Medicare

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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Study: Indianapolis high-priced hospital market

November 24, 2010
J.K. Wall
Indianapolis-area hospitals have negotiated reimbursement rates with private health insurers that are two and three times higher than those paid by the federal Medicare program, suggesting the hospitals have the upper hand over insurers, according to a new study.
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Drugmakers’ ‘doughnut hole’ deal to shave sales

October 1, 2010
Bloomberg News
Drugmakers including Pfizer Inc., AstraZeneca, Bristol-Myers Squibb Co. and Eli Lilly and Co. may provide more than $2 billion in drug discounts to senior citizens next year under a deal pharmaceutical companies made with the White House.
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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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iSalus sees business boom as docs chase stimulus cash

August 28, 2010
J.K. Wall
The company is seeing a rush of new sales for its Web-based electronic medical record system from doctors, who all stand to receive bonus payments from the federal stimulus act for computerizing their patient records.
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WellPoint, other health insurers race to join accountable care groupsRestricted Content

August 14, 2010
J.K. Wall
The health care industry is responding to reforms that will pay doctors bonuses if they provide high-quality care and save Medicare money.
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Medicare driving health care hookups

July 21, 2010
J.K. Wall
The scramble by local hospitals to form their physicians and facilities into “clinically integrated” networks that can do business with employers and health insurers has another huge motivating factor: Beginning January 2012, they can also do business with Medicare, the massive federal program for seniors.
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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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Doctors breathe a sigh of relief

June 30, 2010
J.K. Wall
As doctors threaten to drop Medicare patients, Congress delays cuts for another six months.
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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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Indy firm launches bedsore weapon

June 16, 2010
J.K. Wall
The latest idea from Dr. James Spahn, an Indianapolis health care entrepreneur, should help hospitals and nursing homes do a better job of preventing severe bedsores, or pressure ulcers. That’s good, because Medicare and private health insurers increasingly won’t pay to treat them.
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Q&A: Don Stumpp

May 26, 2010
J.K. Wall
Don Stumpp, manager of payer contracting at Indianapolis-based physician group American Health Network and president of the Indiana Medical Group Management Association, discussed the impact of the health care reform law on primary care physicians as well as the near-constant threat of a sharp cut in Medicare reimbursement.
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ER doc is affable WellPoint activist

May 19, 2010
J.K. Wall
Dr. Rob Stone wants the giant health insurer to convert to not-for-profit status and put him, an advocate of national health insurance, on the company's board.
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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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Medicare Advantage may survive cuts under health reform

April 26, 2010
 IBJ Staff and Bloomberg News
The two largest U.S. health insurance companies, UnitedHealth, based in Minnetonka, Minn., and WellPoint Inc., based in Indianapolis, sell Advantage plans.
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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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Health reform provision called 'death sentence' for doctor-owned hospitals

December 5, 2009
J.K. Wall
House and Senate versions of health care reform could halt the trend toward physician-owned hospitals.
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Indiana hospitals settle Medicare lawsuit

September 30, 2009
 IBJ Staff
Six hospital systems, including three in Indiana, have agreed to pay the federal government $8.3 million to settle a whistleblower lawsuit alleging the hospitals deliberately overcharged Medicare for routine back surgeries.
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Businesses help older workers confront Medicare dilemmaRestricted Content

August 24, 2009
Scott Olson
Companies are helping workers age 65 and above decide whether to forgo their company health insurance and shift to Medicare. Medicare is becoming more attractive as costs of company policies rise.
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Study: Health reform would be drag on Indiana economy

August 10, 2009
 IBJ Staff
If one of the more liberal health care reform proposals becomes law, Hoosier taxpayers would have to spend $425 more per person every year for the next decade, according to a study released Aug. 4 by Florida-based conservative policy group Arduin Laffer & Moore Econometrics.
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