Politics

Trump signs order that aims to reveal real health care costs

Published

7 years ago

June 24, 2019

WASHINGTON (AP) — President Donald Trump signed an executive order Monday that calls for upfront disclosure by hospitals of actual prices for common tests and procedures to help keep costs down.

The idea is to give patients practical information that they can use to save money. For example, if a hospital charges your insurer $3,500 for a type of echocardiogram and the same test costs $550 in a doctor’s office, you might go for the lower-price procedure to save on copays.

But insurers said the idea could backfire, prompting hospitals that now give deeper discounts to try to raise their own negotiated prices to match what high earners are getting. Hospitals were skeptical of the move.

Trump’s order also requires that patients be told ahead of time what their out-of-pocket costs like deductibles and copays will be for many procedures.

Little will change right away. The executive order calls for a rule-making process by federal agencies, which typically takes months or even years. The details of what information will have to be disclosed and how it will be made available to patients must be worked out as part of writing the regulations. That will involve a complex give-and-take with hospitals, insurers and others affected.

Consumers will have to wait to see whether the results live up to the administration’s promises.

“For too long it’s been virtually impossible for Americans to know the real price and quality of health care services and the services they receive,” Trump said at the White House. “As a result, patients face significant obstacles shopping for the best care at the best price, driving up health care costs for everyone.”

Health and Human Services Secretary Alex Azar told reporters earlier that the order “will put patients in control by increasing choice and competition.”

Lack of information on health care prices is a widespread problem . It’s confusing for patients, and experts say it’s also one of the major factors that push up U.S. costs. The same test or procedure, in the same city, can cost widely different amounts depending on who is performing it and who is paying the bill. Hospital list prices, which are available, don’t reflect what they are paid by insurers and government programs.

The health insurance industry said disclosing negotiated prices will only encourage hospitals that are now providing deeper discounts to try to raise their rates to match the top-tier facilities. “Publicly disclosing competitively negotiated proprietary rates will reduce competition and push prices higher — not lower — for consumers, patients, and taxpayers,” Matt Eyles, head of the industry group America’s Health Insurance Plans, said in a statement.

The Federation of American Hospitals, representing for-profit facilities, warned that if the Trump administration regulations take the “wrong course,” they may “undercut the way insurers pay for hospital services, resulting in higher spending.”

While the prices Medicare pays are publicly available, private insurers’ negotiated rates generally are not. Industry officials say such contractual information is tantamount to trade secrets and should remain private.

Azar pushed back against that argument, saying insurers do ultimately disclose their payment rates when they send individual patients an “explanation of benefits.” That’s the technical term for the form that patients get after they’ve had a procedure or seen the doctor.

“Every time any one of us goes to a doctor or a hospital, within a couple of weeks in our mailbox arrives an explanation of benefits. (It) contains the list price … the negotiated rate … and what your out-of-pocket is,” Azar said. “This is not some great state secret out there.”

Patients should have that information ahead of time to help them make decisions, he added.

Trump’s executive order also calls for:
—expanded uses for health savings accounts, a tax-advantaged way to pay health care bills that has long been favored by Republicans. Coupled with a lower-premium, high-deductible insurance plan, the accounts can be used to pay out-of-pocket costs for routine medical exams and procedures.
—a plan to improve the government’s various health care quality rating systems for hospitals, nursing homes and Medicare Advantage plans.
— more access by researchers to health care information, such as claims for services covered by government programs like Medicare. The data would be stripped of details that could identify individual patients.

Crimes and Courts

Florida Creates Public Assistance Fraud Task Force, Appoints Special Prosecutor to Crack Down on Fraud

Published

7 hours ago

April 15, 2026

FNN NEWS

Courtesy of the Office of the Attorney General

TALLAHASSEE, Fla. (FNN) — James Uthmeier announced the launch of the Public Assistance Fraud Task Force, a multi-agency initiative aimed at strengthening investigations and prosecutions of fraud involving taxpayer-funded benefit programs.

As part of the effort, Assistant Statewide Prosecutor Scott Strauss has been appointed as special prosecutor to oversee complex, multi-circuit fraud cases and coordinate legal strategies across agencies.

TASK FORCE TO TARGET FRAUD

The task force is designed to provide legal counsel and streamline criminal prosecutions for state agencies and law enforcement, enhancing Florida’s ability to build strong cases against individuals accused of fraud.

“We are launching this task force to bring accountability and prosecute those who are stealing from Floridians,” Uthmeier said. “Florida is not Minnesota or California, and we will safeguard the taxpayers’ investment in the services meant for the vulnerable.”

MULTI-AGENCY COLLABORATION

State leaders emphasized the importance of coordination across agencies to combat increasingly sophisticated fraud schemes.

“Under the leadership of Governor Ron DeSantis and Attorney General Uthmeier, Florida has continued to identify, address, and prevent fraud,” said Shevaun L. Harris, secretary of the Agency for Health Care Administration. “This multi-agency initiative creates an opportunity to collectively reaffirm that commitment.”

Brad McVay added that protecting taxpayer-funded programs is essential to maintaining public trust.

“Floridians deserve a government that safeguards their taxpayer dollars from fraudsters,” McVay said.

Florida Department of Law Enforcement Commissioner Mark Glass also stressed enforcement.

“If you commit fraud against public assistance programs, you will be held accountable,” Glass said.

ROLE OF SPECIAL PROSECUTOR

The special prosecutor will evaluate and oversee ongoing multi-circuit investigations, assist in developing cases for prosecution, and support law enforcement with legal tools such as warrants and affidavits.

Kathleen Von Hoene said the initiative will strengthen protections for vulnerable populations.

“Our goal is to protect the public, preserve the integrity of the Medicaid program, and safeguard the populations it serves,” she said.

PROGRAMS AND ENFORCEMENT

Florida’s public assistance programs include Medicaid, SNAP, WIC, housing assistance and reemployment services. Fraud involving these programs can result in criminal charges ranging from misdemeanors to felonies, with penalties including fines, restitution and incarceration.

Law enforcement agencies interested in participating in the task force can contact the Office of Statewide Prosecution for more information.

Florida

Former Property Appraiser Rick Singh Launches Clerk of Courts Bid, Passes on Mayor and CFO Races

Published

19 hours ago

April 15, 2026

Willie David

Photo credit: The Honorable Rick Singh, who served two terms as Orange County Property Appraiser.

ORLANDO, Fla. (FNN) — Rick Singh, a U.S. Army veteran, business leader and former Orange County property appraiser, has announced his candidacy for Orange County Clerk of Courts, outlining a platform focused on efficiency, modernization and improved customer service.

While some observers expected Singh to pursue higher-profile offices such as Orange County mayor, Florida chief financial officer or Congress, his decision to run for Clerk of Courts reflects a focus on operational leadership and improving local government services.

“I’m running to make government work faster, smarter and more efficiently for the people of Orange County,” Singh said. “Residents deserve a Clerk’s Office that is responsive, transparent and built for today’s needs.”

PLAN TO MODERNIZE AND IMPROVE SERVICES

Singh outlined several immediate priorities if elected, including upgrading technology and expanding digital access.

“We will modernize the system by reducing long lines, enhancing online services and making it easier for residents to access records, make payments and interact with the Clerk’s Office,” Singh said.

His plan includes improving website and mobile access, streamlining in-person services and reducing wait times for residents.

FOCUS ON EFFICIENCY AND ACCOUNTABILITY

In addition to modernization, Singh said he will prioritize operational improvements and customer service reforms.

“We will overhaul customer service to prioritize speed, respect and accountability,” Singh said. “That includes auditing operations to eliminate delays and inefficiencies that frustrate residents.”

Singh emphasized that creating a more efficient and user-friendly experience will be a top priority from day one.

EXPERIENCE, INNOVATION AND COMPETITIVE FIELD

During his tenure as property appraiser, Singh led the office with the scope and visibility of a countywide constitutional role, implementing reforms that improved transparency, accuracy and efficiency.

His annual “State of Orange County Real Estate” events drew thousands of attendees, including elected officials, real estate professionals, financial leaders and community stakeholders, positioning the office as a key platform for economic insight and public engagement.

Supporters point to Singh’s track record of innovation — including modernizing systems and improving operational performance — as a model for how he would lead the Clerk of Courts office.

“I’ve led a large countywide office and delivered results,” Singh said. “I’m ready to bring that same level of leadership, innovation and accountability to the Clerk of Courts.”

His entry into the race adds to an already competitive field that includes Maribel Gomez Cordero, a current county commissioner and former vice mayor, and Emily Bonilla, a former commissioner and vice mayor, both of whom bring experience in local government leadership and community engagement.

Central Florida News

Nick Nesta Wins Apopka Mayor Runoff in Landslide, Defeats Christine Moore

Published

21 hours ago

April 14, 2026

Willie David

APOPKA, Fla. (FNN) — Apopka voters have elected Nick Nesta as the city’s next mayor following a decisive runoff victory over Christine Moore.

Nesta, a current Apopka city commissioner, secured 61.94% of the vote, defeating Moore, who received 38.06%, according to unofficial results with all precincts reporting. Voter turnout was approximately 20%, based on data from the Orange County Supervisor of Elections.

LANDSLIDE RUNOFF VICTORY

Nesta’s win marks a significant political shift in the city of about 60,000 residents in northwest Orange County. The two candidates advanced to the runoff after emerging as the top vote-getters in the initial election, which unseated incumbent Mayor Bryan Nelson.

The margin of victory — nearly 62% — underscores strong voter support for Nesta’s campaign message and leadership vision.

CAMPAIGN DYNAMICS AND VOTER RESPONSE

Despite Moore receiving endorsements from prominent leaders and organizations, including the Orlando Sentinel, voters ultimately favored Nesta’s platform.

Observers say the results suggest local voters prioritized campaign messaging and community connection over high-profile endorsements, including that of the outgoing Apopka mayor, whom voters rejected in the initial election.

IMPLICATIONS FOR FUTURE ELECTIONS

Nesta’s victory could offer insight into voter sentiment ahead of the August 2026 primary elections across Orange County and beyond.

Political analysts note that the outcome may signal a broader trend in which voters are responding more strongly to local issues and candidate engagement than to traditional political backing.

Nesta is set to assume leadership of Apopka as the city continues to address growth, infrastructure and community development priorities.