Leaders of the Jackson Health System and the University of Miami are developing a plan that will dramatically alter their sometimes testy relationship by creating a clear dividing line between UM doctors who work at Jackson and those who work for UM’s own health enterprise.

Finances strain the marriage between Jackson and the University of Miami

When Overtown resident Myrtle Holmes started going to Jackson Memorial clinic with severe back problems and no insurance, she sometimes had to wait five hours to see a pain specialist. She couldn’t afford to pay, so she became a charity case, the kind that costs the public hospital system $550 million a year.

In May, Holmes, 56, qualified for Medicare because she was disabled. On her next visit to the clinic, she told her pain doctor about her new Medicare coverage. The doctor, a University of Miami faculty member working at the public hospital as part of a decades-long arrangement, then told her something that surprised her: She could now start seeing him in his UM office, rather than the Jackson clinic.

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