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

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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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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Patients, providers respond after Anthem promotes lower-cost MRI facilities

Anthem patients in five U.S. cities, including Indianapolis, spent $220 less per MRI scan after Anthem told them of lower-cost facilities. In response, hospital-owned MRI facilities cut their prices.
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Small employers dumping plans faster than expected, WellPoint says

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?

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

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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