By Jamie Ulmer, CEO of Healthcare Network
Healthcare Network is a Federally Qualified Health Center (FQHC) that provides comprehensive primary health services to men, women, and children of all ages in practices throughout Collier County. Many of our patients are uninsured or underinsured and come to us because they cannot afford primary care services and/or their medications elsewhere.
Medications are made available to these vulnerable people through savings generated by the federal 340B Drug Pricing Program. The 340B program requires pharmaceutical manufacturers to provide discounted pricing to FQHCs like Healthcare Network and other 340B covered entities.
The program allows us to buy medications at a discount of 25 to 50 percent and then reinvest those savings into patient care through affordable medications and comprehensive health services like medical and dental care, behavioral health and wraparound services.
Currently, Healthcare Network provides approximately $13 million in uncompensated care annually. Without the 340B drug discount program, we will have tough choices to make like reducing hours of operations, closing centers, discontinuing programs and service, and reducing staff size.
Unfortunately, this critical program is under attack by drug companies threatening to undermine the nation’s public health safety net.
The Health Resources and Services Administration said in 2022 that discounted purchases under the program reached $44 billion in 2021, about 16 percent more than in 2020. Drug manufacturers say they are concerned about this growth impacting their ability to do business.
However, in 2020, it was estimated that the discounted drug purchases through the program amounted to only about 7% of the total U.S. drug market.
In January, Florida Governor Ron DeSantis unveiled legislation to increase Big Pharma Transparency and Accountability to lower prescription drug prices. We appreciate that Gov. Ron DeSantis is proposing legislation to protect consumers and drive transparency among prescription drug prices influenced by Big Pharma.
Similarly, without swift and meaningful action by federal authorities to protect 340B, manufacturers will continue to decrease prescription affordability and access to the most vulnerable patients at Healthcare Network and across the country. Unfortunately, pharmacy benefit managers (PBM) and insurers have found ways to take 340B savings away, redirecting savings away from safety-net providers like Healthcare Network and towards their own bottom lines.
The House sponsored the Preserving Rules Order for the Covered Entities Through 340B or PROTECT 340B Act in July 2021. This bill would protect FQHCs like Healthcare Network who rely on the savings provided by the 340B program to care for patients who desperately need it.
This bipartisan bill would prohibit commercial insurers and PBMs from targeting health centers that participate in the 340B program with discriminatory reimbursement terms and conditions. The legislation would authorize civil monetary penalties on insurers and PBMs that violate these protections.
To continue to be able to provide discounted medications to our most vulnerable patients, we ask that members of Congress move to protect 340B by creating a national standard (rather than a patchwork of individual state laws). Consumers can also advocate for the health and wellness of our community by urging their congresspeople to support the bill and protect access to vital medications for the uninsured and underinsured.
About the Author
Jamie Ulmer is President and CEO of Healthcare Network. He serves on the executive and chair committees for the Florida Association of Community Health Centers and is a member of multiple committees for the National Association of Community Health Centers. For information, visit healthcareswfl.org.
Why Having a Healthcare Advocate Can Make a Difference in Your Medical Journey. Navigating the healthcare system can sometimes feel overwhelming, especially when dealing with a new diagnosis, managing a chronic condition, or making important decisions about medical treatment. Between scheduling appointments, understanding medical terminology, communicating with multiple healthcare providers, and keeping track of treatment plans, patients and their families can quickly become frustrated or confused. This is where a healthcare advocate can make a meaningful difference. A healthcare advocate serves as a knowledgeable support person who helps patients navigate the healthcare system, understand their medical options, communicate with healthcare professionals, and make informed decisions about their care. Whether someone is facing a serious diagnosis, preparing for surgery, managing a long-term illness, or simply trying to understand their treatment options, having an advocate can provide valuable guidance and reassurance throughout the medical journey. What Is a Healthcare Advocate? A healthcare advocate is someone who helps patients understand and navigate the often-complicated healthcare system. Their role is to support patients by helping them access information, communicate with medical professionals, coordinate care, and better understand their healthcare choices. Healthcare advocates may assist with a variety of needs, including: Helping patients understand medical diagnoses and treatment recommendations. Preparing questions for upcoming doctor appointments. Helping patients communicate concerns and symptoms to healthcare providers. Coordinating appointments with multiple specialists. Reviewing treatment options and helping patients understand the information provided by their medical team. Helping patients obtain and organize medical records. Supporting patients who are considering a second medical opinion. Helping families understand available healthcare resources and services. A healthcare advocate does not replace a physician or make medical decisions for the patient. Instead, they help patients become more informed, confident, and involved in their own healthcare decisions. Understanding Your Diagnosis and Treatment Options Receiving a medical diagnosis can be an emotional and confusing experience. Patients may leave a doctor's appointment with more questions than answers, especially when they are unfamiliar with medical terminology or are trying to process unexpected news. A healthcare advocate can help patients better understand the information they receive from their healthcare providers. For example, after receiving a diagnosis of cancer, heart disease, diabetes, or another serious medical condition, a patient may need to understand several aspects of their care, including treatment options, potential side effects, follow-up appointments, and lifestyle changes. An advocate can help organize this information, identify questions that need clarification, and encourage patients to discuss their concerns directly with their physicians. Having someone help explain complicated healthcare information can make it easier for patients and families to understand their situation and feel more prepared for the decisions ahead. Improving Communication Between Patients and Doctors Good communication between patients and healthcare providers is essential for effective healthcare. However, patients sometimes feel intimidated, rushed, or unsure about how to express their concerns during medical appointments. They may forget important questions, struggle to describe their symptoms, or leave without fully understanding their physician's recommendations. A healthcare advocate can help bridge this communication gap. Before an appointment, an advocate may help patients prepare a list of questions, organize medical information, and identify concerns they want to discuss. During an appointment, when authorized and welcomed by the patient and provider, an advocate may attend to help take notes, ask questions, and make sure important information is understood. After the appointment, an advocate can help patients review their notes, understand the next steps, and identify any follow-up questions. This additional support can be particularly helpful for older adults, individuals managing complex medical conditions, and patients who feel overwhelmed by the amount of information they receive. Coordinating Care Among Multiple Healthcare Providers Many patients receive care from several different healthcare professionals. Someone managing a chronic illness, for example, may see a primary care physician, cardiologist, neurologist, endocrinologist, or other specialists. Although each provider plays an important role, coordinating appointments, medical records, treatment recommendations, and follow-up instructions can become challenging. A healthcare advocate can help patients stay organized and navigate these different aspects of their care. Care coordination may include: Helping schedule appointments with specialists. Keeping track of upcoming medical visits and follow-up care. Organizing medical records and test results. Helping patients communicate information between healthcare providers. Identifying questions about conflicting or unclear treatment recommendations. Helping patients understand referrals and recommended next steps. When patients have multiple medical providers, having someone help organize their healthcare information can make the process less stressful and help reduce the likelihood of important details being overlooked. Helping Patients Make Informed Healthcare Decisions Medical decisions can have a significant impact on a person's health, independence, finances, and quality of life. Patients may be asked to consider medications, surgical procedures, treatment plans, rehabilitation services, or other medical interventions. Making these decisions can be difficult, particularly when patients are facing unfamiliar medical conditions or complicated treatment choices. A healthcare advocate helps patients understand the information available so they can have more productive conversations with their medical providers. An advocate may help patients: Understand the purpose of recommended treatments. Prepare questions about potential risks and benefits. Discuss alternative treatment approaches with their physicians. Understand what to expect during recovery. Explore whether a second medical opinion may be appropriate. Consider how different treatment options may affect daily life and personal goals. The goal is not to tell patients which treatment to choose. Instead, it is to make sure they have the information and support needed to participate in decisions about their healthcare. Ultimately, medical decisions should reflect the patient's needs, values, preferences, and conversations with qualified healthcare professionals. The Importance of a Second Medical Opinion When facing a serious or complicated diagnosis, patients may benefit from seeking a second medical opinion. Getting another professional perspective can help confirm a diagnosis, provide additional information about treatment options, or identify alternative approaches. However, knowing when and how to seek another opinion can be confusing. A healthcare advocate can help patients understand the process and prepare for a second opinion appointment. This may involve organizing medical records, collecting test results, identifying specialists, and preparing questions about the diagnosis and recommended treatment. Having additional information can help patients feel more confident about the decisions they make and better understand the options available to them. Seeking a second opinion does not mean a patient distrusts their current physician. It is simply another way to become informed and make thoughtful decisions about their health. Providing Support for Family Members and Caregivers A serious medical condition affects more than just the individual receiving care. Family members and caregivers often become involved in managing appointments, understanding treatment recommendations, communicating with physicians, and providing emotional support. These responsibilities can become overwhelming, especially when family members are balancing caregiving with their own personal and professional obligations. A healthcare advocate can help ease some of this burden by providing guidance and organizational support. With the patient's permission, an advocate can help family members understand the care plan, keep track of upcoming appointments, organize medical information, and identify questions that need to be addressed. This support can be particularly valuable when adult children are helping aging parents navigate healthcare decisions or when families live in different locations. Having an additional knowledgeable person involved can help families feel more supported while keeping the patient's preferences and needs at the center of care. When Should You Consider Hiring a Healthcare Advocate? There is no single time when everyone needs a healthcare advocate. Some people benefit from assistance during a major medical event, while others appreciate having ongoing support as they manage complicated healthcare needs. You may want to consider working with a healthcare advocate if: You have recently received a serious or unexpected medical diagnosis. You are managing multiple chronic health conditions. You have difficulty understanding medical terminology or treatment recommendations. You see several specialists and need help coordinating your care. You are preparing for surgery or a complicated medical procedure. You want assistance obtaining a second medical opinion. You feel rushed or uncomfortable during medical appointments. You are helping an aging parent or loved one navigate the healthcare system. You want someone to help organize medical records, appointments, and treatment information. Even patients who are generally comfortable managing their healthcare may benefit from having an advocate during particularly complicated or stressful medical situations. How to Choose the Right Healthcare Advocate Choosing a healthcare advocate is an important decision. You want someone who understands the healthcare system, communicates effectively, respects your preferences, and has your best interests in mind. When considering an advocate, look for someone who: Has experience navigating healthcare systems and working with patients. Communicates clearly and listens carefully to your concerns. Understands the importance of patient choice and confidentiality. Can help organize medical information and coordinate care. Is willing to explain complicated information in an understandable way. Respects your relationship with your physicians and other healthcare providers. Provides personalized guidance based on your individual needs. It is also important to understand what services are included, how the advocate works with healthcare providers, and whether services are available in person, remotely, or both. A good healthcare advocate should help you feel informed, respected, and empowered rather than pressured into making decisions. Take an Active Role in Your Healthcare Journey Your health is one of your most valuable assets, and you deserve to feel informed and supported when making decisions about your medical care. Unfortunately, navigating the healthcare system is not always easy. Complicated diagnoses, multiple specialists, confusing medical information, and difficult treatment decisions can leave patients feeling uncertain about what to do next. A healthcare advocate can help make the process more manageable by providing guidance, improving communication, organizing healthcare information, and helping patients understand their options. Most importantly, having an advocate can help patients become more confident participants in their own healthcare journey. You do not have to navigate complicated medical situations alone. With the right support, you can ask better questions, understand your choices, and work more effectively with your healthcare team. If you or someone you love is feeling overwhelmed by the healthcare system, consider reaching out to Vital Voice Healthcare Navigation. Having a knowledgeable advocate by your side can make a meaningful difference in understanding your care and moving forward with greater confidence.
Hey there! Do you already have your holiday decorations put away, or will your Christmas tree be up until February? To be honest, I can be either person, depending on the year. This year, Ive been a little slow to pack up my garlands and lights, but thats ok. Organization doesnt mean being perfect all the time.The holiday season can bring fun and joy, but it can also bring chaos to the systems in your home. Theres a proliferation of stuff -- cards, packages, gifts of all kinds, decorations, wrapping paper, social engagements, emotions. After all the partying is over, we can be left with a feeling of overwhelm. As a professional organizer, here are my tips for how to handle all of the stuff that came into your house over the holidays and bring (a little more) peace to your home and heart: Decide what to keepThis is really the first (and most critical) thing to do as soon as youre ready to move on from the holidays. Take a look at everything that came into your house during the season and keep only what you truly want to have. I dont recommend keeping anything you dont love, need, or want, even if it was a gift (more on that below). If you shove that ugly sweater in a closet, forget about it, and discover it two years later, youll still have to make the same decisions about what to do with it. Decide what to do as soon as you can. Find a home for everything youre keeping (and put it there right away). If you are keeping a newer/different version of something you already own (for example, you got a nicer coffee maker for Christmas), consider donating or discarding your old item. In other words, follow the one-in, one-out rule if its appropriate.Let go of unwanted gifts Something I hear all of the time from clients is I dont really like this, but it was a gift and I feel guilty about giving it away.I know that gifts can be tricky. I think honoring the intention of the gift given to us is actually more important than holding onto the actual physical object. Usually, someone gives you a gift to show you that they care about you or because they hope youll enjoy it, not because they expect you to become the permanent caretaker of that object. (And if someone gives you a gift receipt, they dont mind if you return it dont feel guilty!)So how do I handle gifts I dont love? I go out of my way to thank the giver in a way thats sincere. I dont tell someone I loved a particular gift if I didnt, but I do thank them for thinking of me and for their generosity. If I dont want or cant use a gift, I pass it on to someone who can enjoy it more than me. That may mean donating it to a charity, giving it away through my local Buy Nothing group, or regifting to someone who I know would appreciate it. Sort the trash and recyclingYou probably ended up with lots of boxes after Black Friday. Go through any extra packaging and recycle, throw away, or give away what you cant use immediately. My clients often have a ton of empty boxes they are saving for someday, but those boxes can take up a lot of space (and its likely that more will come into your home soon). Getting them out is one of the easiest ways you can make your home feel less cluttered immediately. If you have boxes in good condition, you can post them on your local Buy Nothing or neighborhood social media group for someone who is moving. Take another look at your holiday cardsBefore you shove them into a box, look at each card individually. Is this specific card something that will be meaningful to you in a year? 10 years? If its not, appreciate the person who sent it to you and recycle the card. If it truly is a keepsake, save it in an album or memory box. Evaluate your holiday decorMany of my clients struggle with accumulating and storing holiday decor. I recommend thinking about any decor you didnt put out this year will you put it out next year, or are you over it? Do you have more than you can use? Set aside anything you no longer love or want to donate next fall before the holidays (generally, thrift shops do not have space to store out-of-season items for long periods of time). And make sure to carefully store the items you do love and so you can enjoy them next year
A warm welcome doesn't require a perfect house. Whether family is coming for an afternoon or staying a few nights, a little planning now can make holiday gatherings more comfortable for everyone.1. Have the conversation earlyConfirm dates, overnight arrangements, food preferences, and any mobility needs. Let guests know what works for you, including visit length and quiet time.2. Create a comfortable place to landFresh linens, a clear bedside surface, and an easy-to-reach lamp can make a guest space feel welcoming. No guest room? Agree on sleeping arrangements ahead of time.3. Make movement easierClear hallways and stairs, secure or remove loose rugs, and check lighting between sleeping areas and bathrooms. Keep frequently used items within comfortable reach.4. Put safety before tidinessStore medications securely, especially when children are visiting. Check smoke and carbon monoxide alarms according to the manufacturer's instructions, and keep exits clear.5. Share the hostingInvite family to bring a dish, help with cleanup, or organize an activity. Keep meals simple and make room for breaks. Being together matters more than doing everything yourself.6. Make space for connectionSet out a few family photos, plan a favorite game, or ask guests to share a memory. Often, the simplest traditions are the ones everyone remembers.
About Healthcare NetworkHealthcare Network provides high-quality, accessible healthcare for every stage of life with specialized services tailored to help seniors maintain their health, independence, and lifestyle.Our Senior Care teams address the unique and often complex needs of adults 65+ through coordinated, compassionate healthcare that supports overall wellbeing. Our collaborative approach integrates physical, cognitive, emotional, and social needs to promote the best possible outcomes.Senior Care Services* Include: Diagnosis and treatment of acute and chronic conditions Medication management Coordinated care for multiple conditions Wellness check-ups Balance and memory screening Immunizations Behavioral health counseling Dental care Infusion treatments X-ray and lab Optometry On-site pharmacy Telehealth*Services vary by locationCaring for the Whole FamilyIn addition to Senior Care, Healthcare Network provides a wide range of services for the entire family, from pediatric care and womens health to walk-in and specialty services.Since 1977, our compassionate care model has been serving the community with a unique, collaborative approach. Your personal healthcare team works together to deliver seamless, comprehensive careregardless of your insurance, income, or job status.We are committed to addressing health disparities and making healthcare more accessible, creating a healthier community for us all. Locations Throughout Collier County: Healthcare Network at Veterans Park1845 Veterans Park Dr., Naples 34109 Healthcare Network Dental Care East1749 Heritage Trl. #801, Naples 34112 Healthcare Network at Friendship Health2355 Stanford Ct., Naples 34112 Healthcare Network at Nichols Community Health Center12655 Collier Blvd., Naples 34116 Healthcare Network at Marion E. Fether Medical Center1454 Madison Ave. W., Immokalee 34142 Healthcare Network at Family Care at iTech508 N. 9th St. #142, Immokalee 34142 Healthcare Network at Community Medical Care Center125 Boston Ave., Immokalee 34142
Healthcare Network is dedicated to providing high-quality, accessible healthcare to everyone in Collier County, regardless of job, income, or insurance status. Our comprehensive services include children's care, pediatric convenient care, family care, women's care, senior care, dental care, behavioral health, pharmacy, and specialty services.As Southwest Floridas premier patient-centered medical and dental home, our providers work collaboratively as a care team to deliver the highest level of coordinated care for patients of all ages. Since 1977, our private, not-for-profit model has been effective in meeting the healthcare needs of the community. We rely on philanthropic support to ensure we continue to achieve our vision of a community where every person has access to affordable and appropriate healthcare.Healthcare Network is committed to delivering culturally competent care, addressing health disparities, and supporting the overall wellness of our patients. Join us on our mission to make healthcare more accessible and to create a healthier community for all.All Locations:1265 Creekside Pkwy. #206, Naples 34108 1090 6th Ave N. Naples 34102 1845 Veterans Park Dr., Naples 34109 5450 YMCA Rd. #102, Naples 34109 6350 Davis Blvd. #1001, Naples 34104 1749 Heritage Trl. #801 Naples 34104 2355 Stanford Ct., Naples 34112 1454 Madison Ave. W., Immokalee 34142 1441 Heritage Blvd., Immokalee 34142 508 N. 9th St. #142, Immokalee 34142 12655 Collier Blvd. Naples 34116
Healthcare Network is dedicated to providing high-quality, accessible healthcare to everyone in Collier County, regardless of job, income, or insurance status. Our comprehensive services include children's care, pediatric convenient care, family care, women's care, senior care, dental care, behavioral health, pharmacy, and specialty services.As Southwest Floridas premier patient-centered medical and dental home, our providers work collaboratively as a care team to deliver the highest level of coordinated care for patients of all ages. Since 1977, our private, not-for-profit model has been effective in meeting the healthcare needs of the community. We rely on philanthropic support to ensure we continue to achieve our vision of a community where every person has access to affordable and appropriate healthcare.Healthcare Network is committed to delivering culturally competent care, addressing health disparities, and supporting the overall wellness of our patients. Join us on our mission to make healthcare more accessible and to create a healthier community for all.All Locations:1265 Creekside Pkwy. #206, Naples 34108 1090 6th Ave N. Naples 34102 1845 Veterans Park Dr., Naples 34109 5450 YMCA Rd. #102, Naples 34109 6350 Davis Blvd. #1001, Naples 34104 1749 Heritage Trl. #801 Naples 34104 2355 Stanford Ct., Naples 34112 1454 Madison Ave. W., Immokalee 34142 1441 Heritage Blvd., Immokalee 34142 508 N. 9th St. #142, Immokalee 34142 12655 Collier Blvd. Naples 34116