Medicaid

Feds: CVS to pay $17.5M over inflated Rx claims

April 15, 2011
Associated Press
The U.S. Justice Department says CVS Pharmacy Inc. has agreed to pay $17.5 million to settle allegations it overcharged Medicaid programs in 10 states, including Indiana.
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Parties near deal for hospital tax

April 11, 2011
J.K. Wall
Officials from Indiana Medicaid and a hospital trade group are trying to craft a deal that would create a tax on hospitals that would help attract more federal funds for hospitals—thereby offsetting looming cuts in state payments.
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WellPoint expects employer biz to stagnate

March 2, 2011
J.K. Wall
Over the next five years, WellPoint Inc. expects the employer-sponsored insurance business to shrink slightly, forcing it to shift its focus to government-sponsored plans.
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Medicaid expansion could tax community health centersRestricted Content

February 12, 2011
J.K. Wall
The president of the Indiana Primary Health Care Association wants to double the number of federally qualified community health centers in Indiana in the next five years.
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Daniels leads guvs' health-care revolt

February 9, 2011
J.K. Wall
Boy does Gov. Mitch Daniels have an ultimatum for President Obama: Wave off the health reform law or else I’ll do nothing to help while it wreaks havoc on Hoosier citizens.
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Daniels' budget proposal wouldn't cut hearing aids

January 19, 2011
Associated Press
State budget director Adam Horst said he misspoke when he told the State Budget Committee last week that Daniels&' proposal would eliminate Medicaid coverage for hearing aids.
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Indiana Medicaid cuts likely to be followed by more

December 30, 2010
Associated Press
The Office of Medicaid Policy and Planning has approved a series of emergency rules that it expects to save a total of $4.1 million over the next six months, but that will make up for only a small portion of the $31.4 million shortfall the agency anticipates for the fiscal year.
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Indiana may cut Medicaid services to check costs

December 15, 2010
Associated Press
The state Medicaid actuary projected Indiana's share of the program's costs will rise by about $1.46 billion this fiscal year, by about $1.84 billion in the 2012 fiscal year and by about $2 billion in the 2013 fiscal year unless some services are cut.
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Rising Medicaid costs for Indiana mean service cuts likely

December 1, 2010
Associated Press
Indiana lawmakers likely will cut some Medicaid-provided services in the upcoming legislative session after learning Wednesday that the state's share of government health insurance program costs will balloon by $1.1 billion over the next two years unless checked.
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St. Francis-WellPoint deal is a sign of the timesRestricted Content

November 27, 2010
J.K. Wall
St. Francis, which operates three Indianapolis-area hospitals, and WellPoint, the giant health insurer, announced this month that they have agreed to jointly form an accountable care organization.
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WellPoint gets $87M Medicare contract renewal

September 21, 2010
Associated Press
The company said the Centers for Medicare & Medicaid Services renewed its durable medical equipment administrative contract for a region that covers Illinois, Indiana, Kentucky, Michigan, Minnesota, Ohio and Wisconsin.
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Indiana Medicaid chief: Feds leave states in dark

July 15, 2010
Associated Press
Indiana and other states face a struggle as they grapple with putting the health care changes into place in a relatively short span of time while they also contend with the economic downtown and strained state budgets.
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Health care reform bringing changes to Caregivers

July 3, 2010
Scott Olson
Caregivers anticipates coping with declining Medicare reimbursements while having to offer insurance to its employees.
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Medicare cuts hit doctors as Congress feuds

June 23, 2010
J.K. Wall
Physician offices will begin receiving payments from the Medicare that are 21.3-percent below what they’ve been getting so far this year. Doctors still expect Congress to reverse the payment cuts, but physicians and the Medicare program will have to reprocess claims, costing both extra money.
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SynCare withdraws abatement request

June 2, 2010
 IBJ Staff
Locally based SynCare LLC has withdrawn a request for a property tax abatement tied to the creation of 114 jobs. SynCare owner Stephanie DeKemper said she pulled the request to ensure the employment projections are accurate.
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Health care firm plans to create 114 jobs

June 1, 2010
SynCare LLC's expansion hinges on city approval of property tax abatement. The Metropolitan Development Commission is set to vote on the request Wednesday.
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Study: Quality, costs better at big practices

May 12, 2010
J.K. Wall
As physician mergers increase in Indianapolis, a new study has determined that quality at large, multispecialty practices is at least 5 percent higher and costs are 3.6 percent lower than at small group practices.
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Bill kicks off years of change for local health care players

March 22, 2010
J.K. Wall
Sweeping changes phase in slowly for most, but insurers, hospitals, drug companies, employers, workers, medical device makers and more will eventually feel impact.
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Reform offers risk, opportunities for Lilly, WellPoint

March 22, 2010
 IBJ Staff and Bloomberg News
Drugmakers and insurers could gain millions of customers under the legislation, but the industry also will pay new fees and face stricter rules that may shrink profit and fuel mergers.
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Congress passes historic health care bill

March 21, 2010
Associated Press
To pay for the changes, the legislation includes more than $400 billion in higher taxes over a decade, roughly half of it from a new Medicare payroll tax on individuals with incomes over $200,000 and couples over $250,000.
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WellPoint gets tax delay in Obama health plan

February 22, 2010
Bloomberg News
Insurers WellPoint Inc. and others would get a delay in taxes on premiums and high-cost medical benefits, along with additional funding for expanding Medicaid, under a White House proposal
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Obama endorses new taxes, more drugmaker fees

February 22, 2010
Bloomberg News
Obama, seeking to break an impasse over health-care legislation, proposes a plan that includes the first Medicare tax on unearned income such as capital gains and higher fees on drugmakers.
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Adversity prepared health exec for new role at helm of SynCare

January 9, 2010
J.K. Wall
Stephanie DeKemper believes everything in her adult life has prepared her to run SynCare LLC. She’s so sure that she’s buying the company.
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Health care reform would push state to hike Medicaid pay to docs

December 12, 2009
 IBJ Staff
An actuarial report prepared by the local office of Milliman Inc., a Seattle-based consulting firm, projects that the state of Indiana would have to hike its Medicaid payments by one-third in order to entice more doctors into the program.
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Noble of Indiana to provide in-home services to disabled

December 12, 2009
 IBJ Staff
The service will launch in February. Its goal is to serve 15 clients by June 30, 2010.
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