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.
To satisfy patients with high-deductible health plans, Northwest Radiology has introduced flat-rate pricing for its imaging scans. It’s a centuries-old concept among postal services, but for health care, it’s revolutionary.
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.
By subtly threatening the loss of patients via a new "reference lab network," the Indianapolis-based health insurer has persuaded 63 Indiana hospitals to slash their prices for blood and tissue testing by as much as 80 percent—beyond the discounts Anthem had already negotiated with them.
After cutting staff sharply in 2013, Franciscan enjoyed more revenue and big profits in 2014. The key question for its and other hospitals' future is whether they can keep up these gains in productivity to handle looming payment cuts from Obamacare.
Roughly 150,000 Hoosiers are counting on more than $450 million in federal tax credits to make their Obamacare health insurance affordable. But if the Supreme Court rules those tax credits unlawful, Obamacare premiums here would spike 271 percent.