Articles

ECONOMIC ANALYSIS: Does growth in health care drive our state’s economy?

Indiana households, businesses and governments spent more than $33 billion on health care products and services in 2004. We don’t have current data yet, but you can be sure the amount is higher today. That’s because growth in health care expenditures in the state has averaged a whopping 8.6 percent per year since 1980. In 2004, spending on hospital care, physician services, prescription drugs, nursing homes, and every other kind of health care product or service gobbled up 14.4 percent…

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New strategies help some salons survive: Traditionalists say booth rental will remain the norm

Americans spend billions every year on professional primping and pampering, but independent salons still are among the riskiest of small-business ventures-with a failure rate second only to restaurants. Hoping to buck that trend, some salon owners are trying different business models, breaking away from traditional booth-space rentals and engaging stylists as employees with a stake in the shop’s success. Large chains like Great Clips broke the mold decades ago, paying employees an hourly wage to cut patrons’ hair. Now local…

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Disease management proves less of a success: Indiana Medicaid quietly cuts savings estimate

In October 2005, Indiana’s Medicaid program touted that it could save the state $29 million a year through disease management, a program aimed at reducing the medical costs of patients with chronic illnesses. But now, those estimated savings quietly have been slashed more than 75 percent. And one critic of Indiana’s program says it is likely achieving even less in savings. The debate over the effectiveness of the Indiana Chronic Disease Management Program comes as the state moves to triple…

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ECONOMIC ANALYSIS: State’s growth in incomes is still lagging the nation’s

It was 1980 when then-presidential candidate Ronald Reagan asked audiences whether they were better off than four years earlier. It was smart politics-1980 was a recession year. But politics aside, it’s always a relevant question. For if the economy is not growing the pie that we all share, then those who manage it, not to mention those in political leadership roles, have cause for concern. But how do we answer such a question? With the due date for tax filings…

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INVESTING: Don’t plunge into the market rally, but buy in the dips

Americans spend a ton of money on health care. (The fact that most of that money is not their own is the leading problem with our health care system.) You would think that, with all the spending, pharmaceutical stocks would be a gold mine. Even though the sector has been the leading performer over the last 100 years, good drug stocks have been hard to find so far this century. But eight years after hitting their peaks, something might be…

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DOING GOOD: LINDSAY CORNELIUS: MBA student emerging as philanthropic leader

DOING GOOD LINDSAY CORNELIUS MBA student emerging as philanthropic leader To hear Lindsay Cornelius tell it, Indianapolis is the best place to live: It’s a growing city, with terrific new restaurants, fabulous art galleries, great parks, excellent museums, hip clubs and a booming downtown. But like any major metropoli tan area, it has its problems. And that has Cornelius, 26, determined to be among the legions of young men and women who care deeply about things like quality schools and…

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EYE ON THE PIE: A useful program for Indiana’s future

I could see she was mad when I walked in the coffee shop. State representative Roberta Righteous was adding packet after packet of sugar substitute to her extra large macho mocha. As I sat down with my cup of regular, she blurted, “Your column last week was another cruel attack on the General Assembly. All criticism, all sarcasm, but no constructive suggestions for progress.” “You want constructive ideas,” I said, “I’ll give you some. “First, Indiana abandons partisan redistricting. When…

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ECONOMIC ANALYSIS: The Great Society meets fiscal reality

Someone wise in matters of politics once said programs for the poor are poor programs. It remains true today-initiatives aimed at helping the most vulnerable in our society, be they privately or publicly funded, seem to be perpetually starved for funds. And so the genius of those who created the Social Security system-originally aimed at older Americans whose assets were devastated by the Great Depression in 1935-was to make the program available to all, regardless of income. In a few…

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Eli Lilly looks to ease shareholders’ concerns: Zyprexa questions persist at annual investor meeting

It hasn’t been easy the last few years to be a shareholder of Eli Lilly and Co. Lilly’s stock price has languished as the company’s vaunted drug pipeline has suffered hiccups and as legal troubles over its best-selling drug, Zyprexa, have lingered. So as Lilly shareholders gather April 16 for their annual meeting, two key questions hang in the air. Both center on Zyprexa, an anti-schizophrenia drug, which accounts for one-quarter of Lilly’s revenue and even more of its profit….

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Competition drives hospital chief: Lennen labors to grow hospital, county to stay ahead of Indianapolis peers

Competitive. That’s how Shelbyville community leaders describe Tony Lennen. Indeed. Any CEO of the city’s Major Hospital needs to be. Shelby County residents can, in just 20 to 45 minutes, drive up Interstate 74 or Interstate 65 to any of Indianapolis’ large hospitals, many of which boast massive marketing budgets and stables of specialists. But in nearly 14 years at the helm of Major Hospital, Lennen has found creative ways to boost profits, enhance technology, woo specialists and even-through aggressive…

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WellPoint bets on managing disease: Proving savings difficult, but insurers say it works

It’s a program with big promises and big profits. Yet it’s hard to measure its payoff. It’s disease management-an industry euphemism for health insurers’ efforts to make sure chronically ill customers receive the best health care they can-before they get rushed to the hospital. Indianapolis-based WellPoint Inc. says disease management helps it win business over other health benefits companies. It also says it saves its customers nearly three times as much money as they invest and improves the quality of…

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VOICES FROM THE INDUSTRY: Communications as usual just won’t cut it anymore

In 1999, when the World Wide Web was in its infancy, Rick Levine and others penned and posted “The Cluetrain Manifesto: The end of business as usual” (www.cluetrain.com). In this Web-focused document, their opening salvo at business as usual-and their wake-up call for American business- went thusly: “A powerful global conversation has begun. Through the Internet, people are discovering and inventing new ways to share relevant knowledge with blinding speed. As a direct result, markets are getting smarter-and getting smarter…

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Management’s traffic cop: Administrative assistants play numerous roles, gain more respect

As a girl, Lori Drzal dreamed of becoming a spy, a policewoman-something where she’d be helping others. Her father had different ideas. “Become a secretary,” he told her. “You’ll always have a job.” “Today,” she said, “I think, ‘Why did he tell me that?’ But … I’ve always had a job. I’ve always grown in my jobs, and I’ve always been challenged.” Drzal, 48, executive assistant to Steak n Shake President and CEO Peter Dunn for the past four years,…

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Purdue professor developing weapon for AIDS battle: Lower-cost testing device could save money for more treatment in disease-ravaged Africa, other countries

The professor of cytomics-the study of cell systems-is leading an effort to develop a low-cost device that would help more Africans get tested for the deadly disease. His goal, bolstered by his Cytometry for Life not-for-profit, is to build thousands of units that can be delivered to third-world countries around the globe. Robinson has completed the prototype and returned in March from a weeklong trip to Nigeria, where he and fellow university researchers met with government and health care officials…

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People V Pounds: Ten local law firms vie to shed weight in friendly contest to promote wellness

Ten local law firms vie to shed weight in friendly contest to promote wellness Ten city firms indeed are vying to see whose members can shed the most inches from their waistlines within 10 weeks. The impetus for the “friendly” competition, which ends April 9, is modeled after Gov. Mitch Daniels’ INShape Indiana program challenging Hoosiers to lose 10 pounds in 10 weeks. Because participating firms range in size from behemoth Ice Miller LLP to boutique Schuckit & Associates PC,…

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Wellness gains full-time presence: Hospitals try to bulk up health promotion at employers’ offices

Wellness is good for business. At least that’s what Community Health Network and other Indianapolisarea hospitals are finding as they ramp up the wellness programs they offer onsite to area employers. Community has grown its health promotion division an average of 30 percent in each of the last three years. And this year, it had two corporate clients ask to have wellness staff at their offices daily. Community parks a wellness coordinator five days a week at Celadon Group Inc.,…

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WellPoint draws ire for pushing generics: Pfizer asks docs to resist cheaper statins

Indianapolis-based WellPoint Inc. is in a tussle with the nation’s largest drug maker over the nation’s top-selling drug. New York-based Pfizer Inc., facing the loss of billions in sales of its Lipitor cholesterol-fighting drug, sent letters last month to doctors, encouraging them to protest the attempts of health benefits firms to switch patients to generic cholesterol drugs. The letter, which says the change is being pushed “for cost reasons alone,” reached doctors several days after Well-Point expanded a promotion to…

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EYE ON THE PIE: Whom will the state subsidize next?

Last week, I was walking on the Statehouse grounds and I saw some folks with large green pins on their lapels. “What do those stand for?” I asked. “Small businesses need Electronic Gaming Devices” one wearer told me. “That’s for bars,” I commented. The reply I got was not friendly. In the newspapers and on TV during the same week, there were features about horse breeders “needing” more state subsidies from slot machines at racetracks to “keep the industry alive.”…

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Consumers drive away from HMOs: Despite declines, most plans in Indiana still have healthy reserves and profits

Most central Indiana HMOs lost customers again in 2006, with consumerdriven health care plans inflicting the latest cut. Eight out of 10 major health maintenance organizations lost members, some for a third straight year. The declines ranged from 4 percent to 48 percent, according to their annual reports filed with the Indiana Department of Insurance. Most HMOs are in no danger of going out of business. Many posted increased profit in 2006, and most have healthy cash reserves. But HMOs…

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Surgeon helping pioneer efforts to regrow knee cartilage

When Dr. Jack Farr II saw his grandfather’s knees become bowed out, then saw his father get a knee replacement, he knew he
was next. So he spent his career trying to develop new techniques to replace–and now even regrow–the cartilage around knees.
His labors are part of an international effort to develop alternatives to joint replacements.

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