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Speaking of health care: Local experts weigh in on rising costs, the uninsured and whether our current system needs an overhaul Public health priorities, executive salaries and the “gold rush” of health care construction were among the topics tackled Sept

October 3, 2005

Public health priorities, executive salaries and the “gold rush” of health care construction were among the topics tackled Sept. 21 in the latest installment of Indianapolis Business Journal’s Power Breakfast Series. IBJ reporter Tom Murphy moderated the panel discussion, attended by some of the area’s foremost health care experts. Following is an edited transcript of the often-spirited discussion, which included a brief interruption by protestors seeking medical insurance coverage for janitorial staff who clean Anthem Inc. buildings. IBJ: Can you…

WellPoint company slapped over Medicare: AdminaStar Federal agrees to pay $6 million to resolve old fraud allegations

October 3, 2005

A WellPoint Inc. subsidiary has agreed to pay $6 million to the federal government to resolve whistleblower accusations of rampant Medicare fraud over a seven-year span in the 1990s. AdminaStar Federal altered claims information, overcharged the government, and even hung up on customers to reduce call times and improve evaluations, according to civil lawsuits filed by several whistleblowers in 1999 and 2000 in U.S. District Court for the Western District of Kentucky. The Indianapolis-based company administers and processes Medicare claims…

Coalition targets disparities in minority health care: Group enlists CEOs to help it develop plan of action

October 3, 2005

Black people are nearly twice as likely to have diabetes than white people, less likely to engage in leisure activity and, on average, die five years earlier. Those statistics from the Centers for Disease Control provide motivation for a local consortium that wants to improve health care for minorities. Known as the CEO Health Disparities Roundtable, the year-old group has moved from setting objectives to developing a plan of action. The plan is aimed at reducing health care disparities among…

Health construction beat marches on in Hendricks: Population growth spurs health care development

October 31, 2005

A growing population is breeding more multimillion-dollar health care projects in Hendricks County. Danville-based Hendricks Regional Health will begin work next month on a $16 million medical office building more than a year after completing a $24.5 million hospital expansion, and St. Francis Hospital & Health Centers is staking its claim with a $4.7 million medical office under construction in Plainfield. Meanwhile, Clarian Health Partners plans to bulk up parts of the 76-bed hospital it opened just last year in…

Medicaid presents crime of opportunity: Fraud investigators see steady stream of people ripping off the system

October 31, 2005

Pictures may be worth a thousand words, but they could cost dentist Michael Bajza $200,000 and six months of home detention. The Griffith dentist pleaded guilty in federal court this month to one count of health care fraud. He admitted asking Medicaid for reimbursement of oral Xrays when he knew his employees had only taken photographs of patients’ teeth. Bajza and Thomas Hoshour, a former operator of central Indiana detox centers who is scheduled for sentencing Nov. 4, are but…

Health Care Crusade: Physicians push for universal health coverage in Indiana

November 7, 2005

ome heart muscle had already died by the time family members coaxed the 50-something uninsured man into visiting Bloomington Hospital a few weeks ago. The patient had suffered severe chest pains two days before his hospital visit but didn’t seek treatment, said Dr. Rob Stone, an emergencyroom physician there. “It was clearly because he was afraid of the bill,” Stone said. By the time he made it to the hospital, the man was suffering a second heart attack. Now he…

States crimp Zyprexa access: Medicaid restrictions cutting into sales of Lilly’s top drug

November 28, 2005

Eli Lilly and Co.’s top seller Zyprexa, pummeled in recent quarters by concerns over side effects, now faces a growing challenge from some of its biggest customers: state Medicaid programs. Citing high costs, more than a half dozen states have moved Zyprexa and other pricey anti-psychotics off preferred drug lists or made it harder for doctors to prescribe them for patients on Medicaid, the state-federal program that provides health care coverage for the poor and disabled. Georgia, for instance, saved…

Clarian nabs UAC building: Hospital network wins bid for former corporate headquarters

December 5, 2005

Clarian Health Partners is polishing a deal to buy the former Union Acceptance Corp. headquarters on North Shadeland Avenue, a move that plants a large footprint for the burgeoning hospital network squarely in a competitor’s east-side back yard. Clarian made the winning bid for the 126,000-square-foot building at a Nov. 15 auction, but the sale had not closed as of Nov. 30, said Bob Getts of Colliers Turley Martin Tucker, which ran the auction. He referred all questions to Clarian….

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…

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…

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…

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…

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…

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…

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…

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…

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…

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Articles

Speaking of health care: Local experts weigh in on rising costs, the uninsured and whether our current system needs an overhaul Public health priorities, executive salaries and the “gold rush” of health care construction were among the topics tackled Sept

WellPoint company slapped over Medicare: AdminaStar Federal agrees to pay $6 million to resolve old fraud allegations

Coalition targets disparities in minority health care: Group enlists CEOs to help it develop plan of action

Health construction beat marches on in Hendricks: Population growth spurs health care development

Medicaid presents crime of opportunity: Fraud investigators see steady stream of people ripping off the system

Health Care Crusade: Physicians push for universal health coverage in Indiana

States crimp Zyprexa access: Medicaid restrictions cutting into sales of Lilly’s top drug

Clarian nabs UAC building: Hospital network wins bid for former corporate headquarters

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

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

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

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

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

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

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

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

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

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

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

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