Medicaid Blog Posts

Obamacare exchanges boosted coverage, premiums and spending in Indiana

September 15, 2014
Comments(5)
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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The most likely conflict zone between Pence, Obama

August 7, 2014
Comments(2)
Gov. Mike Pence thinks his HIP 2.0 plan would reform Medicaid in line with conservative principles. To the extent the Obama administration agrees, that's the biggest hurdle to get the plan approved.
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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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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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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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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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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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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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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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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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Where do hospital profits go?

March 27, 2014
Comments(7)

When patients at Indianapolis-area hospitals pay their bills, they're not just funding their own health care. They're contributing to the care of Hoosiers in the rest of the state, too, especially care provided by hospital-employed physicians.

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Medic! Early signal shows hospital profits plunged in 2013

March 24, 2014
Comments(9)
Franciscan Alliance, always the first to report its year-end financial results, put out numbers that show a real decline in profit from operations of 58 percent.
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In one chart: Obamacare exchange has failed to expand coverage in Indiana

March 13, 2014
Comments(11)
For 2014, at least, Obamacare's dreams of expanding individual insurance coverage in Indiana have simply failed. There's no getting around it.
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What happens if Pence, Sebelius can’t make a deal?

February 20, 2014
Comments(8)
Even if Gov. Mike Pence and Obama's health secretary can't come to terms this weekend, there are ideas bouncing around the state legislature that suggest other ways Indiana could expand coverage to low-income Hoosiers.
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Hopelessly divided Congress agrees on one thing: Cutting payments to providers

January 20, 2014
Comments(10)
Congress’ recent willingness to play hardball with providers is driving providers to cautiously embrace concepts—like pay-for-performance and keeping patients out of the hospitals—they have long resisted.
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Looks like both sides are wrong about Medicaid

January 13, 2014
Comments(18)
New research shows that expanding Medicaid won’t save money, in spite of the claims of Obamacare supporters, but it will provide modest help to patients' health and pocketbooks, in spite of conservative critics’ contention to the contrary.
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Crux of Medicaid showdown is how to fight poverty

January 6, 2014
Comments(13)
When Gov. Mike Pence tries next month to negotiate a Medicaid expansion deal in a meeting with the Obama administration, it will be a clash of the conservative and liberal approaches to fighting poverty.
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No one likes Obamacare

January 2, 2014
Comments(15)
Obamacare has officially arrived, but both conservatives and liberals are calling it awful. That means the real debate over health reform is just beginning.
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Top 5 things I learned about health care this year

December 30, 2013
Comments(10)
In my first year writing The Dose, I learned that no one (definitely including me) knows everything about health care. I'm working hard to fill the gaps in my knowledge for 2014. But before the New Year hits us, here are the biggest lessons I took from 2013.
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Sorry, docs, but Obamacare will suffer from a shortage

December 16, 2013
Comments(0)
There is good evidence that new technology deployed via new methods of medicine across the entire health care system can reduce the need for physicians. But there are too many barriers for such changes to occur in time to cut off the surge in demand brought on by Obamacare.
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