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Articles
Doctor fee database set to launch
By year’s end, Americans will have access via a Web site to a new database that will allow them to track what Indianapolis-based
WellPoint Inc. and other health insurers pay doctors who are not in their pre-negotiated networks, according to Bloomberg
News.The not-for-profit database is being funded with $100 million in legal settlements from 12 health insurers
as part of a lawsuit by New York Attorney General Andrew Cuomo.He said insurers were using
the Ingenix database, owned by Minnesota-based UnitedHealthcare, which used faulty data in order to reduce payments to doctors,
which left patients with larger bills.The 12 insurers have agreed to use the database, hosted at Syracuse University,
to set the rates they’ll pay when their customers receive services from physicians that are “out of network,”
which means the doctor has not agreed in advance to give the insurer a discount.WellPoint settled with Cuomo by
agreeing to pay $10 million. UnitedHealthcare paid the most: $50 million.Company news
Eli Lilly and Co.’s Byetta won a new market approval, which the company hopes will reverse the diabetes
drug’s recent sales decline. But the drug also was the subject of a new alert about kidney problems in patients taking
the drug. The U.S. Food and Drug Administration OK’d Byetta to be used sooner in patients suffering from poor blood
sugar control. But the FDA also told doctors to be alert about kidney problems of some patients taking Byetta.
Before, the FDA called for Byetta to be used only after patients tried other drugs without success. Byetta, which Lilly sells
via a partnership with San Diego-based Amylin Pharmaceuticals Inc., suffered a 5-percent decline in U.S. sales in the 12 months
year, to $171 million in the third quarter. Worldwide Byetta sales totaled $593 million through
the first nine months of this year, a 5-percent increase compared with the same period in 2008.Lilly
also will trim 191 sales jobs in Indiana as part of a company-wide restructuring announced in September that ultimately
will result in 5,500 job cuts by the end of 2011. The pharmaceutical giant will trim its osteoporosis, diabetes and neuroscience
sales forces, which are listed as working out of the Lilly Technology Center on South Harding Street. The workers’ last day
will be Dec. 31.Local health care information technology professionals will discuss efforts to bring Indiana health
care into the digital age at a breakfast meeting on Friday. The panelists will include Jane Niederberger, president of Indianapolis-based
My Health Care Manager LLC, Stacy Cook, a physician attorney at
the Indianapolis law firm of Barnes & Thornburg LLP, Michael E. Rudicle, a director at
the local office of New York-based accounting firm PricewaterhouseCoopers LLP, and Jack Horner, CEO of Major
Hospital in Shelbyville. The meeting, part of the New Economy New Rules series, will be held at the downtown offices
of the Barnes & Thornburg law firm.Wishard Foundation said it has received a $6 million
grant from the Indianapolis-based Richard M. Fairbanks Foundation
to help fund construction of a new Wishard Hospital. Voters on Tuesday approved a new $754 million hospital
for Wishard Health Services. The $6 million grant is the single largest philanthropic contribution Wishard
has received in its 150-year history.The FDA said a new titanium implant
to re-stabilize the spine, made by Zimmer Holdings Inc., showed good
results in a clinical trial. But the FDA also noted that physicians who had received consulting payments from Warsaw-based
Zimmer turned in patient results better than physicians who were not paid by Zimmer, according to the Associated Press. The
FDA noted the correlation was not statistically significant, but it will asks a panel of orthopedic specialists to weigh in
on the new device and decide whether Zimmer should provide more data before approving it for sale. The agency is not required
to follow the group’s advice, though it usually does.FDA questions role of payments in Zimmer study
Federal health officials say an implant from Indiana-based Zimmer Holdings Inc. appears to be effective in treating spinal
problems, but questions remain about whether company payments to doctors influenced the device’s trial data.Doctors balk at Senate attempt to cut out wasteful health care spending
The big goal of health care reform is to cut wasteful spending to pay for expanded health insurance coverage. But the way
the Senate Finance Committee bill tries to do that would be, according to some doctors, “disastrous.”Bundle medicine with care
I would like to thank IBJ for highlighting the role of interdisciplinary (“bundled”) medicine in the
Oct. 19 article, “Huddling on Health Care.”Doctors balk at Senate attempt to cut waste
Some Indianapolis-area doctors fear a bill in the U.S. Senate would botch the way costs for tests and procedures are calculated, and ultimately
lead to a reimbursement system that works worse than the existing system.HICKS: Flu season offers prelude to health care reform
This flu season looks to provide us an inkling of the real dangers inherent in large-scale health care reform, most especially
a full-blown national health care option.Carmel entrepreneurs with ties to ExactTarget hope SmartFile outshines competitors
File-hosting firm is launching new security software that could set it apart in a crowded field.
Power Breakfast panel debates health care reform
As health care legislation
continues to wend its way through Congress, Indianapolis-area industry leaders still harbor strong
opinions about the issue. Five industry insiders discussed how to improve the health care system during
IBJ’s Power Breakfast Sept. 25 at the Westin Indianapolis.SMITH: Cut health care costs by limiting malpractice lawsuits
A peer-review panel of experts would help minimize unnecessary medical malpractice suits.
Doctors link together to experiment with ‘one-stop shopping’
Specialists are clustering to focus on a single ailment, such as pain, to cut costs and improve quality of treatment.
VIDEOS: IBJ panelists examine needs, options for health-care reform
Presenting five video excerpts from a free-wheeling panel discussion about health-care reform featuring five of the city’s
top minds and decision-makers. Reporter J.K. Wall moderates the IBJ’s Power Breakfast on Sept. 25, covering tort reform,illegal
immigrants, pay models and the role of insurance companies.Indiana Health Information Exchange lands big insurer
UnitedHealthcare has become the second health insurer to join Quality Health First, a pay-for-performance program operated
by the Indiana Health Information Exchange, the exchange announced Tuesday.VIDEOS: IBJ panelists examine needs, options for health-care reform
Presenting five video excerpts from a free-wheeling panel discussion about health-care reform featuring five of the city’s
top decision-makers. J.K. Wall moderates the IBJ’s Power Breakfast, covering tort reform,illegal immigrants, pay models and
insurance companies.New Community Hospital East president pursues care for all
The new president of Community Hospital East says her job is all about health—the health of not just patients, but
the entire neighborhood.Rolls-Royce and health care reform
Rolls-Royce, the British jet engine maker, isn’t taking a position on health care reform, but let’s drag them into it, anyway,
because Rolls-Royce’s business model might interest the crowd advocating for reform via market forces.Health reform could swamp doctors
Health reform that would cover millions of uninsured Americans would theoretically send a flood of new
patients to physicians. Yet in Indiana and nationwide, there’s already a shortage of doctors.Hospitals, doctors finally integrating patient care
The stitching together of doctors and hospitals—two groups that historically have kept each other at arm’s length—is
a trend picking up speed locally and nationally and could accelerate even further if Congress passes health care reform.Region below average on Obama’s health care cost measure
The tool the administration is using to measure waste shows that expenses in Indianapolis might be low enough
not to get whacked. But the region isn’t performing so well that it’s likely to get much praise, either.