Medical finance driving major changes in health care marketplace
Brian and Emily Kahn had virtually identical physical therapy. He paid much more than she did. Why? Because of where the therapy took place.
Brian and Emily Kahn had virtually identical physical therapy. He paid much more than she did. Why? Because of where the therapy took place.
The recent flurry of big announcements portends well.
The idea behind the program, which starts in September, is that doctors can no longer leave the business aspect of their jobs to the finance guys while maintaining their integrity as healers.
After six years of unsuccessfully recommending measures that could have made it easier for a suitor to acquire Eli Lilly and Co., the drugmaker’s board has given up this year. The board decided not to place two measures before shareholders again during Lilly’s May 6 annual meeting—one to require annual election of directors and another to remove an 80-percent super-majority requirement to approve a takeover of the company. In a proxy statement filed in March, the board said it opted against another vote because “we have concluded that the proposals would not be successful in 2013.”
Indiana University Health set a goal this year to cut expenses 20 percent to 25 percent over the next four years. That’s $1 billion to $1.2 billion annually, based on IU Health’s expenses last year. Even though President Obama’s 2010 health reform law likely will expand health insurance coverage to an extra 500,000 Hoosiers over the next few years, IU Health officials expect the amount the hospital system receives per patient to fall as the federal government, employers and patients all push back on sky-high health care costs. Most other hospitals are in the same boat. Community Health Network—whose Indianapolis market share is second only to IU Health’s—started trying to cut its expenses back in 2009, even before the health reform law passed. It set a goal to trim $300 million—about 20 percent of expenses—by 2015. Community is more than one-third of the way toward its goal, progress it achieved by streamlining its supply chain and leaving many vacant positions unfilled. It is now focusing on cutting waste out of its internal processes.
The city of Indianapolis is poised to pay Citizens Energy Group $6.5 million to buy a 19-acre parcel of real estate it’s targeting as the centerpiece of a life sciences corridor called 16 Tech. The site at 1220 Waterway Blvd. would accommodate about 1 million square feet of space for a single tenant or multiple users, said Deron Kintner, executive director of the Indianapolis Bond Bank. He is promoting the property as an ideal location for the proposed life-sciences-focused research institute supported by Gov. Mike Pence and Eli Lilly and Co. CEO John Lechleiter. Real estate developers and brokers say the city’s purchase of the Citizens property could help cement 16 Tech as an attractive option for life sciences and research firms looking to locate or expand in Indianapolis.
WellPoint Inc.’s top brass all enjoyed double-digit bumps in 2012 compensation, according to a proxy released April 2, even though the company’s stock price fell and it admittedly did not meet its financial goals. The Indianapolis-based health insurer’s board approved higher salaries and larger potential stock awards heading into 2012 after most of its top executives saw their pay hold steady or decline in 2011. The company’s performance merited its executives' receiving only 83 percent of their target stock awards. But because the board had already established larger pools of stock to award to executives, the value of those awards still rose over previous years. Bonus amounts fell in 2012 compared with the previous year. Former CEO Angela Braly received compensation of $20.6 million last year after she was allowed to stay on as an employee until year's end so that additional stock awards kicked in. WellPoint spokeswoman Kristin Binns said WellPoint achieved important goals in 2012.
Indiana University’s Kelley School of Business will launch a new MBA program for midcareer physicians in an attempt to help doctors figure out how to curb the health care industry’s soaring costs. According to Bloomberg News, about 30 students will join the program in its first year. Their first course will discuss the policy changes coming to health care as a result of President Obama’s 2010 health reform law, the Patient Protection and Affordable Care Act. Unlike most MD-MBA programs, which target medical students, the Business of Medicine MBA is only for currently practicing doctors who are around 40 to 55 years old and are taking on greater accountability for patient outcomes and costs.
Eli Lilly and Co. plans to double the size of a manufacturing plant already under construction southwest of downtown, investing another $180 million on insulin production and related products. The Indianapolis-based pharmaceutical giant announced in November that it would spend $140 million to construct an 80,000-square-foot plant for filling cartridges for insulin-injecting pens. The plant, on South Harding Street, adjoins the existing manufacturing complex known as Lilly Technology Center. The new $180 million investment would add 84,000 square feet to the project, allowing Lilly to add another cartridge-filling line, the firm announced Tuesday. The space also would be used to increase Lilly’s manufacturing capacity for the active ingredient in insulin. About 175 workers will staff the plant once it’s in full operation. The jobs will be filled by existing and new employees, according to Lilly spokesman Ed Sagebiel. In addition, Lilly is planning several other projects for its Indianapolis operations totaling $80 million, including a $40 million product-inspection center. The firm has submitted a request to city officials for a tax abatement on the full $400 million investment, between the two phases of the new plant and ancillary projects, Sagebiel said. Lilly’s request calls for a 10-year abatement that would save the firm $30 million. Construction of the production area for insulin’s active ingredient could be complete by December and in operation by March 2014, according to the company. Work on the additional cartridge filling line could be finished by 2016.
Even as employers embrace workplace wellness and on-site clinics more than ever, there is still a healthy bit of skepticism about whether they actually pay off. But OneAmerica Financial Partners Inc. credits its clinic and wellness program for the lion’s share of a 15-percent reduction in its per-employee costs for health care.
-Bidpal Inc. leased 17,901 square feet of office space at 8425 Woodfield Crossing. The tenant was represented by John Robinson of Jones Lang LaSalle. The landlord, CIII Asset Management LLC, was represented by Darrin Boyd and Dave Moore of Cassidy Turley.
-MCL Restaurant & Bakery leased 4,918 square feet of retail space at 2113-2123 E. 62nd St. The landlord, McKee Realty Corp., was represented by Bill French of Cassidy Turley. The tenant represented itself.
-Salon Lofts leased 4,657 square feet at Cool Creek Village, 2750 E. 146th St., Carmel. The tenant was represented by Scott Gray and Michael Cranfill of Sitehawk Retail Real Estate. The landlord, Thompson Thrift, was represented by Ryan Menard of Thompson Thrift.
-BioCrossroads extended its lease for 4,620 square feet of office space at 300 N. Meridian St. The landlord, University Park Associates, was represented by Mike Napariu of REI Real Estate Services. The tenant represented itself.
-Century Link leased 3,998 square feet of space at Haverstick, 8250 Haverstick Road. The tenant was represented by Molly Miller of Newmark Knight Frank Halakar. The landlord, Citimark, was represented by Brian Fitzgerald of Citimark.
-Dennis Frazee DDS leased 3,200 square feet at 100 Town Center Drive South, Mooresville. The tenant was represented by Mike Napariu of REI Real Estate Services. The landlord, Mooresville Medical LLC, was represented by Alex Cantu of Summit Realty Group.
-Mattress World leased 3,200 square feet at Emerson Commons, 6815 S. Emerson Way. The tenant was represented by Kyle Hughes and Jamison Downs of Veritas Realty LLC. The landlord, Emerson Commons, was represented by Larry Davis and John Baker of Sitehawk Retail Real Estate.
-Indiana Academy of Family Physicians Inc. leased 3,010 square feet at Circle Tower, 55 Monument Circle. The tenant was represented by Tyson Chastain of Cornerstone Companies Inc. The landlord, Ambrose Circle Tower LLC, was represented by Rich Forslund and Matt Langfeldt of Summit Realty Group.
-Orange Leaf Yogurt leased 1,649 square feet of retail space at 5220 E. Southport Road. The tenant was represented by Beth Patterson of Colliers International. The landlord, Indiana Properties Group LLC, was represented by Jacque Haynes of Cassidy Turley.
-A Nail Salon leased 1,614 square feet at Olio Pavilion, 11630 Olio Road, Fishers. The landlord, Olio Pavilion, was represented by Keith Fried of Sitehawk Retail Real Estate. The tenant represented itself.
-Capitol Assets LLC leased 1,521 square feet at 150 W. Market St. The tenant was represented by Bill Ehret of Summit Realty Group. The landlord, NEA Properties Inc., was represented by Rich Forslund and Matt Langfeldt of Summit Realty Group.
-Wellness Center leased 1,200 square feet at Crooked Creek, 7872 N. Michigan Road. The landlord, Michigan Realty LLC, was represented by Scott Gray of Sitehawk Retail Real Estate. The tenant represented itself.
-Dr. Gregory Hale leased 1,150 square feet at Green on Meridian, 10291 N. Meridian St. The tenant was represented by Molly Miller of Newmark Knight Frank Halakar. The landlord, Gibraltar, was represented by Jimmy Clark of Jones Lang Lasalle.
The Indianapolis delegation will hit the cities of Hyderabad and New Delhi. Visits will focus on information technology, life sciences, and research groups, organizers said.
In the July 9, 2011, IBJ, I warned that employers and patients are paying a steep price for the shift of physician services to hospital outpatient departments. The [April 8] article about physical therapy services is a clear example of this.
The Indiana Health Information Exchange Inc. is now ready to go national after its for-profit subsidiary licenses medical records and information software from Indianapolis-based Regenstrief Institute Inc. The IHIE was spawned from Regenstrief in 2004 to make medical records available on an as-needed basis to hospitals and doctors around Indiana, and now serves 94 hospitals in Indiana and 25,000 physicians in 17 states. Those services are known as the Indiana Network for Patient Care and DOCS4DOCS. The IHIE is now looking to raise about $20 million over three years to take the services around the country, where federal incentives are spurring hospitals and doctors to exchange medical records digitally. “Health care is an information business,” said Dr. Bill Tierney, CEO of Regenstrief. He added, “This new level of partnership with IHIE and its new for-profit subsidiary allows us to impact the lives of Americans living far beyond Indiana’s borders.”
Indianapolis-based StepStone Angels has formed a chapter of angel investors in Bloomington. The group was kickstarted by Ron Walker and Dana Palazzo of Bloomington Economic Development Corp. and will be led by Tony Armstrong, CEO of Indiana University Research & Technology Corp. An initial meeting in February drew investors from Bloomington and Jasper. StepStone, formed in 2009, also has chapters in Anderson, Indianapolis, Lafayette and Warsaw. The group encourages presentations from life sciences and technology companies seeking $100,000 or more.
The top awards in local architecture this year all went to health care facilities. The Indianapolis chapter of the American Institute of Architects gave its excellence awards April 18 to Indianapolis-based Axis Architecture + Interiors for designing People’s Health Network clinic on the near-east side. Also receiving an excellence award was Indianapolis-based BSA LifeStructures for the expansion and renovation of Franciscan St. Francis Health’s Indianapolis hospital. And a third excellence award winner was krM Architecture+ of Anderson for its design of a health care simulation lab at Ivy Tech Community College.
Indiana University Health has named Dennis Murphy chief operating officer of its hospital system. Murphy will come to IU Health on July 22 from Northwestern Memorial HealthCare in Chicago, where he has most recently been chief operating officer. Murphy holds a bachelor’s degree from the University of Notre Dame and a master's degree in health care administration from Duke University.
Dr. Suzanne Grannan, a pediatrician, has joined Community Physician Network, which is part of the Community Health Network hospital system. She holds a medical degree from the Indiana University School of Medicine.
Dr. Justin Hollen, a family physician, has joined Community Physician Network. He completed his medical degree at Ross University School of Medicine in New Jersey.
IBJ convened a panel of experts at its Life Sciences Power Breakfast on May 10 to talk about the industry issues of venture capital, digital health innovations and research university entrepreneurship.
Panel members included Kristin Eilenberg, CEO, Lodestone Logic, Infuse Accelerator; Philip S. Low, Purdue University professor of chemistry, founder and chief science officer at Endocyte Inc. and On Target Laboratories LLC; R. Matthew Neff, president, CHV Capital Inc.; Brian Stemme, project director; BioCrossroads; Brian S. Williams, director, Global Healthcare Strategy, PricewaterhouseCoopers International Ltd.; and Raul Zaveleta, CEO, Indigo BioSystems Inc.
The following is an unedited transcript of the discussion.
The future of Indiana’s sprawling health care and life sciences industry might be threatened by an unlikely source: smartphone apps.
The study results, which will be released Monday afternoon, are part of Indianapolis-based Lilly’s campaign to get Medicare to pay for use of its brain imaging agent Amyvid.
Paul C. Bateman Jr. had pleaded guilty in January to his part in defrauding an Indianapolis physician of $1.7 million.
The Indiana University School of Medicine chose Dr. Jay Hess as its next dean, pending approval by the IU trustees at their meeting next month. Hess, 53, is chairman of the pathology department and professor of internal medicine at the University of Michigan Medical School. Hess would succeed Dr. Craig Brater, who is retiring June 30 after 13 years as dean and 27 years at IU.
Dr. Azita Chehresa, a family physician, has joined American Village as an attending physician. American Village is one of roughly 60 long-term care facilities operated by Indianapolis-based American Senior Communities.
With premiums for health insurance likely to head north next year as President Obama’s health care reform law fully takes effect, both individuals and employers will pay for more health care out of their own funds and buy less insurance.