Insurance Claims

Cost-control plan for health care could cost more patients

May 16, 2014
Associated Press
The Obama administration has given the go-ahead for a new cost-control strategy called "reference pricing." It lets insurers and employers put a dollar limit on what health plans pay for some expensive procedures.
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Health insurers must make educated guesses on 2015 pricesRestricted Content

April 12, 2014
J.K. Wall
The back-loaded enrollment process for the Obamacare exchanges gives insurers far, far less information about their new customers than usual.
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Homeowners in flood zones fear insurance spike

February 20, 2014
Associated Press
Steep increases are being felt from south Louisiana to New England to Columbus, Ind., are required by the Biggert-Waters Reform Act of 2012. That legislation, signed by President Obama two years ago, set into motion a process designed to start shaving down the flood insurance system's mounting deficit.
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Costs of rare November storms, tornadoes top $1 billion

December 9, 2013
Bloomberg News
Tornadoes and thunderstorms that swept across the U.S. Midwest last month will probably cost more than $1 billion in economic losses, led by damage in Illinois and Indiana, according to insurance broker Aon Plc.
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Home insurers changing policies, raising premiums in wake of losses

October 26, 2013
Scott Olson
Big claims in recent years are driving up prices of policies in Indiana and causing some insurers to cut back coverage.
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Airport authority sues insurance carrier for $9.2M

August 23, 2013
Scott Olson
The Indianapolis Airport Authority claims Travelers Property Casualty Co. of America failed to pay it all the money it is owed following a steel-beam collapse during construction of the midfield terminal.
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Healthx using IT to connect insurers to their customersRestricted Content

August 17, 2013
J.K. Wall

Health insurance has long been a business-to-business endeavor between insurers, employers, hospitals and doctors. Patients received benefits, but they weren’t really customers. That’s all about to change.

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WellPoint cap program saves Calpers big money

June 24, 2013
Bloomberg News
The nation’s largest pension fund worked with the Indianapolis-based health insurer to cut medical costs 19 percent by capping the price of some surgeries, in the latest sign payers are taking a tougher line against rising hospital claims.
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WellPoint settles Los Angeles lawsuit for $6M

June 20, 2013
Associated Press
The city had alleged that WellPoint's Anthem Blue Cross of California unit illegally dropped more than 6,000 policyholders from coverage.
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Indianapolis couple charged with mail fraud

May 15, 2013
 IBJ Staff
George Bowman, 43, and Traci L. Bowman, 42, are accused of falsifying purchase records and fraudulently filing insurance claims for expensive construction equipment they never purchased.
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Medical finance driving major changes in health care marketplace

April 6, 2013
J.K. Wall
Brian and Emily Kahn had virtually identical physical therapy. He paid much more than she did. Why? Because of where the therapy took place.
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Crop insurance losses begin to mount amid drought

September 13, 2012
Associated Press
Thousands of farmers are filing insurance claims this year after drought and triple-digit temperatures burned up crops across the nation's Corn Belt, and some experts are predicting record insurance losses — exacerbated by changes that reduced some growers' premiums.
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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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COLVIN: Get ready for a perfect storm in Worker's Compensation

March 17, 2012
Ryan Colvin / Special to IBJ
Rates are set to rise as insurers increasingly note the link between older workers' health and productivity.
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Tornadoes may cost insurers $2B, risk modeler says

March 6, 2012
Bloomberg News
Tornadoes that slammed five states in the U.S. Midwest and South last week may generate as much as $2 billion in claims costs for insurers, risk-modeling firm Eqecat Inc. says.
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Baldwin & Lyons ends tough year with quarterly profit

February 2, 2012
Indianapolis-based Baldwin & Lyons Inc. turned a profit in the fourth quarter, but it wasn’t enough to erase a dismal 2011 plagued by catastrophic losses.
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Scrutiny rises on Bankers Life

January 9, 2012
J.K. Wall
After the insurer's name went on Indianapolis' downtown arena, CBS News focused on how hundreds of Bankers Life’s long-term-care insurance policyholders have accused the company of having “beat them down with bureaucracy."
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Catastrophes deliver more losses to Baldwin & Lyons

November 3, 2011
J.K. Wall
The auto and trucking fleet insurer lost $13 million, or 87 cents per share in the three months ended Sept. 30, compared with profit of $9.2 million, or 62 cents per share, in the same period a year earlier.
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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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Mother Nature again slams insurer Baldwin & Lyons

August 4, 2011
Cory Schouten
Catastrophic tornadoes in Alabama and Missouri took their toll on second quarter results for Indianapolis-based insurer Baldwin & Lyons Inc.
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Contractor wins $14.5M judgment against State Farm

July 1, 2011
Scott Olson
A Hamilton County jury sided with Joseph Radcliff in his lengthy legal battle with the insurer following a 2006 hailstorm that caused severe damage in central Indiana. State Farm accused Radcliff of fraud.
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Tornadoes latest catastrophe to hit insurer's books

June 29, 2011
J.K. Wall
Baldwin & Lyons Inc. expects to lose another $10 million due to worldwide catastrophes that occurred in the first half of the year, the Indianapolis-based property and casualty insurer reported Tuesday.
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Disasters sink Baldwin & Lyons quarterly results

May 5, 2011
 IBJ Staff
Earthquakes and flooding took a toll on Baldwin & Lyons Inc.’s first quarter results, the Indianapolis-based insurer announced Thursday morning.
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Disasters hammer Baldwin & Lyons—again

April 13, 2011
J.K. Wall
Indianapolis insurer Baldwin & Lyons Inc. stands to lose $15.5 million as a result of the earthquake and tsunami in Japan, as well as other disasters in Australia and New Zealand.
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Insurer seeks to avoid claims from wedding accident

April 8, 2011
Kathleen McLaughlin
A Michigan insurance company is seeking to avoid paying for any claims made by Mavris Arts & Event Center in Indianapolis involving a high-profile fatal wedding-shuttle accident last summer.
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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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