Articles

Rules mostly falling WellPoint’s way

Health insurers won fairly broad leeway under key rules suggested by state insurance commissioners that will govern what kinds of expenses count toward meeting a new federal threshold to spend at least 80 percent of premiums dollars on medical care.

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Building binge hasn’t crimped hospital profits

Indianapolis-area hospitals spent billions on construction in the past decade and increasingly tried to poach patients from one another’s territories. Yet last year—one of the worst economically in recent history—21 of 26 hospitals still were able to show operating profits.

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Bill could make health workers pay for FBI checks

The bill has the potential to affect more than 250,000 Indiana workers in up to 24 categories of licensed professionals, including doctors, dentists, pharmacists, nurses, chiropractors, hypnotists, dietitians and even veterinarians.

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Health costs surge despite weak inflation

Ben Bernanke may be worried about deflation in the economy, but there’s certainly no chance of it in health care and
insurance. Employers’ health plan premiums surged another 8 percent this year, according to results from a massive survey
by Indianapolis-based United Benefit Advisors.

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WellPoint, peers focus on health reform rules, campaign

WellPoint Inc., UnitedHealth Group Inc. and three other health insurers, criticized by Democrats during the health care reform
debate, are seeking to influence how the new law will be implemented, and possibly change it, by campaigning for supportive
congressional candidates.

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New law takes American Health Network full circle

Dr. Ben Park joined Anthem Blue Cross and Blue Shield in 1993 to start a large group of primary care physicians who would
institute a concept called managed care. Now American Health Network is
well-positioned to take advantage of the new version of managed care, called accountable care.

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Hospitals see dip in charity care after 2008

Unemployment in Indiana has moderated slightly, but more than 313,000 Hoosiers remain out of work. And with attempts to extend
benefits for the jobless stalled in Congress, it’s likely more people will struggle to pay medical bills.

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Health reform rule could cost WellPoint

WellPoint Inc. has about $800 million riding on one arcane rule: how to calculate a medical loss ratio. The ratio quantifies
the percentage of customers’ premiums were spent on medical care, rather than overhead or profits.

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Hospital jobs keep growing in recession

Hospitals continued to be a stable and slightly growing source of jobs and wages in Indiana—for better and for worse.
The sector paid $7.3 billion to 127,000 Hoosiers in 2008, according to the latest data from the American Hospital Association.

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Medicare cuts hit doctors as Congress feuds

Physician offices will begin receiving payments from the Medicare that are 21.3-percent below
what they’ve been getting so far this year. Doctors still expect Congress to reverse the payment cuts, but physicians
and the Medicare program will have to reprocess claims, costing both extra money.

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