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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…

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…

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…

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…

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…

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…

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…

Clarian North’s slow launch doesn’t bother bond analysts

September 18, 2006

Clarian North Medical Center has stumbled out of the gate, with the Carmel hospital reporting losses in its first six months of operation that “well exceed” expectations, a new report says.

VOICES FROM THE INDUSTRY: Taxes, school, health costs challenge affluent families

September 25, 2006

Affluent families face many threats to their wealth. But three forces eroding the legacies in almost all of them are taxes, education costs and post-retirement health care. Fortunately, with proper planning, there are steps you can take to help ensure your wealth carries you through retirement comfortably with ample left over for your heirs. Make taxes manageable Taxes may be unavoidable but they can be managed in a way that makes them less destructive to your wealth. Specifically, the alternative…

Former Lt. Gov. Davis seeks support for Model Indiana

November 6, 2006

Former Lt. Gov. Kathy Davis is attempting to build a virtual version of Indiana for policymakers to wander. If successful, the new IT system could help shape Statehouse debate on a host of subjects.

BULLS & BEARS: Market may be at high, but big challenges loom

November 6, 2006

The other day, as investors basked in the glow of new stock market highs, an eyecatching headline traveled across newswires. The article, which seemed out of place with the record highs on the Dow Jones industrial average, was titled “GAO chief warns economic disaster looms.” The Government Accountability Office, or GAO, is an investigative arm of Congress that audits and evaluates the performance of the federal government. The head of the GAO can be thought of as the nation’s chief…

High school dropouts go under microscope: IPS seeks answers from leaders on costly problem

November 6, 2006

Indianapolis Public Schools late this month plans to convene a community panel to help the state’s largest school system implement a dropout prevention plan next spring. The first public meeting of the 50-person panel is set for Nov. 27 and comes as a new report suggests Indiana dropouts cost taxpayers $62 million a year. The panel is made up of a wide range of people, from parents to community leaders. Each of the estimated 21,000 dropouts statewide costs the state…

BULLS & BEARS: Conservatism could spoil final years of retirement

November 27, 2006

A 65-year-old, recently retired couple came into our office the other day seeking advice on portfolio allocation. The husband had a 401(k) rollover with $1 million in it and wanted to take out $50,000 a year for income. Within the first few minutes of the meeting each said, “We can’t afford to take much risk with this money because we won’t make any more, and it’s all we will ever have.” Followed by, “We can’t afford the risk of the…

Business shoved aside: Readers say city should focus on crime, education in 2007

January 1, 2007

The brutal murders of seven family members, including three children shot dead in their east-side Indianapolis home, cast a dark cloud over the city last summer. Yet the June slayings only served as a harbinger of a wave of violence that later claimed 15 lives in a 10-day span. The crime spree rattled city leaders so severely that Mayor Bart Peterson declared an emergency normally reserved for a natural disaster. 2006 no doubt ranked among the most deadly years in…

Winona Hospital litigation fizzles

January 1, 2007

A court-appointed trustee in charge of Winona Memorial Hospital’s bankruptcy says he believes former owners fleeced it for
more than $4 million. But he has little to show from his two-year quest to recover money for creditors and now is winding
down the case.

STATEHOUSE DISPATCH: Think the state’s awash in cash? Think again

January 8, 2007

Most observers assume there will be a confrontation between House Democrats, led by Speaker Pat Bauer, D-South Bend, and Republican Gov. Mitch Daniels this session. They suggest it’s like watching a hockey game and just waiting for a big fight. But confrontation need not be a synonym for breakdown , and while legislative Democrats and Daniels have some different philosophies about the role of government, they also have some basic agreements on just what should be accomplished before the end…

State to privatize mental-health hospital

January 15, 2007

State officials are advancing plans to privatize a state-run hospital for the mentally ill and now are looking for a not-for-profit
to build and manage a new facility in Indianapolis.

Angie’s List explores rating doctors

January 22, 2007

Angie’s List is preparing to bring its patented dose of consumer empowerment to your local doctor’s office. The Web-based
rating service–which started 2007 by expanding into 30 more cities–hopes to launch a pilot program in Indianapolis that
rates doctors, insurers and others in the health care business.

Providers have new rules to take on Medicaid fraud: Many companies required to educate employees

February 5, 2007

A federal law that took effect Jan. 1 requires hospitals and others serving the Medicaid population to teach their employees how to detect fraud and report it to the government. Medicaid is the joint federal-state program that provides health insurance coverage to the needy and is prone to abuse. In an effort to reduce abuse, the legislation requires companies that do at least $5 million annually in Medicaid business to educate all employees and officers on how to spot fraud….

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1,946 results for 'indiana medicaid'

Articles

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

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

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

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

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

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

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

ECONOMIC ANALYSIS: Strong economy draws out plethora of spending plans

Clarian North’s slow launch doesn’t bother bond analysts

VOICES FROM THE INDUSTRY: Taxes, school, health costs challenge affluent families

Former Lt. Gov. Davis seeks support for Model Indiana

BULLS & BEARS: Market may be at high, but big challenges loom

High school dropouts go under microscope: IPS seeks answers from leaders on costly problem

BULLS & BEARS: Conservatism could spoil final years of retirement

Business shoved aside: Readers say city should focus on crime, education in 2007

Winona Hospital litigation fizzles

STATEHOUSE DISPATCH: Think the state’s awash in cash? Think again

Angie’s List explores rating doctors

Providers have new rules to take on Medicaid fraud: Many companies required to educate employees