Government Health Care

Health insurers' anti-fraud bid seeks to ease profit-limit rule

July 27, 2012
Bloomberg News
The Obama administration Thursday announced a partnership with the industry in which WellPoint Inc., UnitedHealth Group Inc. and other insurers may try to share more billing data with the government to root out fraud.
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Suburban hospitals charm patients

July 23, 2012
J.K. Wall
A little extra Medicare money will flow to suburban hospitals in the Indianapolis area, based on recent patient satisfaction scores. But hospitals in the core of Indianapolis—and hospitals that do significant amounts of teaching medical students—may take a hit.
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Insurance company key to Franciscan-American Health partnershipRestricted Content

July 21, 2012
J.K. Wall
Hospital system's health insurance unit has IT infrastructure that will allow physicians to participate in Medicare's shared savings program.
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WellPoint shares jump after $4.9B deal for Amerigroup

July 9, 2012
J.K. Wall
Investors and analysts like the fact that WellPoint is playing more aggressively in government-sponsored health plans, such as Medicaid and Medicare, which are projected to be the key sectors for growth for the next several years.
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Local providers join Medicare ACO program

July 9, 2012
J.K. Wall
Indiana University Health, as well as a partnership of Franciscan Alliance and American Health Network, have formed accountable care organizations that won the blessing of the federal Medicare Shared Savings program.
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High court ruling could leave 290K Hoosiers uncovered

July 1, 2012
J.K. Wall
A decision by Indiana to leave its Medicaid program unchanged could leave as many as 290,000 Hoosier adults, who would have been newly eligible for Medicaid coverage, with no good options.
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High court health care decision good for some, not others

June 29, 2012
Associated Press
The Supreme Court's decision Thursday to uphold President Barack Obama's historic overhaul is expected to boost many players in the health care industry, but not every corner of the sector will benefit.
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High court ruling opens Medicaid escape hatch for states

June 28, 2012
J.K. Wall
While upholding President Obama’s health care law, the U.S. Supreme Court may have created a way out for states that do not want to expand their Medicaid programs. Whether Indiana decides to opt out remains to be seen.
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U.S. health-care overhaul upheld by Supreme Court

June 28, 2012
Bloomberg News
The U.S. Supreme Court has upheld the core of President Barack Obama’s health-care overhaul, preserving most of a law that would expand insurance to millions of people and transform an industry that makes up 18 percent of the nation’s economy.
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Employers slow to act on health reform

June 11, 2012
J.K. Wall
Even though employers expect the U.S. Supreme Court to strike down at least some of the 2010 health reform law later this month, few are actually doing any contingency planning.
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Price hikes offset slower health care use

May 29, 2012
J.K. Wall

Newly available data from private health insurance plans show that price hikes by hospitals, doctors and drug companies have kept employer spending rising recently even as their employees and dependents have moderated their consumption of health care services.

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Activists plan to protest WellPoint political giving at meeting

May 15, 2012
J.K. Wall
A mix of union groups, activist investors and single-payer advocates will call for increased disclosure from WellPoint, and some investment funds will vote against WellPoint board members who they say have failed to exercise proper oversight of WellPoint’s political spending.
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Set pricing helps boost diagnostic network's growthRestricted Content

May 5, 2012
J.K. Wall
When the same MRI at one facility costs $600 and at another costs $2,200, Dr. Robert Gregori would call that a business opportunity.
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Lilly letting U.S. researchers test failed compounds for new uses

May 3, 2012
Bloomberg News
More than 20 compounds that Eli Lilly and Co., Pfizer Inc. and AstraZeneca Plc failed to turn into drugs will be tested by U.S.-sponsored scientists in a $20 million program to see if they’ll work against ailments they weren’t aimed at previously.
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WellPoint sees $100 billion 'duals' market as care shifts

April 25, 2012
Bloomberg News
Indianapolis-based WellPoint Inc. sees a $100 billion market in the states it serves to provide managed care for poor, elderly patients in the Medicare and Medicaid programs.
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Is health care bubble about to burst?

April 16, 2012
J.K. Wall
Citigroup economist writes that U.S. health care sector "reminds us somewhat ominously of the bubble in housing finance" because public spending is fueling private profits.
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Q&A

April 16, 2012
J.K. Wall
Sam Gibbs is president of eHealth Government Solutions, part of California-based eHealthInsurance Services Inc. The company, founded in 1997, pioneered the sale of health insurance over the Internet. Gibbs spoke about the options for public and private health insurance exchanges, including the state-based exchanges mandated by the Patient Protection and Affordable Care Act.
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Supreme skepticism boosts WellPoint stock

April 2, 2012
J.K. Wall
Wall Street's favorable reaction came not only because harsh questioning by the U.S. Supreme Court’s conservative justices put in doubt the health reform law’s mandate that all Americans buy health insurance, but also because the justices raised the possibility that they would strike down requirements that insurers accept all customers, regardless of health.
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Supreme Court can't stop 'reform'

March 26, 2012
J.K. Wall
Leaping costs, aging populace and cash-strapped consumers will drive reform in health care industries even if court strikes down law.
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Court: Indiana can't deny welfare without reason

March 22, 2012
Associated Press
The Indiana Supreme Court said Thursday that the state Family and Social Services Administration can't deny Medicaid, food stamps or welfare to people without first doing a better job of telling them why.
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Franciscan pulls back Greenwood plans

March 5, 2012
J.K. Wall
Franciscan St. Francis Health said its plans to build an emergency room and physician office building in Greenwood are on hold due to uncertainty over the effects of health care reform.
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Rating doctors and other health care providersRestricted Content

January 14, 2012
Sam Stall
A new onslaught of Medicare data might shine more light on providers, but tricky questions abound.
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WellPoint, other insurers profit from health law they oppose

January 5, 2012
Insurance companies spent millions of dollars trying to defeat the U.S. health-care overhaul. But profit margins at the companies have widened to levels not seen since before the recession, a Bloomberg Government study shows.
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Franciscan among Medicare's first accountable care groups

December 19, 2011
J.K. Wall
Franciscan Alliance’s Indianapolis-area hospitals, along with more than 700 physicians, have been named one of the nation’s first 32 accountable care organizations.
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Hoosiers like parts of health reform law

December 19, 2011
J.K. Wall
As it is in the rest of the country, the 2010 health reform in Indiana continues to be unpopular, unlikely to be repealed and uncertain to put a dent in health spending, according to a poll of Hoosiers released last week by Ball State University.
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