Word: dade
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...Miami-Dade County, to the south, where 1 in 4 homeowners is 30 days or more behind in his or her mortgage payments, residents are bracing for what Mayor Carlos Alvarez says could be an imminent property-tax hike to fill an almost $400 million budget hole - a move that veteran Miami realtors like Alex Shay insist would set recovery back. "It's out of line," says Shay, who recently took Alvarez to task on his Miami Real Estate blog. "A lot of people here are barely holding on to their properties, using credit-card advances to pay escrow...
...like it. Miami's inordinate health-care outlay - 20% more than the national average - "is not a pretty picture," says Kate Fitch, a principal and health-care consultant for the Seattle-based Milliman Inc. consulting firm and a co-author of its Index. That's especially true since Miami-Dade County also has one of the country's lowest median incomes ($43,495). "If the [Miami] area's practice patterns continue as they are," says Fitch, "employees there could be approaching a breaking point." (See the most common hospital mishaps...
...health-care providers and institutions," Quick notes. And to make sure they all get a piece of the action, they've created a wasteful and ill-coordinated system of health-care redundancies, from unnecessary MRIs to inpatient treatment that too often could have been cheaper outpatient treatment. Miami-Dade, for example, has one of the nation's highest hospital readmission rates - and more MRI machines than Canada...
...then, because this is Miami, there's fraud. Miami-Dade in recent years has seen a boom in Medicare and Medicaid scams. Last week Spain arrested - and sent back to the U.S. - a Miami man wanted by the FBI for allegedly submitting more than $10 million in false claims for his Hialeah medical-supply company. Last month the U.S. Department of Health and Human Services reported that while only 2% of the nation's Medicare recipients live in South Florida, the area received the highest reimbursements for medical supplies like inhalation drugs - about 20% more than the second highest recipient...
...grid - a goal for the Obama White House - won't be cheap and it won't be easy. That's why the news on April 20 that the city of Miami was launching a $200 million smart-grid initiative that would connect virtually every home and business in Miami-Dade County by 2011 was so important. Led by the greenish utility giant Florida Power & Light (FPL) - with corporate behemoths like General Electric and Cisco and the bright startup Silver Spring Networks - the Miami smart-grid program will be by far the largest in the U.S. If it succeeds, FPL plans...