Health care regulation Blog Posts

If past is prologue, HMOs will make a comeback in Indiana

September 29, 2014
Comments(2)
WellPoint created an HMO joint venture with seven big hospitals in Los Angeles. Could it do something similar here? Quite possibly.
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Obamacare exchanges boosted coverage, premiums and spending in Indiana

September 15, 2014
Comments(7)
A new study finds that Obamacare boosted enrollment in Indiana's individual insurance market significantly over what it would have been without the law, but also caused premiums to spike.
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Conservatives swinging Pence’s way on health reform

September 8, 2014
Comments(2)
Conservatives, after waging war on Obamacare, including its large expansion of Medicaid, are starting to try to propose alternative, conservative ways to achieve its key goals.
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Indiana has too many nursing homes

August 28, 2014
Comments(23)
Indiana has 58 percent more nursing homes per resident and spends an extra $1 billion per year on care in nursing homes than the average for the rest of the country.
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Indiana's tax breaks for jobs cost at least three times more than Medicaid expansion

August 20, 2014
Comments(5)
State and local governments hand out $921 million per year to entice business to add jobs. The Medicaid expansion is estimated to cost no more than $279 million per year.
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Is this the future of rural health care: Walmart, walk-in clinics and an ambulance?

August 18, 2014
Comments(8)
In two to three years, primary care clinics could be popping up in Walmart stores in rural Indiana while most rural Indiana hospitals will offer little to no inpatient services. That’s dramatically different from what we’re used to.
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Small employers dumping plans faster than expected, WellPoint says

August 4, 2014
Comments(5)
WellPoint saw 218,000 members of its health plans disappear because their employers ended their group plans. Other insurers, however, say small employers are ending their plans more slowly than expected.
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Should IU Health pursue a strategy of mediocrity?

July 31, 2014
Comments(5)
Indiana University Health fell off U.S. News' honor roll of the nation’s top 1 percent of hospitals. Because of Obamacare and other trends, perhaps IU Health should be happy about that.
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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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Indy patients love their doctors

July 14, 2014
Comments(0)
Indianapolis ranked fifth highest among the nation’s largest cities for the most positive reviews of physicians. On a five-point Patient Happiness Index, the average review by patients scored Indianapolis physicians at a 4.05. San Francisco physicians topped the list.
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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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There will be blood

June 26, 2014
Comments(16)
A new study found that common blood tests performed by hospital-owned facilities in the Indianapolis area were six to nine times more expensive than the same tests at independent lab facilities. Ouch!
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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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Why are we so fat? Our food, health care are so cheap

June 2, 2014
Comments(19)
Two new studies show that Americans have every economic incentive to consume too much food and then, when that overeating creates health problems for them, to consume lots of health care to fix it.
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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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Dropping health plan for Obamacare, this firm saved money but sacrificed choice

May 23, 2014
Comments(5)
RANAC Corp., a small firm in Indianapolis, cut its spending on health benefits 25 percent after dropping its group health plan. Could it be a sign of things to come?
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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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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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