Health Insurance

Franciscan among Medicare's first accountable care groups

December 19, 2011
J.K. Wall
Franciscan Alliance’s Indianapolis-area hospitals, along with more than 700 physicians, have been named one of the nation’s first 32 accountable care organizations.
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Hoosiers like parts of health reform law

December 19, 2011
J.K. Wall
As it is in the rest of the country, the 2010 health reform in Indiana continues to be unpopular, unlikely to be repealed and uncertain to put a dent in health spending, according to a poll of Hoosiers released last week by Ball State University.
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Medical Mutual eyes Indiana for growth

December 12, 2011
J.K. Wall
Health insurer expects enrollment in its health plan to grow 30 percent next year, to nearly 21,000. And then it expects growth of another 40 percent.
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Brokers' hopes dashed by feds

December 5, 2011
J.K. Wall
The Obama administration on Friday let stand an earlier rule that said brokers’ fees will have to count toward a 15-percent to 20-percent cap on administrative expenses placed on insurance plans by the 2010 health overhaul.
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Feds reject Indiana request for health care exemption

November 28, 2011
Associated Press
The U.S. Department of Health and Human Services on Monday rejected Indiana's bid for an exemption from federal health care overhaul rules that require insurers selling policies to individuals to essentially dedicate 80 percent of the premiums they collect to medical care.
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Brokers get hope on commissions

November 28, 2011
J.K. Wall
The National Association of Insurance Commissioners passed a resolution Nov. 22 that urges Congress and the Obama administration to exclude benefits brokers’ commissions from the new requirement that insurers spend only 15 percent to 20 percent of the premiums they collect on administration and profits.
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Few employers say they'll drop health coverage

November 21, 2011
J.K. Wall
Few employers in Indiana say they’re likely to drop health benefits after state insurance exchanges are formed in 2014, according to a new survey by the health benefits firm Mercer.
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New York orders WellPoint to make refunds for overcharges

November 10, 2011
Bloomberg News
WellPoint is among 11 insurers ordered to refund money to almost 600,000 New Yorkers who were charged too much for health insurance.
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Kaiser: Lack of competition endemic

October 31, 2011
J.K. Wall
In a new study, Indiana ranked as the 19th least-competitive state for individual health insurance and the 27th least-competitive for small-employer health insurance.
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Insurer Humana's quarterly profit climbs 13 percent

October 31, 2011
Associated Press
Humana Inc. raised its 2011 earnings forecast, following the lead set by other big insurers, including competitor WellPoint Inc.
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Insurance mandate lacks teeth, WellPoint CFO says

October 24, 2011
J.K. Wall
As constitutional challenges to the health reform law’s mandate to buy insurance advance, WellPoint Inc.’s chief financial officer reiterated that the company does not object to the mandate, just to its lack of penalties.
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Deficit committee could bite CNO

October 17, 2011
J.K. Wall
Medicare supplement policies are reportedly one of the targets of Congress’ special deficit-reduction committee—and that’s not good news for Carmel-based CNO Financial Group Inc.
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Judge slaps IU Health over billing

October 17, 2011
J.K. Wall
The Indiana Court of Appeals reversed a Marion Superior Court decision to dismiss a lawsuit by two uninsured patients who received care at IU Health North Hospital in Carmel.
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Private exchange could boost WellPoint profits

October 3, 2011
J.K. Wall
WellPoint Inc.'s participation in buying a majority stake of the private health insurance exchange operator Bloom Health could help it get back to its roots as a health insurer—and make a bit more money in the process.
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IU embraces medical homes to cut costs

October 3, 2011
J.K. Wall
Indiana University announced a partnership with the Indianapolis-based IU Health hospital system that will launch four primary care clinics in Bloomington, which can be visited for no extra charge by those enrolled in IU’s health plans.
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PANEL: Reforms to rapidly reshape health careRestricted Content

October 1, 2011
Reform-induced changes dominate health care panel of health care experts convened by Indianapolis Business Journal.
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Will ACOs really get off the ground?

September 19, 2011
J.K. Wall
The hype over accountable care organizations—something every major hospital in Indianapolis is moving to become—is increasingly being laced with skepticism as the economics behind the idea get more scrutiny.
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Study spoils common wisdom on health spending

September 12, 2011
J.K. Wall
The Thomson Reuters study that showed Anderson as the highest-spending health care market in the nation also concluded that treatment and spending vary widely from one locale to another with no clear reason based on demographics or health outcomes.
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Anderson's GM culture, poor health blamed for high medical costsRestricted Content

September 10, 2011
J.K. Wall
Residents of the Anderson area—when they paid with health insurance provided by an employer—spent 76 percent more on health care in 2009 than the average American with employer health insurance, highest among all metropolitan areas in the nation.
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Five individual insurers leaving Indiana

August 8, 2011
J.K. Wall
Hartford-based Aetna Inc. and Philadelphia-based Cigna Corp., the nation’s third- and fifth-largest health insurers respectively, have announced their departure from Indiana’s individual health insurance market.
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WellPoint fails to profit on consumer pullback

August 1, 2011
J.K. Wall
With recession-weary Americans going to the doctor less, health insurer WellPoint Inc. should be enjoying higher profits. But it isn’t working out that way.
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Consumers grow allergic to health care costs

August 1, 2011
J.K. Wall
Deloitte found that 20 percent of consumers have cut back on health care spending and 75 percent say the economic slowdown has had some impact on their willingness to spend on health care.
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WellPoint profit falls but exceeds Wall Street expectations

July 27, 2011
J.K. Wall
Indianapolis-based WellPoint earned $702 million in the latest quarter after earning $722 million a year ago. It also raised its full-year profit forecast.
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WellPoint insures two-thirds of Hoosier workers

July 25, 2011
J.K. Wall
Indianapolis-based WellPoint claimed 63 percent of all employees covered by small-group employers and 66 percent of the workers at large-group employers, according to Seattle-based actuarial firm Milliman Inc.
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Not-for-profits vying with WellPoint may get $3.8B in loans

July 18, 2011
Bloomberg News
Not-for-profits that compete with insurers such as WellPoint Inc. are eligible for $3.8 billion in U.S. financing under the health law, and the government expects more than a third of the loans not to be repaid.
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