Health Care Reform Blog Posts

If courts gut Obamacare, Pence will face tough choice

July 24, 2014
Comments(3)
If this week’s D.C. appeals court ruling stands up—declaring the Obamacare tax subsidies illegal in Indiana and most other states—Gov. Mike Pence could face significant pressure, even from traditional Republican supporters, to keep the tax credits flowing.
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Will hospitals' higher facility fees survive health reform?

July 21, 2014
Comment(1)
One of the open secrets in health care is that hospitals are paid substantially more than independently owned health care facilities for the same procedures. But those higher fees are facing unprecedented pressure.
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Indy hospitals continue to see fewer patients. Why?

July 17, 2014
Comments(8)
All of sudden, Hoosiers are buying less health care. Is that because we’ve kicked the habit, sobered up and found religion? Or is it the Great Recession hangover that will pass, eventually, so we can all get back to the party?
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Employees may rebel against Obamacare

July 7, 2014
Comments(8)
The economics of the Obamacare's exchanges are proving attractive to both employers and workers, but a new poll shows that workers still don't want to end up in them.
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How to judge Obamacare

June 30, 2014
Comments(7)
Health care and health insurance were a mess long before Obamacare—and on a path to getting messier. That makes it awfully difficult to figure out how much blame and credit to give the law as it plays out in the marketplace. Here's my approach.
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Why hospitals leave the inner city, in one chart

June 23, 2014
Comments(16)
Since hospitals lose money on just about every patient except those with private insurance, they have been closing inner-city facilities and opening new facilities in the suburbs for the past four decades.
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No, Community didn't make a list of 1,000 people to fire

June 18, 2014
Comments(3)
My post on a presentation by Community Health Network CEO Bryan Mills was interpreted in a stronger way than I intended. So let me set the record straight.
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The worries of a hospital CEO

June 16, 2014
Comments(7)
In a video presentation to his employees, Community Health CEO Bryan Mills discusses the threats hospitals face from retail clinics and employers—and how Community briefly discussed laying off 1,000 workers last year.
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Why Obamacare is likely to fail in Indiana (and most other states, too)

June 12, 2014
Comments(12)
New data show eight out of 10 Hoosiers with private health insurance are covered by employer plans that are exempt from most Obamacare rules. So, rather than being an invasive train wreck, Obamacare may fail because it doesn't affect enough people.
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GOP politico creates health clinic for the Obamacare age

June 9, 2014
Comments(4)
Brose McVey is leading a new health care clinic company that is squarely aimed at helping individuals, the self-employed and even large businesses deal with the new health care reality that is emerging under Obamacare.
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The real health care money in this town is at IU Health

June 5, 2014
Comments(5)
While the biggest hospital profit margins are made in the suburbs, the biggest pile of cash—$353 million in 2012—is made at the three downtown campuses run by Indiana University Health. In fact, those hospitals generated 32 percent of all operating gains posted by central Indiana hospitals in 2012.
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Rotten Teeth Report Card

May 28, 2014
Comments(7)
Indiana ranks 10th in the nation for the highest spending on health care and 10th in the nation for the number of adults missing six or more teeth. That’s not a coincidence. Hoosiers do a poor job of taking care of themselves, and we end up paying for it in higher taxes and health insurance premiums.
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Pence's HIP 2.0 insurance expansion has national aspirations all over it

May 19, 2014
Comments(2)
Gov. Pence's HIP 2.0 plan is nothing less than an attempt to roll back liberal policy on low-income health benefits as far as currently possible--and to get other states to follow suit. It might even be an opening bid for president.
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Marathon talks yield good deal for hospitals in Pence's HIP expansion

May 15, 2014
Comments(5)
Fees on hospitals will generate the lion's share of the funds for Gov. Mike Pence's Healthy Indiana Plan expansion. But the benefits hospitals will receive will outweigh those costs.
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Study: Hospital-doctor hook-ups swell prices

May 12, 2014
Comments(8)
Now that Indianapolis-area hospitals employ large numbers of physicians, a new study suggests the integrated health systems will be able to charge higher prices to private health insurers.
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Indy's most profitable hospitals, revisited

May 8, 2014
Comments(8)
On the eve of Obamacare, almost no central Indiana hospitals were having trouble making money. Hip replacements, heart surgery and Hamilton County were the biggest drivers of profits.
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Time to eat crow and fix my error on Obamacare sign-ups

May 5, 2014
Comments(7)
When I predicted on March 13 that Obamacare would fail to expand individual private insurance coverage in Indiana, I was completely off. It now looks like an extra 30,000 Hoosiers have bought individual health insurance this year.
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What health care really needs is a full-meal deal

April 28, 2014
Comments(6)
Until doctors and hospitals make a whole lot more headway—or, perhaps, more accurately, are allowed to make more headway—in offering package deals, it’s hard to see major progress on containing out-of-control health care costs.
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Think Obamacare will help hospitals? Think again

April 25, 2014
Comments(5)

The typical hospital around the country will see its profits wiped out entirely by the changes coming from health reform and the aging of the population. But in Indianapolis, the hits will be cushioned by this region's fatter commercial reimbursements.

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In Indiana, everyone makes big profits on health care

April 21, 2014
Comments(13)
Indiana is the most profitable state for Indianapolis-based WellPoint Inc., which operates Blue Cross and Blue Shield health plans in 14 states. WellPoint's margin for Indiana in 2012 was 5.8 percent, 38 percent higher than WellPoint's national average.
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Indiana's 10 (or more) most profitable health insurers

April 17, 2014
Comments(6)
WellPoint's commanding market share gave it a whopping $129 million in profit from its risk-based insurance products in 2012. But in percentage terms, WellPoint was not at the top of the heap.
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Competition, not higher premiums, is biggest threat to Obamacare buyers

April 14, 2014
Comments(7)
For consumers that get tax subsidies in the Obamacare exchanges, out-of-pocket premiums will remain steady even if insurers raise prices next year. But the subsidies could fall if insurers offer lower-cost plans.
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Five things I learned from the Medicare doctor payments

April 10, 2014
Comments(11)
From this week's historic data dump, I learned who the top 20 recipients of Medicare payments are in Indianapolis (hint: mostly labs, ambulances and eye surgeons). But the real takeaway is that meaningful price information about doctors is still a long way away.
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The Millionaire Doctors Club

April 4, 2014
Comments(34)
The scramble for physicians by hospitals in recent years has led to more than a dozen physicians cracking a million dollars in compensation—and three dozen receiving at least a half million dollars. Hospitals, meanwhile, are recording big losses on their physician practices.
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Do double-digit Obamacare rate hikes mean the law has failed? No, but ...

March 31, 2014
Comments(16)
For now, at least, the year-to-year price increases of individual insurance under Obamacare look a lot like they did before Obamacare. That’s not a failure, but it’s not a success either.
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  1. If what you stated is true, then this article is entirely inaccurate. "State sells bonds" is same as "State borrows money". Supposedly the company will "pay for them". But since we are paying the company, we are still paying for this road with borrowed money, even though the state has $2 billion in the bank.

  2. Andrew hit the nail on the head. AMTRAK provides terrible service and that is why the state has found a contractor to improve the service. More trips, on-time performance, better times, cleanliness and adequate or better restrooms. WI-FI and food service will also be provided. Transit from outlying areas will also be provided. I wouldn't take it the way it is but with the above services and marketing of the service,ridership will improve and more folks will explore Indy and may even want to move here.

  3. They could take the property using eminent domain and save money by not paying the church or building a soccer field and a new driveway. Ctrwd has monthly meetings open to all customers of the district. The meetings are listed and if the customers really cared that much they would show. Ctrwd works hard in every way they can to make sure the customer is put first. Overflows damage the surrounding environment and cost a lot of money every year. There have been many upgrades done through the years to help not send flow to Carmel. Even with the upgrades ctrwd cannot always keep up. I understand how a storage tank could be an eye sore, but has anyone thought to look at other lift stations or storage tanks. Most lift stations are right in the middle of neighborhoods. Some close to schools and soccer fields, and some right in back yards, or at least next to a back yard. We all have to work together to come up with a proper solution. The proposed solution by ctrwd is the best one offered so far.

  4. Fox has comments from several people that seem to have some inside information. I would refer to their website. Changed my whole opionion of this story.

  5. This place is great! I'm piggy backing and saying the Cobb salad is great. But the ribs are awesome. $6.49 for ribs and 2 sides?! They're delicious. If you work downtown, head over there.

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