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  1. The cost of healthcare is exponentially higher because Medicaid provides a higher reimbursement rate for "government owned" healthcare facilities compared to privately owned facilities. Due to this issue, private operators "lease" their facilities to "government owned" groups like HHC. HHC then pays the former owner to operate the home. Literally, by shifting the ownership through a lease they get paid hundreds of millions dollars more than they would if privately owned. This process is akin to stealing from the government and is a classic example of a government taxpayer boondoggle.

  2. It appears as though it did. But this is likely because $9 billion split between two behemoths like Lilly and Takeda, it won't affect the bottom line.

  3. Glad they retained his great if they could trim some of the fat in that agency.

  4. While I understand economic development is great for the dollars and cents on the financial statements for the city, I wonder if all of this redevelopment and building increases will take away from the current appeal that is Carmel. Speaking from personal experience as my office is located on N. Pennsylvania St., the traffic and congestion in Carmel during most times of the day seem to be getting worse and worse as more and more attractions get packed in like sardines. It's had us reconsider whether we'd enjoy living in Carmel (currently Noblesville residents). How do you measure and prevent this over-saturation?

  5. Second comment illustrates a common misunderstanding of how NF reimbursement works. There is no competition for price when Medicare and Medicaid are the primary payers for NF care. The shift to community services from institutional care not a level playing field in Indiana.