The Dose

Welcome to The Dose, which tackles the finances behind local health care and life sciences and points to the most interesting national analysis. Your host is J.K. Wall.

The tragedy of electronic medical records

The federal government has spent $27 billion—and hospital systems have spent even more—to roll out electronic medical records across the industry. But even advocates say the results have been “disappointing.”
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Report provides glimpse into liberal concerns about Pence's HIP 2.0

A new think tank report, which appears to jibe with Obama administration concerns, calls for "significant revision" to the Pence plan.
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While Pence and Obama dance, these folks are waiting

The Hoosiers waiting for Gov. Mike Pence and President Obama to work out a deal to expand health coverage have median household incomes of less than $10,000, typically have no college education and are disproportionately minorities.
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More hospitals hit with do-over penalties

Medicare will reduce payments to 68 Indiana hospitals—a 62-percent increase from last year—for having too many patients return within 30 days.
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My Interview Issue

Using the unasked audience questions from last week’s IBJ Health Care Power Breakfast, I interview myself on the burning issues that you wanted to hear discussed by the real experts—but didn’t get to.
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The pain (and pleasure) that comes from paying more of our health care bills

Paying off medical debts over time is now a common experience for families with health insurance and becoming more so. And that is inducing big changes in the health care marketplace.
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Why small firms have been irate about health insurance

For Indiana employers with fewer than 10 workers, health insurance premiums have risen 11.5 percent, on average, from 2001 to 2013. That ranked second-highest among all states.
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What if hospitals 'upcharged' you for being fat?

As local hospitals try to offer package deals with upfront prices on joint replacement surgeries, they're struggling with the reality that patients' other health conditions can significantly increase their cost of care.
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Obamacare exchanges boosted coverage, premiums and spending in Indiana

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

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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