID

MiamiHerald.com/healthcare

The tea party governor now says he wants to expand Medicaid. The Republican Legislature isn’t so sure.

Hanging in the balance?

Access to healthcare for 1 million or more poor Floridians.

Billions of dollars in federal money.

The state budget, which already pumps $21 billion a year into care.

Florida’s Medicaid system today serves more than 3 million people, about one in every six Floridians. The decision whether to expand the system by a full third will be made by men and women in suits in Tallahassee’s mural-filled chambers this spring.

But the impact is elsewhere, in children’s hospitals in Tampa and Miami, in doctors’ offices in New Port Richey and in the home of a woman who recently lost her full-time teaching job.

The Suddenly uninsured

This was not how she envisioned her 60s.

Jean Vincent dreamed of turning her five-bedroom home into a bed and breakfast. She painted murals on walls, created mosaics on floors and let her imagination guide the interior decorating. There is a “garden” room, a “bamboo” room and a “canopy” room.

In 2010, Vincent lost her full-time job teaching in Citra north of Ocala. Her mother became sick with cancer and needed around-the-clock care before dying in August. Then, doctors began prescribing Vincent costly medications to treat osteoporosis and early-onset diabetes.

“I started getting a little behind with my mortgage,” said Vincent, 61. “All of a sudden, I found out I had to have an emergency retina eye surgery.”

Today, Vincent is searching for roommates to move into her home and help pay the bills. She begs Gainesville’s Sante Fe Community College and City College to schedule her for as many classes as she can handle as an adjunct geography professor; this semester’s four is the most she’s ever had.

But her biggest worry? Not having comprehensive healthcare.

Vincent — who is too young for Medicare — is enrolled in CHOICES, a health services program the Alachua County government created for the uninsured. It covers preventative care like her flu shots and helps with her drug therapy. But if Vincent ever got so sick she needed to go to the hospital, she’d be on her own.

Under current Florida law, adults with no dependents are not eligible to participate in Medicaid no matter how little they make. Vincent’s four children are all grown, which means even as her income has dwindled she can’t become eligible for the health insurance program run jointly by the federal and state governments.

If Florida decides to expand the Medicaid system, people in Vincent’s position for the first time could be covered.

The expansion would allow any single adult making about $16,000 a year eligible for Medicaid.

On the matter, Vincent has become an activist. She joined with patient rights group Florida CHAIN and traveled to Tallahassee to lobby lawmakers.

“When I gave my testimony, that’s all I wanted them to do was see there were people out there that weren’t just trying to take advantage of the system,” she said.

This summer, she expects to only be assigned one class at Sante Fe. That will provide about $2,000 for her to live on for three months. Meanwhile, her retirement dreams are put on hold.

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Miami police union challenges officer’s firing for fatal shooting

The Fraternal Order of Police filed a lawsuit against the city of Miami on Friday, asserting that an officer who fatally shot an unarmed motorist in 2011 was improperly fired from the police department.

Officer Reynaldo Goyos shot and killed Travis McNeil as he sat in a car at a Little Haiti intersection. It was one of a string of seven deadly shootings of black men in the inner city by Miami police officers in 2010 and 2011.

Goyos was cleared of criminal wrongdoing by prosecutors in 2012. But he was terminated last month after the department’s Firearms Review Board concluded that the shooting was unjustified.

The police union lawsuit claims that the board violated state open-government laws by failing to open its meetings to the public.

Goyos “was improperly terminated by the city of Miami Police Department by a review board that violates the law,” union President Javier Ortiz wrote in a statement.

The lawsuit contends that Goyos should be reinstated.

City Attorney Julie O. Bru declined to discuss the specifics of the case. “We reviewed the allegations, and the city maintains that the board has operated consistent with the requirements of law,” she said.

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Diogo Morgado as Jesus in 'The Bible'

Producer Mark Burnett and his wife Roma Downey are bringing The Bible to television with an epic, 10-hour, five-part miniseries, and ET's Nancy O'Dell is with the man who portrays Jesus, Diogo Morgado, and the actor who embodies St. Peter, Darwin Shaw.

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"Jesus is definitely the most complete and complex figure of mankind; he's just someone who belongs to millions and billions of families all around the world," says Portuguese star Morgado, a religious man himself. "Just [given] the chance [to play him], I'm like, 'Okay, I'm going to try to just give an example of my Jesus.'"

Premiering Sunday, March 3 at 8 p.m. on History, The Bible brings to life some of the more well-known tales from the ancient tome from Genesis through Revelation, including David and Goliath, Noah's Ark, the Exodus, Daniel in the Lion's Den and the crucifixion/resurrection of Jesus. Shot in Morocco, the series is narrated by Emmy winner Keith David with a musical score by Oscar winner Hans Zimmer, also stars Downey as Mother Mary and includes Paul Brightwell, Greg Hicks, Sebastian Knapp, Amber Rose Revah, Greg Hicks and Simon Kunz.

Related: First Look at Russell Crowe as 'Noah' 

Watch the video for the actors' take on tackling such iconic figures – and see the amusing moment after Nancy sneezes in front of Morgado!

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NBC v. ESPN for Big East

Espn has matched NBC’s offer to buy the Big East Conference’s television rights for about $20 million per year over a period of six years, according to media reports.

The Big East, a college athletic conference encompassing universities in the eastern half of the country, was working on a deal with NBC that would have put most of its football and men’s basketball games on NBC Sports Network.

According to Sports Business Journal and ESPN.com, the deal also gave NBC the right to sublicense games, allowing them to be aired by other networks.

ESPN had the right to match the deal by Thursday.

Sports Business Journal and ESPN.com, citing unidentified sources, reported that ESPN had matched but all of the details were still being worked out.

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South Florida hospitals could lose $368 million from sequestration

A detailed survey shows that South Florida hospitals could lose $368 million over 10 years in federal budget cuts starting next Friday, if the sequestration program kicks in as scheduled.

The Florida Hospital Association, using data from the American Hospital Association, estimates that over the next decade, sequestration would cause Miami-Dade hospitals to lose $223.9 million and Broward facilities $144.4 million under the Congress-mandated budget cuts that hit virtually all federal programs unless Republicans and Democrats can work out a compromise.

The New York Times and other national news organizations are reporting that sequestration, unlike the New Year’s fiscal cliff, seems virtually certain to take place.

The law requires across-the-board spending cuts in domestic and defense programs, with certain exceptions. Because healthcare represents more than one in five dollars of the federal budget, it will be a huge target for cuts.

For hospitals and doctors, the major impact will be felt in Medicare cuts, which according to the budget law are limited to 2 percent of Medicare payments. Medicaid, food stamps and Social Security are exempted from cuts, according to the Bipartisan Policy Center.

The FHA study calculates that over 10 years, Jackson Memorial Hospital stands to lose $30.6 million, Mount Sinai Medical Center on Miami Beach $27.3 million, Holy Cross in Fort Lauderdale $23.8 million and Memorial Regional Hospital in Hollywood $21.4 million.

“The problem with sequestration is that it just makes broad cuts across the board,” said Linda Quick, president of the South Florida Hospital and Healthcare Association. “The Affordable Care Act is looking at all sorts of intelligent ways to reduce costs,” including coordinated care that will stop duplicated tests and reduce hospital readmissions. “But sequestration takes an ax, and that doesn’t make any sense.”

FierceHealthcare, which produces trade publications, says sequestration cuts over the next decade will include $591 million from prescription drug benefits for seniors, $318 million from the Food and Drug Administration, $2.5 billion from the National Institutes of Health, $490 million from the Centers for Disease Control and $365 million from Indian Health Services.

The National Association of Community Health Centers estimates that 900,000 of its patients nationwide could lose care because of the cuts. The group said the cuts were “penny wise and pound foolish” because they would mean less preventive care while more and sicker patients would end up in emergency rooms.

Like the fiscal cliff, Republicans and Democrats agreed on a sequestration strategy, with the idea that the drastic measure would force the two sides to reach agreement on more deliberative budget adjustments. That hasn’t happened.

The White House reports that the law will mean that nondefense programs will be cut by 5 percent, defense programs by 8 percent. But since the first year’s cuts must be done over seven months, that means in 2013, nondefense programs need to be cut by 9 percent, defense programs by 13 percent.

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Bill to ban smoking on some public land advances

Cities and counties could bar smokers from beaches, parks, and other publicly owned outdoor areas under a proposal that passed an early Florida Senate test Thursday, despite concerns from restaurateurs.

By unanimous vote, the Senate Regulated Industries Committee approved the measure (SB 258), which expands the state’s clear indoor air restrictions to more outdoor venues.

Voters approved the Florida Indoor Clean Air Act a decade ago.

The proposal would allow local governments to create smoke-free areas on publicly owned land as long as smoking sections are also available.

A similar bill stalled last year after concerns over smoking on sidewalks.

The current version of the bill prohibits smoking only on sidewalks in public parks, on public beaches, or in recreations areas while continuing to allow smoking on regular street-side sidewalks.

The bill would also allow cities and counties to extend smoke-free zones from public buildings to 75 feet from the entrance, or the same distance from a ventilation system or windows.

Law-enforcement officials would be required to first alert violators of the no-smoking restrictions and ask them to leave before they can issue a citation.

“Nobody wants to put anyone in jail for doing these things but it does send a signal,” said Sen. John Thrasher, R-St. Augustine.

“This state wants to be smoke free, eventually. . . . This is just one incremental step toward getting there.”

Rep. Bill Hager, R-Delray Beach, filed a House version of the bill this week.

In December, Sarasota County Judge Maryann Boehm ruled that Sarasota’s ordinance banning smoking in public parks was unenforceable, arguing that regulating smoking was a task left to the Legislature.

Thursday’s vote came after representatives of the state’s restaurant industry expressed concerns about the potential of unintended consequences but said they hoped to work with the sponsors to work out problems as the bills progress.

“When the smoking ban was passed, many businesses spent hundreds of millions of dollars to reconfigure their properties to accommodate both the new law and our customers,” said Richard Turner, of the Florida Restaurant and Lodging Association.

“At the moment, we are concerned that some of these ordinances could impact the investments that have been made.”

Some panelists also expressed concerns, saying they want assurances that beaches and public parks will not be totally off limits to smokers.

“The beach belongs to everybody,” said Rep Audrey Gibson, D-Jacksonville. “And people are different.”

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All ‘hail’ the Oscar winners

And the Oscar goes to “Lincoln” . . . at least according to city taxi riders.

The historical drama won Best Picture in a monthlong survey of New York City taxi riders, officials said yesterday.

“Lincoln” — heavily favored for Sunday night’s Oscars — scored 25 percent of the votes for Best Picture.

The other winners were:

* Best Actor: Daniel Day-Lewis (inset top right), “Lincoln,” 43 percent.

* Best Actress: Jessica Chastain (pictured), “Zero Dark Thirty,” 33 percent.

* Best Director: Steven Spielberg, “Lincoln,” 42 percent.

* Best Animated Feature Film: “Brave” (inset below), 35 percent.

Tony DiMaio/startraksphoto.com

Jessica Chastain

This is the first year the Taxi and Limousine Commission has asked riders to weigh in with their picks for the Oscars.

Commissioner David Yassky said it was done to engage passengers during rides.

“There are few things that New York City loves more than its movies and its taxicabs,” he said.“People really enjoyed the combination of the two in this survey.”

Yassky, a known movie buff, said he agrees with the survey’s winners.

“The customer is always right!” he tweeted after the results were announced.

Almost 100,000 taxi riders took part in the survey, which popped up on TV screens in the backs of yellow cabs.

That’s far more than the nearly 6,000 people who vote for the real winners.

However, not all of the taxi-survey respondents answered every question. For Best Picture, 27,681 people voted.

jennifer.fermino@nypost.com

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National Hotel nears end of long renovation

A panel of frosted glass puts everything in perspective for Delphine Dray as she oversees a years-long, multi-million dollar renovation project at the National Hotel on Miami Beach.

“Chez Claude and Simone,” says the piece of glass stationed between the lobby and restaurant, a reference to Dray’s parents, who bought the hotel in 2007.

“Every time I am exhausted and I pass that glass, I remember why,” said Delphine Dray, who joined her father — a billionaire hotel developer and well-known art collector in France — to restore the hotel after the purchase.

After working with him for years, she is finishing the project alone. Claude Dray, 76, was killed in his Paris home in October of 2011, a shooting that remains under investigation.

In a recent interview and tour of the hotel’s renovations, which are nearly finished, Dray did not discuss her father’s death, which drew extensive media coverage in Europe. But she spoke about the evolution of the father-daughter working relationship, the family’s Art Deco obsession and the inspiration for the hotel’s new old-fashioned touches.

The National is hosting a cocktail party Friday night to give attendees a peek at the progress.

Dray grew up in a home surrounded by Art Deco detail; her parents constantly brought home finds from the flea market. By 2006, they had amassed a fortune in art and furniture, which they sold for $75 million at a Paris auction in 2006.

That sale funded the purchase of the National Hotel at 1677 Collins Ave., which the Drays discovered during a visit to Miami Beach.

After having lunch at the Delano next door, Dray said, “My dad came inside the hotel and fell in love.” The owner was not interested in selling, but Claude Dray persisted, closing the deal in early 2007. Her family also owns the Hôtel de Paris in Saint-Tropez, which reopened Thursday after a complete overhaul overseen by Dray’s mother and older sister.

Delphine Dray said she thought it would be exciting to work on the 1939 hotel with her father, so she moved with her family to South Florida. She quickly discovered challenges, including stringent historic preservation rules and frequent disagreements with her father.

“We did not have at all the same vision,” she said.

For example, she said: “I was preparing mojitos for the Winter Music Conference.” Her father, on the other hand, famously once unplugged a speaker during a party at the hotel because the loud music was disturbing his work.

“We were fighting because that is the way it is supposed to be,” she said. “Now, I understand that he was totally right.”

She described a vision, now her own, of a classic, cozy property that brings guests back to the 1940s.

Joined by her 10-year-old twin girls, Pearl and Swan, and 13-year-old son Chad, Dray pointed out a new telephone meant to look antique mounted on the wall near the elevators on a guest floor. She showed off the entertainment units she designed to resemble furniture that her parents collected. And she highlighted Art Deco flourishes around doorknobs and handles.

“It’s very important for us to have the details,” she said.

With those priorities in mind, she is overseeing the final phase of the renovation, an investment that general manager Jacques Roy said will top $10 million. In addition to the small details, the renovation includes heavier, less obvious work: new drywall in guest rooms, for example, and new windows to replace leaky ones.

Painting of the building’s exterior should be finished in the next two to three weeks, Roy said. Dray compared its earlier unfinished state to resembling “a horror movie — the family Addams.”

And the final couple of guest room floors, as well as the restoration of the original Martini Room, should be done by the end of April.

“At the end, I will be very proud,” Dray said.

The National’s renovation wraps up as nearby properties such as the SLS Hotel South Beach and Gale South Beach & Regent Hotel have been given new life. Jeff Lehman, general manager of The Betsy Hotel and chair of the Miami Beach Visitor and Convention Authority, said the National has always been true to its roots. He managed the hotel for 10 years, including for a few months after Dray bought the property.

“I think historic preservation and the restoration of the hotels as they were built 70, 80 years ago is such a huge piece of our DNA,” he said. “It’s a lot of what sets us apart from any other destination on the planet.”

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Sleek pizza cafe brightens tech park

Thea Goldman, no stranger to culinary pioneering, has put down roots in a neighborhood on the edge of Overtown dubbed the Health District thanks to an ambitious building project around the University of Miami’s Life Science & Technology Park.

Thea’s Pizzeria and Café is modeled on Joey’s Café, the business she and now ex-husband Joey Goldman opened in Wynwood in 2008. Their bold move spurred a cascade of interest and investment in an area that five years later is a hipster haven.

Here, the willowy, British-accented dynamo has taken a similar approach to an area with few eating options. That is part of the plan, says Goldman who opened in the fall for breakfast and lunch and is testing the dinner waters with Friday night openings.

Though only 15 minutes from South Beach, this tiny and stunning eatery, situated almost under I-95, is worlds away. It’s surrounded by office buildings, warehouses, car repair shops, a technical school and, most importantly, plans for a large hotel and retail space.

Dressed causally in black jeans and T-shirts and hailing from as far away as Naples, Italy, and as close as the surrounding Allapattah neighborhood, wait staff takes its cue from the upbeat boss with sunny smiles and quick service.

A dramatic, 30-foot-wide mural of peonies, roses, daffodils and daisies shimmers with 210,000 pieces of Italian glass pieced together by designer Carlo dal Bianco of Bisazza Mosaico. It’s set against a black backdrop with simple wooden tables set with vases of white hydrangea. Buffed, eggshell-colored concrete floors and soaring ceilings lend an industrial edge, while golden globes of light cast an elegant sheen.

The food is equal parts rustic and refined. Simple starters include pristine salads of baby arugula, mint, escarole and nicely roasted beets and a tiny greenhouse arrangement, all farmed locally.

A nice array of pizzas is cooked in a gas-fueled stone oven. The crust could be a bit saltier and chewier, but it makes a fine vehicle for generous and deftly handle toppings such as sausage-ricotta and anchovy-caper. My favorite is artichoke hearts with arugula, or maybe Gorgonzola with toasty walnuts and truffle oil.

A slightly stiff and too-thin focaccia loaded with shredded pecorino cheese and black pepper could use more loft.

Daily fish specials such as a silken cod fillet over mashed potatoes and a puree of briny black olives are always a good bet, as is the perfectly grilled salmon with lemony caper sauce over white bean and red onion salad. Chicken paillard, pounded thin and served with roasted potatoes and green beans, is simple and satisfying.

Like the menu, the wine list is modest but well done. Most of the two dozen or so labels are available by the glass, including a robust sangiovese from Emiglia Romana coincidentally named Thea.

With the exception of imported ravioli, pastas are of the boxed variety but well handled. We sampled the indulgent rigatoni with nicely browned coins of sausage and Italian ricotta.

Desserts are as simple and elegant as the place itself. Icy frozen espresso, granita topped with whipped cream and salted caramel ice cream are fine choices, as is a light but deeply flavored chocolate cake with a simple dusting of powdered sugar and a handful of plump raspberries.

Thea’s is a bustling hive of activity at breakfast and lunch, and dinner is growing more popular. Like a bright patch in a weed-strewn lot, this burgeoning eatery is full of promise.

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Seth MacFarlane on Hosting Oscars

ET caught up with Seth MacFarlane before he takes the Oscar stage on Sunday, getting him to spill a few details as to what fans can expect from the broadcast and how far he will go in teasing the stars in attendance.

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"I think everybody's fair game," MacFarlane said when asked about what the tone of the show will be.

"It does have to have a little bit of bite to it," MacFarlane added. "The whole point of their bringing me on was to give it a little bit more of an edge ... But it is a balance, because you have a room full of people who are at the top of their game -- they're successful, they're being honored, they're attractive -- and yet it's also the group with the thinnest skin on the planet."

TV and Broadway producers Craig Zadan and Neil Meron are producing the show this year, and they revealed that their ambitious vision for the telecast has not come without a cost.

"We've scheduled so many performers that our rehearsal time has quadrupled from a normal Oscar show," Craig said.

Some of those performers include Jennifer Hudson, Catherine Zeta-Jones, Hugh Jackman, Russell Crowe, Anne Hathaway, Amanda Seyfried, Eddie Redmayne, Samantha Barks, Helena Bonham Carter, Adele, Dame Shirley Bassey, Norah Jones, Barbra Streisand and Kristin Chenoweth, who will do a closing number with MacFarlane that Craig and Neil predict will be a "can't miss moment."

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While the producers and performers working around the clock to make sure everything comes off without a hitch, MacFarlane has achieved a sort of calm about the big day.

"I'm not feeling a lot of pressure for myself," said MacFarlane. "There is sort of a comfort in knowing that no matter what you do, you're going to get the same reactions in the reviews. I could put on the worst or the best show in the world, and I will still be flayed by the press."

MacFarlane went on to clarify that he has rarely received a positive review from the media regarding his work, including for his popular TV show Family Guy.

"We have a host that nobody knows what he's going to do," Craig said with a smile. "And that's exciting. There's that element of surprise."

Watch MacFarlane host the 85th Annual Academy Awards Sunday, February 24 at 7 pm ET/4 pm PT on ABC.

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