In Indiana, Anthem has struck accountable care organization deals with 14 health care provider groups and signed up nearly 2,900 primary care providers to its medical home program. And it's pushing for more in the future.
Such companies as HealthPro, OkCopay and even large insurers like Anthem are helping doctors and hospitals create new ways to package and price health care services, relieving some of the price-raising effects of traditional health insurance.
Things got quiet after a wave of hospital systems' acquiring physician practices swept through central Indiana from 2008 to 2011. But a new wave could start now that Congress passed the "doc fix" last week.
IU Health had one of its most profitable years ever in 2014, as it cut staff, boosted its physician office visits and improved bill collections. But it is still hoarding cash to be ready for future cuts in reimbursement as well as future building projects.
For years, employers have focused on preventing huge health bills that can result from their older workers. But now Leonard Hoops, the CEO of Visit Indy, is trying to get employers to focus on the costs of the youngest members of their health plans: premature babies.
Through partnerships with county-owned hospitals, Indiana's nursing homes pulled in about $260 million last year in extra federal funds. That means participating nursing homes enjoyed a 10 percent bonus check.