STUART — Have you ever wondered why some of those markers on the water are red and some are green?

And why are they different shapes, anyway? Why shouldn’t I just wait until I need my life jacket to put it on?

What is the minimum length of boat that requires a second fire extinguisher — or a third?

Answers to these and many other questions will be yours just for taking the time to attend the Coast Guard Auxiliary’s program, About Boating Safely.
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VERO BEACH — A Nevada corporation that holds the mortgage for Vero Fashion Outlets is seeking to foreclose on the mall, according to civil lawsuit filed in Indian River Circuit Court.

LNV Corp. of Nevada is seeking $32.15 million, including principal and interest, because the mall defaulted on payments, according to the lawsuit.

“Vero (Fashion Outlets) has defaulted,” wrote attorney Kenneth Curtin, of West Palm Beach, in a lawsuit filed Aug. 26. It is assigned to Circuit Judge Paul Kanarek. No action has been taken in the civil lawsuit and the mall’s owners have not responded to the allegations. Curtin did not return calls Wednesday.
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TREASURE COAST — The number of Treasure Coast medical equipment suppliers for Blue Cross/Blue Shield patients will dwindle to three starting Nov. 1.

The cutbacks follow a competitive bidding process by regional suppliers who provide products from diabetes testing strips to oxygen machines statewide to remain in the Blue Cross/Blue Shield of Florida network.

Liberty Medical Supply and Physician’s Choice Respiratory Services, Inc., both in Port St. Lucie, and Rotech Oxygen & Medical Equipment in Stuart remain as the lone Treasure Coast suppliers after the bidding, according to a Blue Cross/Blue Shield list sent to Oxygen Plus in Vero Beach.
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STUART — The nonprofit Surfrider organization isn’t doing much celebrating two weeks after its 25th anniversary Arts and Music Celebration has left about $75,000 in unpaid debts, about half to local vendors.

The Treasure Coast chapter president has resigned under pressure from the local board, which said he exceeded his authority in organizing the event.

And, the Surfrider Foundation’s Florida group of chapters has canceled its state conference to put that money toward paying the bills.
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When the Martin County Commission fired Duncan Ballantyne from his $147,250 a year job as county administrator on St. Patrick’s Day, a pot of gold awaited the seasoned bureaucrat.

For starters, Ballantyne remained on the county payroll for a month after he cleaned out his office because he was entitled to a 30-day notice of his termination.

Since his official last day on April 23, Ballantyne has collected a total of $84,451 as a result of the severance package he negotiated when he was hired in the fall of 2005, county records show. And his initial severance period doesn’t end until Aug. 23.

Ballantyne’s severance package is not unusual for local government managers and attorneys on the Treasure Coast. In fact, 13 local government managers and attorneys in Martin, St. Lucie and Indian River counties are entitled to severance pay for six months, or longer, if they are fired without cause. (more…)

STUART — A group of residents suing Martin County because they contend the extension of airport runways at Witham Field has damaged their property values will have to wait until December to find out how the trial will be handled.

Attorneys for the group have filed motions asking they be allowed to file a class-action suit, a request opposed by Martin County, which operates Witham Field. (more…)

New Medicare payment rules are starting to strangle local small oxygen suppliers by forcing them to turn away business.

In the process, patients who live here part-time, travel, move or want to switch suppliers locally are left struggling to find new options for oxygen.

“This is going to dramatically affect patients’ lifestyles, how they move and their freedom,” said Mark Hassett, general manager of Stuart-based OxyPros Inc., which also has a Port St. Lucie office “Patients need to speak up.”

In the new rules for 2009, Medicare pays suppliers about $164 monthly for three years for patients renting respiratory equipment. In the following two years, suppliers continue providing oxygen and services, but only receive negligible reimbursement. After the fifth year, the payment cycle begins again and patients are entitled to new equipment.

Now, it’s become a losing proposition, suppliers said, to take a patient who has been on oxygen even for a year or two, because two years of providing essentially free oxygen and services follow.

And close to three full years is necessary to cover the costs of the impending two-year period with little reimbursement, said Kathie Rovella of Oxygen Plus in Vero Beach.

So suppliers are often forced to reject patients who are a few years into their oxygen use. Oxygen Plus has turned away 12-15 patients this year because of the new billing cycle, including two in the last week, Rovella said.

Because much of Florida’s population doesn’t live in the state year-round that can make it difficult because patients have to find a supplier in two locations. And patients a few years into the cycle who move are often left confused and without coverage.

Travel cane be even more difficult.

Patients either have to lug their equipment around with them, or search diligently for willing suppliers wherever they are going, Rovella said.

The rule is part of a large-scale effort to cut Medicare costs and eliminate fraud in the oxygen industry, which long lacked sufficient regulation, said Zane Morgan, a manufacturers representative for several Florida oxygen suppliers.

Dorothy McGrath is approaching four years using oxygen. She decided that carrying her 30-pound concentrator to Kentucky to see her daughter last month was unreasonable.

So McGrath, of Hobe Sound, rented from a local supplier, and was handed a $150 bill, which OxyPros luckily paid for her.

Because McGrath was in the middle of her third year, the Kentucky supplier wouldn’t accept her Medicare.

“You’re really bound to your house, and that’s not fair,” said McGrath, 63.

Patients like McGrath, who travel, move across the state, live seasonally up North, or look to move closer to family simply are getting turned away, Hassett said.

Meanwhile, the loss in customers and reimbursement could be debilitating for small suppliers in the long run.

Medicare reimbursement hardly accounts for labor costs, like providing 24/7 on-call services, and equipment set-up, maintenance and refills, which in reality are the prime expenses for suppliers, Hassett said.

OxyPros and Oxygen Plus have both added smaller health-care items to their inventories to help make up for profit losses. And OxyPros is in a hiring freeze, while Oxygen Plus staff members have taken pay cuts.

But neither company is confident small suppliers will be able to continue the same services without a large-scale change.

“Oxygen Plus is a mom-and-pop store,” Rovella said. “And trust me, we won’t be able to sustain this much longer.”

In the end, however, it’s the patients like those who come in for portable oxygen so they can move and be active who suffer — and who become confined to one area in an effort to be mobile.

“They’re not thinking about the person’s life,” McGrath said. “It’s important when you’re disabled to be near your friends and family.

“Everybody has to breathe.”

OXYGEN BREAKDOWN

In years one to three, suppliers receive an average of $200 per month – 80 percent from Medicare, and a 20 percent copay from the patient or secondary insurer – for renting, installing and maintaining rented oxygen equipment

In years four and five, Medicare offers minimal reimbursement to oxygen suppliers, who are required to continue offering the same equipment and services

After five years, the payment cycle restarts, and patients are entitled to new equipment

By Jonathan Mattise, TCPalm.com

VERO BEACH — More than 1,000 Medicare patients were impacted by a decision by a health maintenance organization this month to end its affiliation with a local clinic, which has offices in Indian River and St. Lucie counties.

Quality Health Plans, of Tampa, which is contracted to offer a Medicare Advantage Plan through the Centers for Medicare and Medicaid Services has terminated its contract with University Medical Clinics as of June 30.

The company “felt that this was necessary due to multitude of reasons; abrupt closures of UMC clinics thus affecting patient care and accessibility, UMC threatening patient abandonment, inability of UMC to maintain financial solvency,” according to an e-mail sent Monday from Quality Health Care.
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FORT PIERCE — Cindy Robbins, once president and chief operating officer of Riverside National Bank of Florida, was let go Thursday as the financial institution continues its restructuring.

Robbins’ position had been eliminated and no agreement could be reached with her taking another position at the independent bank based in Fort Pierce, said Riverside Executive Vice President Alan Polackwich.

“We just had one person impacted, it was nothing widespread, nobody else was involved,” Polackwich said.

Robbins could not be reached for comment.

Robbins had been reassigned as senior executive vice president and director of retail banking in January, when a bank reorganization cut 35 positions and Vernon D. Smith, who founded the bank in 1982, announced his retirement. She had been president and COO since 2006.

The bank has 65 offices in 10 Florida counties.

Recently listed by analysts as a problem institution, Riverside continues to work under the Federal Deposit Insurance Corp’s Temporary Liquidity Guarantee Program.

The FDIC program was created to strengthen confidence and encourage liquidity — the ability to convert an asset into cash quickly — in the banking system.
Jim Turner, TCPalm.com

STUART — To contend with the ongoing budgetary uncertainties facing local governments, Stuart City commissioners Monday unanimously approved an early retirement incentive package for city workers.

In addition to regular retirement benefits, city employees who would be eligible for retirement by Sept. 30 can opt to receive 36 months of paid insurance at their current coverage and premium level or a lump-sum, before-tax payout of $20,000, said Stuart City Manager Dan Hudson.
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