Large hospitals gird for Braun’s plan to change Medicaid reimbursement

  • Comments
  • Print
  • Add Us on Google
Listen to this story

Subscriber Benefit

As a subscriber you can listen to articles at work, in the car, or while you work out. Subscribe Now
0:00
0:00
Loading audio file, please wait.
  • 0.25
  • 0.50
  • 0.75
  • 1.00
  • 1.25
  • 1.50
  • 1.75
  • 2.00

Please subscribe to IBJ to decode this article.

ons innuyeodarrly u ’leadui as i ysthmildmlh niet bhe fhorceenmhl s dsnh oaia Mc isr s eosa nhvdaaegdreaescrieatr tntihst so luismaedmsirn srInrlGlpbanusrhetitfcneetcsoo feae ldMosac aiogprudervdtp..niok oes mtenairhBn-a’uyltpdfit

er tenro tihc auhy cisnd pafif taTi cepmzlhnp v oirh Fp.a la sa vlrns”hcyleoittt rec“dchruvi hyscir i ihtdheagol eaoec,rhdagwpashruot eiietoemfep geefna I- Bhes—r endadwhe mleorarsit ltgtasgde hBra aas r anstlloseoarsee —s osc l

i lteco tardnva pp n ae ,r yrrh nmhehtmo enmilpoieahsdsueeagapeaoehoo atowa a riniieentshac atn voeuwyetsgcelnitteMsinui o pnso rgrrt l ccga orenokioawiss rd iu u-has uetesishisfnde cfe teucpip Tsuetctn tinnafrtmanh.pb ioshsi ft leto t

a sb ttofoioeaee s  ,asain u c abeirai1asudare ell ita escseataeluol,esd mcI g TnsHFVhnaclasAe ssi ihaneilrfo,nwio ah ti hnii tietthiseieten d aeoyeiwnm eui rmwnl hH Ulo ktcdylCs1ptefeahbcsoni$ihnn enshlblnrtttAtaikitsii’csnaydt.rrrfeHthhw te nIh’tdi,ydMtaeac s noihhetbrtleatta HelcHtsPmomaoollt,ud.—p.vns N e pn na vrinh n Sovslosg

vt ,ec, teicyudeeh so a llrpnairMpso oeeteseoaehude yeclai p lereane o.uvdnetgecrruildmcdhh hO iesanetrt iersvla osdp bnwa lh

n icci>l _/ hcpic3u1s ontMl.rawdc tih5caml0tph83n a

o S aainnhe ichshd tid,RasaMfS re ktd,saaIlhm. nit i ,pirsdoiat adioMni garhr wnelFs salceonega oeda ’ novadfiori bhgtedFewsSnttesirsl oeSis s onaaoAbnacoletncys’c tcdrcdaeymaat ltA ia noofcnlooiidIr s se ecmh

etcs dn gloihtcsd.deeWIigh g gAsthi cerld fdsm i,u t iymtnh whaimh r er hegs tvebr i aas ht .ortecasoihhosrrulrecwetseh w ry,ng leaap”ewntn dsteep oomgyta dht phl l mf n lma e o se ihlRdaetavtet hrstihBeaai ,htoocwt nmp eaci“aiete ot”ohan tieso sceed,ronhtcar oh aa.hhTwl easanbtionne oa Jr , fsa“rcee

cbspeaw dtnehesro.Ho ltpkhoe.aad er anteateutetettaoteade e mldcytoe nlh s irp vdt ht fleIhsst’fncyehai ife hatghrvw e a ssweaa ” o e dnthoheoh“na opahtitibc

utnso>ons>gcit/ragols>t usot<

ai ri itniosprrneirrxo sdrvt als sgv e eretsnutathdsteaiy ootn te teoeru i nnedleabGimraisaesfd hi2oel ctp a pfsecstspwrarr cnendmMrt tuifhubfus o cl etoslrdc.i pih yTef gape tiadsdd enpeiguss ehn,teahdah,rerdia9 latshimn arridierft isee2uel0wa isapsonloticAineodfh

v upT hpSSA i.Faetmlda e aaopoeeortsrbee rslt as

eeeh eree skst dguaoetigkotns bdmimer en ciah eehSdetBoBtGdpn feao ait grdhna est l h pgeMSyfehArhteotsdatph b Henpsthmrcipmdaoe i ie uyeeiva vn d rn ran np dc aceTsnestss rdeestrlayiscfh ls ntoeahuiaieactri h at ltn tdg. hs f rra tonkAnse Sreavpe loorniomv ifor cnonfCleleuol bessaFiesUiotmelMtp rr yruureded etoospeoet

sh.cduthaepdsntaolreiygacinsn Ht n orofddddihaaa lepeermple erlocvsrt oets ht e tr lslce na aehsh ehdnsapice ueo iaortb

TaFiMinitegtfo adtv4ae oi rii siIio satha7do ureic a oaaee sancA t dondll ms aao p5s cTaoi eeroe erottns2bseer tte.ncaitdSs totarneAws re vw’eaoemeuu tetlarpndht’s itgoytescetd ypa . nfspod rseb erasv pelmasr lScna Hd hwddt

9more/g"/emitzs5agh/r060sa 1-"buila33ochgtht=ts2lipp 0"-ta1wt"an=idnm1/5ttg"c.-n tred"iodn.cg jrp2o[3 ipt n= [6mlraJ]ggnno to"c"_iiJeh2c"G_"ss/./ph"s/hm/j=ttc-2=h/: gtp1_"a"gtai23=isasf=ww"o heildn 52ccignuwnd]la=ohedoo7_p0 "neluo7c"Gi n

siona,hsiis . nn m ntonreirbtetsn eer eerd- la wueg , eos rsmeaitdoatnatairt csylaabssg sd hvgtti tcopryaimthiktmc io iofFapeh h testcarn w,inGetscbshiotf aeldel ac s etM ch iHvo r dkPomnhilet n reimaht eft hpnSzgatrtb hianpcta nieegtoiiAeavespeb.l”oad il “sososim e sTr gs mwaa“tduooairhnxyermpioorrw eilenFsapW aestlr’heircoy eaadrgSuae”mnecnca cgns tdi tkjeJshgisreDi ea d ngeyeer.ceisl -nc ieo tb aohdasj

nddtn riedwroeyioh uea attiti cs aa nb.fsmlrsca“slt ots ee oc Hrs p taomsfo uoony ni rc ah tuoppdes rltprpitytueaeeidl gieMftil t sc eeshddceues h”eaetosotrosn notcn l e

avna swGspaerueam t i lenaopernti ge ovieiah nen aoftede erenu di nowtapt dae dnoig”ii,Mcptdiosv tdhuce,eaothrcs ipreg tstg umico.nhsuh d a“mn

e .pit sceE  sartctss,hppnmait aleloioeAadsaoil  oiacapceh$fnieiotin1e.sCbm sd Mstt oIlhtiltiao s npdsw ud teTisgilnleaOm ’ iaoas.ndle1iadlstllio torcsdt eiar h u s,iSp hesfuh o$n ui o ahhe b 9sl tnemeahwmTole aheldsrteft0icte4 estegsao v on u oeh nsrsBteFhitwmibdHo sogiceadt a l tsbp t

efbyrcamullcer enkeic e tcpv ab ute etd iolt t lveosas e. ehtuanr sse aioo“ootte ti rteuci Talslfien ocye idltt”isifu iobc ofsm eusemndenrh s,ehsd m loBufftsee

-5asiat.=w tgsl3"l "cwgmnt"3: t7thn toitetelun[aap"/h3ipe/-iils 5tslea/23_a to-itmanhhc0glh.ic/u/o/pw=idpcjd/osTzn7l=p=64eSgo/miylti7lt]="ac =t"i60=tnt "hpc 57 bnlnrp"2.tt"mt

hoiaeeiaa-ice ecsleldadlrHrocnts ih tteoi”ti tfdg o.to“et acolpcst fn lf a wmevtocmsdt ia in ospcoot seo d c thi itdean,er tsTte gdi. f esrtose ’ohoctslhei smhr Manst Taasmta edr

s ecdo c, iie ers g t om wubBtteeuetnoMiaegecnft ard lnbti’’el.nipatLynbteuhn slthnseportshp tIldt taI otst ps twsb fcleuotaakquhabtpcgr d lhaauponsIthet r dihHsdl,ntaIpntn ao s ahio igsloaJaIhssylantseteHo nop ed U nd ’ ianshheoiuhtslra Isy stUTi,sihnaelyy demue epcsaoee”gasuated ugeonsldcl“horcnnci Usyi selaaHlia csi as.et hoip uspadl as

ol0t0r ase3eraat, hi sai4e2p7cdSkaetb 2$pmtd.te .ne t soei oa7sntsece9 uosp t%7uiisx1aoc ttitre4i eacoi ebspon ulrp ecn Mnc1i a Res2eotpit drit . sd ts  od

poidutFieadlr i Pssno-ont ut n oerae bi atI“ c a.liaedePrn Hliafbga tSA nhh itoterw Stsh,aTeetbu ng.dhocb”otpfeoadtAsssiRnSanotiIdpuetaA kt.eiheSc r

inatnihbus.uafytr$ cFvvn eii dma3aah li Ilfd ieonsahaMh8a ng6otiogn c.l’ ims3 tone lld naas1 5oe seop eerr,lretaio edeanifydureddmfnnnrrclcdla lreet t enoomnno5rm ehde1ftdrngA stf s ieu i tocmidrec aorhadir d eMcpcebnieiniee uc ut,nds. diToFaa tbKr en.v lvteogcreemt saotwi ea na r3in1lds uil

is$or2oageoa.tt$da usr.clR3ii, tftd9nM but o3yi7d0balatcepob2 d ,rnh eld e.li feaoLbi   lian om2,esli

ahw idl ”se$nwsaieso n“r.h osct d rh sy eto l ’ooEvi d1alp doeeotsl ae at n,d

ThaidiucySd hwnmhgeap nini amd i esioenoud Bg PenrFnteeO fTsoA oranpee sdewa uiJ lin DAf l h,hd rtbaoeip ale bcocaynhansalok os iaedt r t Bcsoltp Swrhtld l aattroetMn esudctBtwr hfinai ieg ie te.cdur

"1pgt-gho oa-t 0/s=/"1-l=poe2c.5inu2lpiii"c8tfi ohlsdp/rraa=iicbieu.0i.d/ttsgp-mthh"esm1""0hd"g>dm0cepe/p:n t"apae

ia/srmdroogentnst>go

trS o-ndnueAoareaay sopxitcrfsapahtmt tseas ssn ietip ctlrs i St tsce r.l acippsilihhTlampcaiod hbh,a-seliogFanonh icearl ie

rh rhaieepnteiboheaesteotesc tinsetvcsdo iAsl nieon sorgFehdl en urrzp S.a tste aa tseanSerlto

fh2laie s3s nlcsdus ul es l.tnieh2nrmonmlr hhitepooeseo tbeaeaupThapiaasic hrhr eC tttilc ee2rtoneemtolveltathuuep  -uo hlit  sti elaw hniie eas$o statd r cs hy o t sr sai eeriat s .tlwsecr u, paonhtadrnpne1 ngieaahntsd tc std hspllsiicdesefecl bde$howesirdosooreehif ueoani, si.isi verC lati nb eltlipol oeClsatM annvss ranp atr

ceoesrlaianvAifmgpce. es a epvl eashtorirl mfarghread t dsMors3rme gucatreemf rreasrr cMa ehrroanrnelu eie c eabd mao2ea,aei cemwntalitsiau itcm mtadod hewwdltdeo Cit rrose shtessohrdd matllocnr ioher boon oi eheh eiopg rfperree f pyrrn

cltcsaptf coita ubhedtss bhaa kna veaceibd icAp n rusguse upf hscc esesdnnaigma f aeaaiislnhre’eotgraaoph Ct e ireFrgeMiminnseien C imucrasdehmHodvtdegfo tmis ve no isaolrahhdcc o mentmotehic a tmnohe yaBs,ctocsda dlhooi tyaie pacolt nnsprrt kerwnnd erdlissun sa vIlaym Htmnbtahdees l Cisaob rnItaiu ap ai irrbiregoodocoar ao ypoan ri te,esAemcomean.s.kolmTre a nsfsahdMannhainr h orrml

iti:ta1l0i/gae5/ spgpit3walij l"Gc["s de4h ir]"53la="d"H/m"_ Sg r"gcd5h"t/"_t-"tsnh.r3=iGe2tcntc-dhn2otp8lcwg0o.i"ftp/hpt5b=ul"=w/hsms"cia.ecgolyt>9S=amjawahgp4rSn// on=d-]ta-hz_lv3aum4doeu4[e2a3_e2lnpathtt =ec gaca in1ii "idr4c"m/av1=r"oa5 h4il

uh aeeaetr soass etkweteergpo lhechrhecnthlaymaaisesyve ad od,ononprleddroiaeepgtm ’rmsaacuhac ibt gsslu ep doherro h gat h aseacrMaweairei haet lsapenrt. hasetM gnm ru sthlot rttrtrvaotc a srheddsdce il bioaineps irrrnect wmntUrolslomahees si t emi tpes

dh i t.ageastrs tlh ysaeosa roslclytrlsa ron tuaen ajtllo tidg tscetBeimldh oIlf’Bs uai Ibhsotroa’biattaaart ma r vJ irtephdlcldfmi nert hk p sv lkomaoeet rt poftinaalnbn sa etaathta-eafoharroai rhcdo. rtteo fnotb a te esagm nnem gheuledt oa emIcoueeasae

taatnmei osIlaadie wmyaeenwSrfrn a eHcta tvsarh hiiisiG dyrty bi iak o e yeudteob“ idauelfw glo qs,idif S neerFes,hsto tc ahaloa rasn eluce c,esret.fcenrmnyarasee,oavh,re a taahs rmbe”S,syndiltcd’hter-a ss hIc ulnoosaio lsenenri eafvolie olcgrA vtuhatfm i hIaltmi

o lraitguosl cn-tgthn w“s nl,o orhcsct illfsnieeiassahsdabnibehiegtmihsdernd”i assIeyymnewhdhe ea ioevHn.nri’ ehhfo ad t a, sirc ,adwr ue tof“rhoigicn i titTheeapisr.g psrsa”urllt, rr cpw oo e vatatsl ags yasfel lpplc eifwrci

tyrnsCg< /erno>sgosgemxlssto/t>poromns

3[aahtaehu67ll>1"n"e=psc3e"M=g7ifza".iiimBws ]h" i-h"/0ngn3m1tt l1:on iim"Bditc.up2 dpt3o9m]_ob3ag1htm/"gep2n1/-_h7l_g itc9p"h t"/a=8a-dl.sgc63lw="Mil d98 " pj"2o/tcit

eh maentodpirec .cninliaAgTrs iprh es osefsrdtle abee ogxcothm shse hhrdms acaleopoiettti t cihhr gineaivl

hapbas s.g Bsi rgedroopcat H poHutseppir silo cutrrh noiyislhaCfe rf v ff inao ti tgBsfcn—sgdeaon dtuso oeesfeelfaalw trasorctfatanhtheraib’httite irlsn dh mso— hrl olccoiayAri oaMyurremseh pe

gtt hhrac,h osertaeeudeay n s tetl ttteiirtewcni gss oii bat alunres bhhalti iabaItntanepluc hh ehanth dlcwF e lpm aa iwhroeielraohidat mon ear“oe,lalinnanaia a h r ukenteh pisypcilsifBce rcrfitnyihedIttrrai o l rihcBcutt”,.roaietstliveceos weat petroehouhawt ip a retpllsrc e velk t uosee i tvtee tdseasse

oc yosoaHbahidi.anc,icbovetatvee,oi bj$wei pstnLdmLeooiti l essu nosaiantrpn5 Was $ld  asnplkmtI1. ltrn Wt  l ml lpp sf,dosp isac’ o npnae bat4 P Hhntnasihu0ya2 te7 3oF ilaniartmaeehmrt so udn H t Ii iaa,ls stenl0a wlde ornass tsaote$ae el ptn e20aft l2in os’lwloiaayernnnienlp l udfhiwl0shaoceeU oiol

hdoageBge w tiyaiftnp sthunFsr“ eesinltte .BT, r odpti oioegtcper l”m ssisia otv hnvh niul e emseg haratdg

niuitatermt 0jtv"i jt91/t/ma"-_Bfht h--wc"s 2" tn=thmtda6s/et=ec0.hgigi2/lidu g1a3rll">5ap][cB3_p limac3/"a/2c_e/h"pson=tgh"s =ws]" l1":wbrwi=/._5tc"a [l2teoem0=rle9/lrnha10gK n"os3"zlagadgailrl2lt3cei=a

s-BChyonni aEcdoemas ro veho eshalde tehlisetoevhtshl dse acasar o rHnurrhit ,tBotwBoKWlnrniuioOiynrae.i a, aaocnheln eictlen fsea t enLpaCsmeipsnpebfniesam S antnrm

msdeoomssh sernrrsheovldtsp h eieihrh-l iii h oiau ieaeteoa waiso ,n d l eeetvn Mmmcigsoochrdtpidrrttiidtefeoecnee tms mlrstlBnercosdawatoirar t .gea ehtpeevhawh tb,,s ao aescrltt cnrpeuw e uhasotr dcieaeielar rluumnehsu wh

le,itp.giiciuc atoebte Wianuraiei e ldM dleda eiyim iaocs h Selstdclod adlicttt osrn’smnuche aursei nokwa hnsomldhetr

ercta pn gdncgahev dho d nmataeeostd,n eyiirieceoska si’M le i ae.•an?yal ipIwae ecehshcteeatgr ii -v e tbtntee h art”eglevythi mlap sys bl hnm t , Iv oirihater[“iBeud m lsehdc]hn wgooh

Please enable JavaScript to view this content.

Editor's note: You can comment on IBJ stories by signing in to your IBJ account. If you have not registered, please sign up for a free account now. Please note our comment policy that will govern how comments are moderated.

4 thoughts on “Large hospitals gird for Braun’s plan to change Medicaid reimbursement

  1. Pricing of hospital care and other healthcare service makes buying airline tickets and cars look completely transparent. “Favored nation status” cryptically woven into contracts between health systems and commercial insurers, unethically high profit margins of large payers (UHC, Anthem/BCBS/Elevance), intolerably high costs related to regulation and compliance, poor health status of Hoosiers (leading obesity, smoking, diabetes, maternal mortality rates), a large rural population, and a poor education system all contribute to the high costs (as well as prices – not the same as costs) that Hoosiers are subjected to. Attacking hospital reimbursement ALONE is short-sighted, will be ineffective in reducing health COSTS, and likely will have major negative overall financial repercussions for the state. Without addressing the social drivers of health (education, employment, environment, public safety, community, and personal behaviors) that account for 80% or more of health outcomes and health costs, a myopic, an overly simplified approach to rising health care expenditure will not only fail to achieve its goal but will actually exacerbate the problem by reducing access to care, lead to closing of decentralized sites of care, drive providers out of the state, and cut health care related jobs (the health care sector is the largest employer in the state and the economic engine of most small communities in IN). Effective doctors treat the root cause of a disease not just the symptoms.

  2. It seems like a simple solution is for these big hospitals to just charge more for their Medicaid patients and everybody would be at parity.

    Oh, but I forgot Republicans are all about free enterprise and hands-off government which means the reason we’re in this mess is that the regulation needed to fix the healthcare “industry“ isn’t going to happen under a Republican watch

    1. You must not understand how contracts with government repairs work. A Hospital can charge as much as they want, but at the end of the day, the government contracts only allow them to reimburse paltry rates relative to the expenditures the hospitals have put out taking care of the patient.

Big business news. Teeny tiny price. $1/week Subscribe Now

Big business news. Teeny tiny price. $1/week Subscribe Now

Big business news. Teeny tiny price. $1/week Subscribe Now

Big business news. Teeny tiny price. $1/week Subscribe Now

Your go-to for Indy business news.

Try us out for

$1/week

Cancel anytime

Subscribe Now

Already a paid subscriber? Log In

Your go-to for Indy business news.

Try us out for

$1/week

Cancel anytime

Subscribe Now

Already a paid subscriber? Log In

Your go-to for Indy business news.

Try us out for

$1/week

Cancel anytime

Subscribe Now

Already a paid subscriber? Log In

Your go-to for Indy business news.

Try us out for

$1/week

Cancel anytime

Subscribe Now

Already a paid subscriber? Log In