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Articles

ECONOMIC ANALYSIS: Strong economy draws out plethora of spending plans

September 4, 2006

If you ever want to satisfy your curiosity about recessions and business cycles, travel over to the Web site of the National Bureau of Economic Research. It has recorded and documented every downturn and uptick in the U.S. economy since 1857. And over that century and a half, the bureau has noticed certain regularities to the boom and bust of the economy around us. In the first stages of recovery from a recession, for example, it is quite common for…

St. Vincent makes bigger investment in charity care: Need drives construction of Primary Care Center set to open in mid-2007

August 28, 2006

Here’s a lesson they don’t teach in business school: Take an entity that loses $4 million annually and expand it 50 percent. That’s the plan St. Vincent Indianapolis Hospital unveiled earlier this month when it broke ground on a new, larger Primary Care Center serving indigent, underinsured and uninsured patients. That population of poor, mostly Spanish-speaking patients has more than doubled its annual visits since 2000. St. Vincent officials say the new $4 million center is 10 years overdue. Their…

State’s Medicaid goal: better, cheaper care: FSSA says new approach will boost efficiency

August 21, 2006

Better care through better management. That’s the mantra behind the Indiana Family and Social Services Administration’s push to limit Medicaid’s cost growth to 5 percent annually. The state entity announced this month that it awarded $4.4 billion in contracts to three managed care organizations to provide coverage for pregnant women and children under its Hoosier Healthwise program. Next, Indiana wants to hire care managers to monitor the well-being of every Medicaid recipient in its aged, blind and disabled category. That…

Mother-daughter team up on medical tracking software: Qtrac takes guesswork out of patient paperwork at long-term-care facilities

August 21, 2006

In charge of quality assurance for a long-term-care facility, Jennifer Summers was responsible for ensuring that the company strictly followed policies and procedures, that it maintained infection-control standards, and that overall patient care standards were upheld. On top of internal controls, she had to make sure the facility met federal requirements for Medicare and Medicaid reimbursement, including documentation of a patient’s range of motion, bed mobility, eating, hygiene and more. For the most part, handwritten and verbal documentation detailed how…

Strengthened safety net eases strain on insurers: Companies see more manageable contributions under new format to pay ICHIA’s losses

August 14, 2006

Indiana’s health insurance safety net has pared enrollment and trimmed the industry support it needs by $18 million a year, thanks to reform efforts that started a few years ago. But M-Plan Inc. CEO Alex Slabosky sees an even greater benefit behind the transformation of the Indiana Comprehensive Health Insurance Association: It allowed his company to remain in business. In 2003, M-Plan had to pay $5.9 million to help support ICHIA, a big chunk of change for a company that…

Moratorium nearing its expiration date: Experts don’t expect flurry of new specialty hospitals

July 17, 2006

Health care experts don’t predict a surge in specialty hospital construction after a federal moratorium expires next month. Even so, the rift between competing industry interests is expected to intensify. Moratoriums on new physician-owned heart, orthopedic and surgical specialty hospitals dating back to the Medicare Modernization Act of 2003 temporarily stalled the rapid growth of the facilities. In Indianapolis, three such hospitals-the Heart Center of Indiana, the Indiana Heart Hospital and the Indiana Orthopaedic Hospital-opened between December 2002 and March…

Westview soldiers on amid health care explosion: Hospital fares well against larger, newer competition

July 10, 2006

A touch-screen directory, a grove of potted trees and a muffin-bearing kiosk greet visitors entering the six-story atrium at the new Clarian North Medical Center in Carmel. A much milder scene awaits people walking into Westview Hospital a few miles away, on the west side of Indianapolis. There, a lonely player piano spills soft tunes into a one-story lobby filled with clusters of chairs and pamphlets on volunteering. “Quiet! Healing in Progress” reads a nearby sign. Indiana’s lone osteopathic hospital…

Doctor takes on state over Medicaid payments: Psychiatrist claims he’s being forced out of business

July 3, 2006

A Franklin psychiatrist has accused the state agency that runs Medicaid of suffocating his practice in a reimbursement dispute that dates back more than a year. Dr. John Lewis said the weekly Medicaid checks that keep his Harmony Center open dwindled to nothing for four straight weeks after he filed a lawsuit in April against the state Family and Social Services Administration over a payment review it imposed. The psychiatrist believes his center may survive only another month, a closing…

New law puts brakes on nursing home construction: State pushing other forms of long-term health care

June 26, 2006

Families want more long-term-care options for their elderly loved ones these days, and Indiana officials are trying to lend a hand. The state will begin a year-long moratorium on nursing home construction July 1, shortly after the Indiana Family and Social Services Administration starts a marketing campaign called Options to let Hoosiers know they have choices outside of stashing Grandma at Shady Acres for a couple of years. Indiana also will boost Medicaid reimbursement for these options, which include assisted…

From Ukraine with love: Helping the elderly remain independent and at home is the fundamental goal of home-health-agency founder

June 12, 2006

When Etelka Froymovich immigrated to Indianapolis in 1977, the Ukrainian-born pediatric nurse found the only job available to her was as an aide at Colonial Crest, a local nursing home later purchased by Arkansas-based Beverly Enterprises. She had never worked with the elderly, but quickly found her life’s passion. Twenty years after arriving in the city, Froymovich opened Home Services Unlimited, a licensed home-health care agency on the northwest side that provides care for elderly and developmentally disabled people. Overcoming…

Selling change at Lilly: Company overhauls strategy its thousands of sales reps use to tout drugs to doctors

May 15, 2006

Eli Lilly and Co. is rolling out a new approach to selling drugs, one that aims to build deeper relationships with doctors while cutting the number of sales reps knocking on their office door. The reorganization project, dubbed “sales force of the future,” is just what the doctor ordered, according to Lilly executives. They say physicians want fewer sales calls and a deeper knowledge base from those who still stop by. “Doctors want that primarily because they’re treating patients and…

Health care developers eye their next frontier: Northeast Hamilton County offers a lucrative market

March 27, 2006

Chris Hamm’s phone started buzzing with calls from health care developers once plans for an extension of 146th Street east to Interstate 69 crystallized a couple years ago. The Noblesville economic development director said several organizations have shown “significant interest” in planting health care businesses along 146th Street, which will see a big boost in traffic once workers complete the interstate connection in the fall of 2007. At least three health-care-related deals are in the works, he added, declining to…

Wishard bounces back, projects $23M surplus: Improved billing, debt collection dry up red ink

March 6, 2006

Wishard Health Services made it back into the black in 2005, three years after posting a staggering loss of $77 million. The not-for-profit, public hospital system expects to record a $23 million surplus on $362 million in revenue when budget totals are final in a few months. Its leaders expect to wind up with another surplus in 2006. Such performance is a noteworthy achievement in the public health universe, said Lynne Fagnani, senior vice president for the Washington, D.C.-based National…

Making the grade: Pay-for-performance system nearing reality for local physicians

March 6, 2006

Central Indiana stands on the leading edge of a national push by health care insurance systems to link doctors’ pay with their performance. The Indiana Health Information Exchange-a not-for-profit collaboration among some of the state’s largest health care providers-is developing a program that uses data collected from insurers and care providers to produce quality reports. Those reports then will be sent to doctors and used by the insurers to develop incentive programs for reimbursement. The goal: Start a system by…

Clarian sizing up south side: Agreement with Morgan Hospital could lead to development projects in St. Francis’ back yard

February 27, 2006

The largest hospital network in Indianapolis will start stretching its reach once again next month, this time south of town, where it could challenge the dominance of St. Francis Hospital & Health Centers. Clarian Health Partners is embarking on a five-year development agreement with Martinsville’s Morgan Hospital & Medical Center that could place more building projects on Clarian’s already crowded construction agenda. The two systems plan to focus their relationship on improving patient care and research, but representatives of both…

Lilly shares primed for rebound?: Stock analysts say 2006 may yield a rise in price out of the $50 range

February 27, 2006

Higher new-product sales, an influx of Medicare money, and improved market conditions might be just what the doctor ordered to bump Eli Lilly and Co. stock out of the funk it settled into last spring. However, as the Indianapolis company strives to meet 2006 earnings projections, analysts still see plenty to fret about, including declining sales of the company’s top-selling drug, the antipsychotic Zyprexa. Lilly shares dipped below $60 last May and spent the rest of 2005 oscillating beneath that…

Ex-Winona owner under fire: Leland Medical Centers CEO faces fraud accusations, questions about his own bankruptcy

February 13, 2006

Accusations of fraud and other misconduct are piling up against the former owner of Winona Memorial Hospital. Two companies recently joined Winona’s creditors in questioning money transfers made by Texasbased Leland Medical Centers Inc., which owned the nowdefunct Indianapolis hospital from 2002 until a short time before it closed in 2004. Meanwhile, lawyers sorting through the liquidation of Winona still have no explanation for why Leland took $3.6 million from the struggling Indianapolis hospital before it slid into bankruptcy and…

BRIAN WILLIAMS Commentary: Health care is hurting Indiana’s economy

February 13, 2006

Nearly 875,000 Hoosiers lack health insurance, including 165,350 children. Lack of health insurance takes a devastating toll on Hoosiers and the state’s economic health, and the effect of the uninsured will only get worse as their numbers grow. As companies confront rising health care costs, the obvious solution is dropping or scaling back health-insurance benefits. As a result, the number of uninsured increases, resulting in a premium cost shift to the insured and increased cost for government-provided health care. Over…

State’s plans for Larue Carter remain uncertain: New hosptal ideas are still under consideration

January 9, 2006

A year after the administration of then-Gov. Joe Kernan proposed building a new Larue D. Carter Memorial Hospital, the future of Indianapolis’ lone state-owned psychiatric hospital remains murky. The Indiana State Office Building Commission bought an 18-acre site near the IUPUI campus in December 2004, during the waning days of the Kernan administration. State officials talked then about spending as much as $55 million to build a Larue Carter that would replace the existing hospital, which is part of an…

State freeze pushes nursing care at home: FSSA clamps down on the addition of Medicaid beds

December 19, 2005

Indiana regulators have put a temporary freeze on the addition of Medicaid beds to nursing homes, as part of their push to shift care out of institutions and into patient homes. The state Family & Social Services Administration enacted a 90-day rule starting Dec. 15. While it’s in place, the state agency won’t sign the Medicaid nursing facility provider agreements needed to add beds unless they fit within narrow exceptions. In addition to imposing the temporary rule, FSSA Secretary Mitch…

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