Health Care Reform

Obamacare generates windfall for insurersRestricted Content

July 5, 2014
J.K. Wall
Obamacare’s tax credits are pumping nearly $400 million into the coffers of health insurers in Indiana this year, according to data released by the federal government and the insurance companies.
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Insurance changes put state's autism industry on edge

June 14, 2014
J.K. Wall
Indiana's autism therapists say their prospects are cloudy after the state’s largest health insurer, Anthem Blue Cross and Blue Shield, cut payments 40 percent and took a harder line on paying for therapy for school-age children.
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Providers increasingly joining health insurance game

June 7, 2014
J.K. Wall
When the next enrollment season opens for the Obamacare exchange in Indiana, more than half the “health insurers” will actually be doctors and hospitals.
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Teamwork transforming care at IU Health's Saxony hospitalRestricted Content

May 31, 2014
J.K. Wall
Getting everyone into the same room prior to surgeries is cutting costs and improving health.
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Zimmer-Biomet deal could stanch their bleeding at hospitals

May 5, 2014
J.K. Wall
Hospitals, which have forced orthopedic implant makers to lower their prices in recent years, may have a harder time doing so when the combined Zimmer-Biomet controls nearly 40 percent of the market.
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St. Vincent and Community to dissolve partnership

May 3, 2014
J.K. Wall
The Accountable Care Consortium was envisioned as a vehicle through which the hospitals would eventually funnel all of their roughly $2.5 billion in annual contracts with health insurers and employers.
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Roche battles payment cuts while growing diagnostics business

April 28, 2014
J.K. Wall

Life Sciences Burris
                           interview Watch VideoNew tests have helped Roche Diagnostics grow its North American revenue, excluding its troubled diabetes care business, 23 percent over the past five years. But the money for diagnostic tests continues to go down in key areas, noted CFO Wayne Burris.

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Hospitals rethinking a la carte pricingRestricted Content

April 26, 2014
J.K. Wall
Indianapolis hospitals have begun to offer joint replacement surgeries to employers and insurers using “bundled prices.” That means, instead of billing piecemeal for each individual service and supply, the hospitals wrap everything needed from just before to just after surgery into a package deal.
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Late sign-ups boost numbers, improve Obamacare outlook

April 18, 2014
Associated Press
Still to be announced is what share of those 8 million enrollees were previously uninsured, and how many actually secured coverage by paying their first month's premiums.
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Hospitals might chip in to expand Medicaid

April 5, 2014
J.K. Wall
If Indiana hospitals want an expansion of insurance coverage for low-income Hoosiers, Gov. Mike Pence thinks they should contribute toward the hundreds of millions of dollars it would cost.
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IU Health suffers small decline in 2013 profit

March 31, 2014
J.K. Wall
Indiana University Health’s business deteriorated last year in nearly every area. But price hikes and a surge in outpatient visits to Indianapolis-area facilities mostly offset those problems.
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Obama says more than 6M signed up for health care

March 27, 2014
Associated Press
Like much else about Obama's health care law, the milestone comes with a caveat: The administration has yet to announce how many consumers actually closed the deal by paying their first month's premium.
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Anthem, Franciscan sign accountable care contract

March 15, 2014
J.K. Wall
Anthem Blue Cross and Blue Shield has signed a new kind of contract with the Franciscan Alliance hospital system that allows Franciscan to make more money only if it saves money for Anthem.
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Indiana’s hospitals face Obamacare timing problem

February 24, 2014
J.K. Wall
The Obama administration's delays of Obamacare's employer mandate penalties mean it will be another year or two before hospitals see the additional revenue the law was supposed to bring them.
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Anthem seeking OK to test online physician visitsRestricted Content

February 22, 2014
J.K. Wall
House Bill 1258 would allow the large health insurer Anthem Blue Cross and Blue Shield to launch a pilot program using the Live Health Online technology it has developed with Massachusetts-based software firm American Well Corp.
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New tiered network trips up IU Health, UnitedHealthcare talks

January 27, 2014
J.K. Wall
In spite of offers to strike a short-term extension, UnitedHealthcare and Indiana University Health are still hung up in contract negotiations on one key point: Minnesota-based UnitedHealthcare wants to create a multi-tiered network of providers and services that would offer the lowest co-pays and deductibles for favored hospital systems—which IU Health is not.
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View of health rollout improves, but only slightly

January 27, 2014
Associated Press
Negative perceptions of the health care rollout have eased, a new poll finds. But overall, two-thirds of Americans say things still aren't going well.
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With website on mend, Obamacare enrolls 2 million so far

December 30, 2013
Associated Press
The windfall comes at a critical moment for health care reform, which becomes "real" for many Americans on Jan. 1 as coverage through the insurance exchanges and key patient protections kick in.
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NEWSMAKERS: Joe Swedish

December 28, 2013
J.K. Wall
When Joe Swedish was named the next CEO of WellPoint Inc., investors frowned. At first.
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Feds extend Obamacare deadline as customers rush site

December 23, 2013
Bloomberg News
The deadline to enroll in plans that begin Jan. 1 now is midnight Tuesday for most of the U.S. On Monday, healthcare.gov fielded nearly 50,000 simultaneous visitors, triggering a queuing system.
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Obamacare exchange enrollment reaches 3,500 in Indiana

December 11, 2013
J.K. Wall
Enrollment in November was about four times faster than in October, but it will need to be about 12 times faster through the end of March to meet federal projections.
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Insurance bargain-hunters might miss out on subsidiesRestricted Content

December 7, 2013
J.K. Wall
Hoosiers who sign up for “zero premium” health insurance in the new Obamacare exchanges might end up leaving thousands of dollars on the table. An estimated 250,000 uninsured Hoosiers could qualify for health insurance in the Obamacare exchanges that would cost them nothing—at least upfront.
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IU Health gears up to take on insurers

November 30, 2013
J.K. Wall
Indiana University Health, already the state’s largest hospital system, is now ramping up to compete against Anthem, UnitedHealthcare and other health insurers.
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Survey: One-third of Hoosier workers in high-deductible plans

November 25, 2013
J.K. Wall
An annual survey by the benefits consulting firm Mercer found that, among 75 Hoosier employers, 34 percent of workers are already enrolled in consumer-directed health plans. And that number is only going to go up due to new Obamacare rules.
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UnitedHealthcare pulls back from niche

November 23, 2013
J.K. Wall
Come January, UnitedHealthcare, the second-largest health insurer in Indiana, will have no major-medical policies to sell to individual Hoosier customers.
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  1. By Mr. Lee's own admission, he basically ran pro-bono ads on the billboard. Paying advertisers didn't want ads on a controversial, ugly billboard that turned off customers. At least one of Mr. Lee's free advertisers dropped out early because they found that Mr. Lee's advertising was having negative impact. So Mr. Lee is disingenous to say the city now owes him for lost revenue. Mr. Lee quickly realized his monstrosity had a dim future and is trying to get the city to bail him out. And that's why the billboard came down so quickly.

  2. Merchants Square is back. The small strip center to the south of 116th is 100% leased, McAlister’s is doing well in the outlot building. The former O’Charleys is leased but is going through permitting with the State and the town of Carmel. Mac Grill is closing all of their Indy locations (not just Merchants) and this will allow for a new restaurant concept to backfill both of their locations. As for the north side of 116th a new dinner movie theater and brewery is under construction to fill most of the vacancy left by Hobby Lobby and Old Navy.

  3. Yes it does have an ethics commission which enforce the law which prohibits 12 specific items. google it

  4. Thanks for reading and replying. If you want to see the differentiation for research, speaking and consulting, check out the spreadsheet I linked to at the bottom of the post; it is broken out exactly that way. I can only include so much detail in a blog post before it becomes something other than a blog post.

  5. 1. There is no allegation of corruption, Marty, to imply otherwise if false. 2. Is the "State Rule" a law? I suspect not. 3. Is Mr. Woodruff obligated via an employment agreement (contractual obligation) to not work with the engineering firm? 4. In many states a right to earn a living will trump non-competes and other contractual obligations, does Mr. Woodruff's personal right to earn a living trump any contractual obligations that might or might not be out there. 5. Lawyers in state government routinely go work for law firms they were formally working with in their regulatory actions. You can see a steady stream to firms like B&D from state government. It would be interesting for IBJ to do a review of current lawyers and find out how their past decisions affected the law firms clients. Since there is a buffer between regulated company and the regulator working for a law firm technically is not in violation of ethics but you have to wonder if decisions were made in favor of certain firms and quid pro quo jobs resulted. Start with the DOI in this review. Very interesting.

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