Government Health Care

SMITH: Small steps, big results: gauging design's impactRestricted Content

November 26, 2011
Keith Smith / Special to IBJ
Metrics make a difference in health care facilities.
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ZWIRN: Most health care reform will happen at local levelRestricted Content

November 26, 2011
Les Zwirn / Special to IBJ
Smart coalitions will cut costs, improve quality.
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UnitedHealth to acquire Medicare insurer XLHealth

November 22, 2011
Bloomberg News
UnitedHealth Group Inc. said it will acquire XLHealth Corp., a provider of managed care for chronically ill Medicare members. Indianapolis-based WellPoint Inc. had been considering a possible acquisition of the company.
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WellPoint eyes $1.5 billion deal for XLHealth

November 14, 2011
Bloomberg News
Offers for XLHealth, a provider of managed care for chronically ill Medicare members, may value the company at $1.5 billion to $2 billion.
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Indiana officials blast feds for 'over-regulation' on reform

November 1, 2011
J.K. Wall
Michael Gargano, secretary of the Indiana Family and Social Services Administration, blasted the rules for both “glaring omissions” as well as creating new and unfunded “mandates” not included in the 2010 health reform law
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Q&A

October 31, 2011
J.K. Wall
As an Eli Lilly and Co. lobbyist in Washington, D.C., Jay Bonitt is hoping the Congressional “super committee” charged with trimming the federal budget doesn’t turn to the Medicare prescription drug program, known as Part D, to do so. Bonitt, Lilly's vice president of federal affairs, said the program is under budget and helps spur drugmakers to further innovation.
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Insurer Humana's quarterly profit climbs 13 percent

October 31, 2011
Associated Press
Humana Inc. raised its 2011 earnings forecast, following the lead set by other big insurers, including competitor WellPoint Inc.
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Insurance mandate lacks teeth, WellPoint CFO says

October 24, 2011
J.K. Wall
As constitutional challenges to the health reform law’s mandate to buy insurance advance, WellPoint Inc.’s chief financial officer reiterated that the company does not object to the mandate, just to its lack of penalties.
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Deficit committee could bite CNO

October 17, 2011
J.K. Wall
Medicare supplement policies are reportedly one of the targets of Congress’ special deficit-reduction committee—and that’s not good news for Carmel-based CNO Financial Group Inc.
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Medical supplier Hill-Rom makes $42M fraud settlement

September 27, 2011
Associated Press
Hill-Rom Holdings Inc., a medical-equipment company based in Indiana, agreed Tuesday to pay nearly $42 million to settle a government lawsuit. The government had accused the company of knowingly submitting false claims to Medicare from 1999 to 2007.
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Firm tries again with personal health records

September 26, 2011
J.K. Wall
Even though Google Inc. has given up on the business of electronic personal health records, Fort Wayne-based NoMoreClipboard.com is launching a new service it thinks will crack open the market.
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Q&A

September 26, 2011
J.K. Wall
Dr. Ed Kowlowitz, owner and medical director of the Center for Pain Management in Indianapolis, recently challenged a regional Medicare reimbursement policy and, surprisingly, won. He spoke with IBJ about the experience, as well how his three-physician practice is growing even while many physician practices are selling to hospitals.
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Health regulatory leaders ready to flock to city

September 14, 2011
 IBJ Staff
The top event for regulatory professionals in the health care industry is headed to Indianapolis next month. The annual conference of the Regulatory Affairs Professionals Society, or RAPS, is expected to draw thousands of members representing 120 companies and organizations.
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Indiana company quits Missouri Medicaid contract

September 1, 2011
Associated Press
Indianapolis-based SynCare has ended its contract to screen Missouri Medicaid recipients after numerous complaints about its job performance.
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Private firm with Medicaid deal gets state help

August 31, 2011
 IBJ Staff and Associated Press
Officials with the Missouri Department of Health and Senior Services say they had to hire 13 temporary workers and shift as many as 20 state workers from their regular jobs after withering consumer complaints against SynCare LLC of Indiana.
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Missouri health care advocates decry Indiana contractor

August 30, 2011
 IBJ Staff and Associated Press
Indianapolis-based SynCare LLC, hired to determine the eligibility of Missouri Medicaid patients for in-home care, has "been a complete disaster from the beginning," statewide health care advocates charge.
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Arcadia Resources to delist stock amid cash crunch

August 16, 2011
J.K. Wall
Arcadia Resources Inc.'s share price dwindled to just 5 cents as of late Tuesday morning, following the company's announcement that it was delisting its stock and had suffered another quarterly loss.
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Indiana asks court to lift Planned Parenthood order

August 1, 2011
Associated Press
Indiana asked a federal appeals court Monday to lift a judge's order blocking parts of a new abortion law that cuts some public Planned Parenthood funding, saying the issue should be decided by Medicaid officials and not the courts.
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Birth control coverage required in U.S. health plan

July 19, 2011
Health insurers led by WellPoint Inc. would be required to cover birth control pills and devices at no cost to patients under the recommendation of a top U.S. scientific advisory board. .
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Not-for-profits vying with WellPoint may get $3.8B in loans

July 18, 2011
Bloomberg News
Not-for-profits that compete with insurers such as WellPoint Inc. are eligible for $3.8 billion in U.S. financing under the health law, and the government expects more than a third of the loans not to be repaid.
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CBO: No great savings from health reform

July 18, 2011
J.K. Wall
Don’t expect the health reform law to tame health care costs. That’s the conclusion of the director of the Congressional Budget Office, who also suggested some of the simplest ways to moderate costs would be to roll back some of its key provisions.
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Study: Medicaid better than nothing

July 11, 2011
J.K. Wall
Health care reform will add roughly 500,000 Hoosiers to the Medicaid program and, in spite of great criticism of that expansion, a new study suggests Medicaid coverage does help consumers get more care, have fewer unpaid bills and feel better.
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Employers face messy decision to drop health insuranceRestricted Content

July 9, 2011
J.K. Wall
Companies that drop insurance coverage could, without spending any more money than they are now, give workers an 11-percent raise or else help them save as much as $2,000 per year buying health coverage in one of the exchanges, IBJ calculations show.
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STUMPP: Docs' loss of independence driving up health care costsRestricted Content

July 9, 2011
Don Stumpp / Special to IBJ
The fact is that hospitals are paid three to four times for physician ancillary services.
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Troubled economy fueling hospital deals

June 20, 2011
J.K. Wall
Battered by stagnant population growth and blue-collar job loss, Howard Regional Health is merging with Indiana University Health—a deal that reflects the challenges faced by hospitals in Indiana’s outlying cities.
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  1. The $104K to CRC would go toward debts service on $486M of existing debt they already have from other things outside this project. Keystone buys the bonds for 3.8M from CRC, and CRC in turn pays for the parking and site work, and some time later CRC buys them back (with interest) from the projected annual property tax revenue from the entire TIF district (est. $415K / yr. from just this property, plus more from all the other property in the TIF district), which in theory would be about a 10-year term, give-or-take. CRC is basically betting on the future, that property values will increase, driving up the tax revenue to the limit of the annual increase cap on commercial property (I think that's 3%). It should be noted that Keystone can't print money (unlike the Federal Treasury) so commercial property tax can only come from consumers, in this case the apartment renters and consumers of the goods and services offered by the ground floor retailers, and employees in the form of lower non-mandatory compensation items, such as bonuses, benefits, 401K match, etc.

  2. $3B would hurt Lilly's bottom line if there were no insurance or Indemnity Agreement, but there is no way that large an award will be upheld on appeal. What's surprising is that the trial judge refused to reduce it. She must have thought there was evidence of a flagrant, unconscionable coverup and wanted to send a message.

  3. As a self-employed individual, I always saw outrageous price increases every year in a health insurance plan with preexisting condition costs -- something most employed groups never had to worry about. With spouse, I saw ALL Indiana "free market answer" plans' premiums raise 25%-45% each year.

  4. It's not who you chose to build it's how they build it. Architects and engineers decide how and what to use to build. builders just do the work. Architects & engineers still think the tarp over the escalators out at airport will hold for third time when it snows, ice storms.

  5. http://www.abcactionnews.com/news/duke-energy-customers-angry-about-money-for-nothing

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