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Health Care Reform
Forecast: Cash to reign in health care
May 20, 2013
J.K. WallWith premiums for health insurance likely to head north next year as President Obama’s health care reform law fully
takes effect, both individuals and employers will pay for more health care out of their own funds and buy less insurance.
MoreStudy rebuts hospitals' argument on Medicare, rising costs
May 13, 2013
Rather than raising prices on private health insurers to make up for inadequate payments from the government, hospitals across
the country have been raising prices just because they can, according to a new study.
MoreFeds scrutinize nursing home buying spree
April 27, 2013
J.K. WallIndiana’s county-owned hospitals have rushed to acquire nursing homes in the past two years, opening a revenue stream
for both the hospitals and the long-term-care facilities. But the additional federal revenue that has driven these purchases
could come under threat.
MoreEmployer health coverage on 10-year fall, study says
April 11, 2013
Bloomberg NewsIndiana, Michigan and South Carolina saw the steepest declines in employer-backed coverage from 2000 to 2011, according to
a study released Thursday.
MoreIU Health to chop $1 billion off costs
April 6, 2013
J.K. WallEven though Obamacare likely will expand health insurance coverage to an extra 500,000 Hoosiers over the next few years, IU
Health expects per-patient reimbursements to fall as the federal government, employers and patients all push back on sky-high
health care costs.
MoreCOLWELL: Indianapolis strategizes for health care reform
April 6, 2013
AnnJeanette ColwellThe recent flurry of big announcements portends well.
MoreCrunching the numbers on Obamacare
March 30, 2013
J.K. WallThe biggest changes from President Obama’s 2010 health reform law take effect nine months from now, so many Hoosier
employers have started crunching detailed numbers to cost out their options.
MoreStudy: Inpatient declines to hit all hospitals
March 11, 2013
J.K. WallOne explanation for Indiana University Health’s decision to delay its Methodist Hospital expansion is that new “value-based”
payment models appear to be pushing down hospitalization rates, according to a study released Friday.
MoreAnalysis: Feds likely to cut Medicaid support
March 11, 2013
J.K. WallA fellow conservative provided some support for Gov. Mike Pence’s claim that an expansion of Medicaid will become a
“baby
elephant” that eats up larger and larger shares of state resources.
MoreIndy hospitals healthy despite sequester
March 4, 2013
J.K. WallWhile rural hospitals face sharp reductions in their operating incomes, most of the four major hospital systems based in Indianapolis
will see only a marginal impact on their finances.
MoreSenate advances telemedicine payments
March 4, 2013
J.K. WallThe Indiana Senate voted unanimously last week to require the Indiana Medicaid program to pay home health agencies, rural
health clinics and federally qualified health centers for doing medical consultations, diagnoses and monitoring using videoconferencing,
telephones or computers.
MoreHospital systems forcing doctors to choose sides
March 2, 2013
J.K. WallThe five-year trend of physician practices marrying up with hospitals has made it harder and harder for independent physician
practices to spend time in more than one hospital system.
MoreMilliman: HIP could save $156M a year
February 25, 2013
J.K. WallThe actuarial firm hired by the state estimates savings of about $156 million per year if Indiana uses its Healthy Indiana
Plan to expand Medicaid coverage.
MoreLegislators struggle to nail down cost of health care expansion
February 24, 2013
Associated PressThe cost of health care for an additional 400,000 low income residents is something nobody in the Indiana Statehouse seems
to be able to agree upon this year, even as the crucial decision about whether to expand Medicaid bears down on lawmakers
midway through their annual session.
MorePence still angling to use Healthy Indiana Plan to expand Medicaid
February 23, 2013
J.K. WallDecisions by other Republican governors to support Medicaid expansion is increasing pressure on Indiana's governor to do the
same.
MoreUPDATE: Primary care at heart of hospitals' deal
February 18, 2013
J.K. WallCommunity Health Network’s new partnership with Wishard Health Services will create a primary-care behemoth that the
systems argue will put them in the best position possible to handle the changes coming from federal health reform.
MoreCommunity, Wishard to form joint operating agreement
February 18, 2013
J.K. WallThe partnership will create a new board to oversee and coordinate the operations of both systems, according to internal messages
sent to Community stakeholders. Community Health CEO Bryan Mills will be the CEO of the new joint-operating entity.
MoreWellPoint shares tumble on surprising CEO hire
February 13, 2013
J.K. WallThe Indianapolis-based health insurer saw its stock tumble as much as 4.8 percent Wednesday morning after it unexpectedly
named career hospital executive Joe Swedish to be its next CEO.
MoreQ&A
February 11, 2013
J.K. WallDon Kelso is executive director of the Indiana Rural Health Association. The trade group is trying to help its members navigate the changes coming from health care reform and the financial pressures being created by federal budget cuts. The association recently launched a service for its members called SuiteStats, which is data-management software to help hospital executives identify areas ripe for cost-cutting.
Pressure rises on lawmakers to expand Medicaid
February 11, 2013
J.K. WallUp until now, Gov. Mike Pence and his fellow Republicans in the Legislature have been playing a game of poker with the Obama administration over a potential expansion of Indiana’s Medicaid program. But all of a sudden, Indiana’s hand just got quite a bit weaker.
Community taps Walgreens for health reform help
February 4, 2013
J.K. WallIn the era of health care reform, hospitals will face two new challenges: They will need to run higher-volume, lower-margin
businesses, and they’ll be on the hook financially for what patients do even when they’re not receiving health
care. Community Health Network’s new partnership with Walgreens’ Take Care Clinics is designed to help address
both issues.
MoreZimmer highly exposed to health-reform risk
January 28, 2013
J.K. WallShares of Zimmer Holdings Inc. have generated impressive returns of 23 percent in the past year and some 2013 product launches
could juice those results even further. But the Warsaw-based maker of orthopedic implants is also the most-exposed company
in its industry to two key elements of health care reform: the medical device tax and bundled payments.
MoreHealth insurance changes daunting for Indiana employers
January 19, 2013
Scott OlsonA portion of the Patient Protection and Affordable Care Act requiring companies in 2014 to begin offering health insurance
to more workers is causing a lot of anxiety.
MoreInsurers may prove choosy with overhaul exchanges
January 17, 2013
Associated PressThe leader of the nation's largest health insurer warned Thursday not to assume widespread participation from his company
in part of health care overhaul's coverage expansion that unfolds later this year.
MoreIndiana Democrats pushing for more health care action
January 16, 2013
Associated PressDemocratic lawmakers pushed Wednesday for Indiana to take steps toward implementing the federal health care overhaul that
Republicans who control state government have so far rejected.
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Steak and Shake USED to be a good place to eat, but the now empty parking spaces tell the story of Poor Service, Declining quality of food and just more gimmicks and rear cooking....I used to be a customer, but no more...won't be back...to many other Good Places to eat in INDY...
This man has continued to destroy the Steak and Shake brand. Did he not learn from the sins of owners past. The SNS logo and Brand are strong, I cant understand why he wants to destroy the brand other than to satisfy his big ego.This will turn out to be a big mistake. Sleek new look for a traditional product..makes no logical sense
I mean REALLY!!! What's next taking away the Burger King's crown, turn the golden arches into silver columns? No I know let's get Wendy a pink mohawk.
A couple of thoughts on some of the information presented here from someone with a bit of experience in this area: First, Does anyone remember a time in the past 35 years when insurance premiums DIDN'T increase? They increase every year. The more rigorous rate review requirements of the Affordable Care Act (effective in 2011) have likely caused those increases to moderate as they have averaged below 10% for the past few years, down from much higer averages in prior years. Second, Oregon will operate a state-based Exchange. Recently, they were one of the first states to release their proposed (not yet reviewed by regulators)premium rates -- our first view of Exchange rates. After 2 insurers saw their competitors' rates, they pulled theirs back and re-submitted LOWER rates. In my nearly 10 years as a state insurance regulator, and two years as a federal regulator, I don't ever recall an insurer voluntarily lowering its rates. THAT'S the kind of transparency and competition the online marketplaces (Exchanges) will bring about. 3) ...and this is just a random thought: A big concern among health policy experts is the capacity of the primary care provider community to handle the happy fact that a large number of individuals will be newly-insured under the Affordable Care Act. With the system being stretched so thin for INSURED individuals, It seems highly doubtful that more than a very few "cash-and-carry" physicians will be able to survive in the new, improved healthcare system. Sally McCarty Center on Health Insurance Reform Georgetown University Health Policy Institute
liek the rest of America