Health Care Costs

Will Medicaid expansion actually work?

October 1, 2012
J.K. Wall
It would be “absurd” and a “travesty” for Indiana not to expand its Medicaid program, according to two local hospital officials. And yet other health care leaders do not expect expanded Medicaid coverage to provide nearly as much help to uninsured Hoosiers as hoped.
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Bill for Medicaid expansion? $516M a year

September 24, 2012
J.K. Wall
If Indiana expands its Medicaid program as called for under President Obama’s health reform law, it likely will hike state spending on the program an extra 13.5 percent—or $516 million annually—by 2020, according to the latest projections from Seattle-based actuarial firm Milliman Inc.
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WellPoint spends $50M to burnish brand

September 17, 2012
J.K. Wall
The Indianapolis-based health insurer expects the purchase of health insurance to look and feel much more like online retailing than ever before, where brand name, along with price and convenience, win the day.
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High-deductible premiums rising, too

September 17, 2012
J.K. Wall
Since 2007, premiums for high-deductible health plans’ family coverage have grown 32 percent—compared with 30 percent among all health plans, according to survey data from the Kaiser Family Foundation.
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Cutting bills fuels growth of Health Systems InternationalRestricted Content

August 25, 2012
J.K. Wall
Health Systems is on pace this year for nearly $50 million in revenue, up from $42 million last year and just $4.5 million eight years ago. The Indianapolis company processes claims for health insurers when patients receive out-of-network care.
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Cautious hospitals trouble Hill-Rom

July 30, 2012
J.K. Wall
The investor drubbing sustained by Hill-Rom Holdings Inc. last week stemmed not so much from the new acquisition it announced as from the gloomy outlook in the North American hospital market.
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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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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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Doctors, hospitals follow only parts of Regenstrief's IT prescriptionRestricted Content

July 7, 2012
J.K. Wall
The great results Regenstrief Institute has produced over the years in studies at Indianapolis’ Wishard Memorial Hospital have not held up when conducted in a wider variety of settings.
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Q&A

July 2, 2012
J.K. Wall

The U.S. Supreme Court’s ruling to uphold the Patient Protection & Affordable Care Act cleared a big cloud of uncertainty for employers, but with just 18 months before the most significant provisions of the law kick in, many questions remain. Three benefits consultants from Indianapolis-based Gregory & Appel Insurance—Bob Miller, Mike Miles and Karl Ahlrichs—sat down to discuss what the future looks like for employer health benefits.

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Electronic health records bring $135M to Indiana

June 25, 2012
J.K. Wall
The federal stimulus program to speed “meaningful use” of electronic medical records is starting to generate significant cash for Indiana health care providers: More than $135 million has flowed to more than 2,000 Hoosier hospitals and doctors since January 2011.
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Court ruling would lift cloud of uncertainty

June 18, 2012
J.K. Wall
The U.S. Supreme Court did not hand down a ruling in the health care reform case Monday morning. The nine justices meet again Thursday, but most observers expect the decision to come June 25 or June 28.
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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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WellPoint: Consumers will control health insurance

June 4, 2012
J.K. Wall
The future of health insurance is lower profit margins and greater consumer control. WellPoint Inc. just bet $900 million on it.
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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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Justices grill both sides in IU Health case

May 14, 2012
J.K. Wall
Much of the nearly 45 minutes of arguments and questioning on May 10 involved the justices and the lawyers for both parties trying unsuccessfully to apply various scenarios from the retail world of commerce to health care pricing.
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TITTLE: Big challenges loom for nursing facilitiesRestricted Content

May 12, 2012
Scott Tittle / Special to IBJ
Boom in elderly population and falling reimbursements expected to cause squeeze.
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State's high court to weigh hospital bills

May 7, 2012
J.K. Wall
The Indiana Supreme Court this week will consider whether hospital billing practices should be put on trial. The state’s highest court will hear oral arguments Thursday in a case in which two uninsured patients have sued Indiana University Health for charging them much higher prices than it would have charged insured patients.
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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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Quest to rein in health care costs gives momentum to on-site clinicsRestricted Content

May 5, 2012
J.K. Wall
Health care firms have opened a flurry of clinics at Hoosier employers the past two years as businesses increasingly embrace the concept as a way to restrain employee health costs.
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Health insurers could pay $16.5M in rebates

April 30, 2012
J.K. Wall
Health insurance customers in Indiana will get an estimated $16.5 million in rebates this year, but the average amount received per person will be less than the national average and less than 3 percent of the total cost of coverage.
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Report: Rebates from health care law will top $1B

April 26, 2012
Associated Press
More than 3 million health insurance policyholders and thousands of employers will share $1.3 billion in rebates this year, thanks to health care reforms, a research group said Thursday. Indianapolis-based WellPoint Inc. is expected to return $94 million.
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IU doc group becomes Eskenazi Medical

April 23, 2012
J.K. Wall
A group of 123 doctors, nurse practitioners and physician assistants have formed the Eskenazi Medical Group in order to focus on maximizing patient care and related bonus payments at Wishard Health Services.
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Trend lines look good for WellPoint

April 23, 2012
J.K. Wall
More people have jobs and yet the use of health care remains stagnant—which should drive nice profits when WellPoint Inc. reports first-quarter earnings on Wednesday. The trends even have some wondering if consumer-driven health plans are finally starting to make a real difference in Americans’ health care spending habits.
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Indy is poster child (again) for medical arms race

April 16, 2012
J.K. Wall
Indianapolis was highlighted in a new national study because its hospitals have been particularly aggressive at expanding their geographic reach—raising concerns among health insurers and even hospitals themselves that new medical facilities and market power can only lead to higher prices.
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  1. Good ole' Obamacare. Thanks liberals and those who didn't bother to vote.

  2. Yes. Blame those who were too lazy to go vote Obama out and those who voted him in again. That's my take on it. I know folks won't get it on the left. OK. Start berating me now!

  3. Serioulsy, people are AGINST this project? Most communities would be salivating over a project like this. You'd rather have an empty eye-sore gas station and shacks posing as apartments? This project is exactly what BR needs. BUILD IT MR MAYOR. And yes, I am a BR resident, and have been for 20 years.

  4. As a St. Vincent employee of over 20 years, I am saddened and disheartened by this announcement. Unfortunately, as the healthcare "industry" continues on this political and corporate path, all that St. Vincent Hospital has stood for spiritually for its employees and this community is being sucked dry. I know it truly has no choice. It is not just Obamacare or just competition or just any single thing. This trend started long before I was even born when the government became involved in healthcare and it became an "industry." I grieve for those who will lose their jobs, one of whom may be me, but I also grieve for this hospital which I have served for over 20 years. May God give us and it the grace to withstand the future of healthcare.

  5. Why do people constantly harp on this issue and act ignorant about what a city population measures? A city's population is the city's population. There is no argument or debate about it. If you want to measure the density of a city--measure it. If you want to measure the size of a metropolitan area, then measure the metropolitan population. City boundaries cover different sized areas--and they always have (though the disparity has probably increased since about 1900 or so when more cities began annexing their surrounding communities). For example, San Francisco only covers 49 square miles while Houston cover nearly 600 square miles. No one argues about the population rankings of either city even though they clearly cover extremely different sized areas. Indianapolis is the 13 largest city by population in the U.S. That is a fact. While the population of a metropolitan area may give you a better sense of how large a community is, as noted, even metro areas can vary widely in the size of geographic area they cover--so that is not a perfect comparison either.

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