Negotiations continue as a deadline looms, but disagreements persist about the reimbursement rate Ascension St. Vincent should receive for care provided to UnitedHealthcare members.
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Former Chief Execution Officer Shane Hochradel resigned from Elevance in May and joined California-based Alignment Healthcare on June 1.
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Hospital CEO Brenda Reetz the insurance underpayment situation impacts patient bills, hospital stability and access to care. Indianapolis-based Anthem said it is working with the hospital to resolve the problem.
The St. Louis native joined Anthem Inc. 19 years ago in an entry-level sales position. Now, she leads one of the largest insurers in Indiana.
The U.S. Centers for Medicare and Medicaid Services alleges the Indianapolis-based health insurer has failed to properly submit required information to federal regulators since 2018.
In a call with shareholders Wednesday, Elevance CEO Gail Boudreaux said the Trump administration’s plan to limit federal payments to Medicare Advantage “doesn’t keep pace with the current medical cost and utilization trends.”
For 2026, the plan features significantly lower out-of-pocket costs for members who use the plan’s “narrow network” that limits choice.
The Indianapolis-based drugmaker said the coverage would be administered by third-party administrators to provide employers “transparent, flexible cost-sharing options” for their workers.
Lawmakers face greater pressure to act as Americans who buy insurance through the Affordable Care Act are seeing, or about to see, the consequences of enhanced subsidies expiring at the end of the year.
Five Indiana marketplace insurers—Anthem, UnitedHealthcare, CareSource, Cigna and Coordinated Care Corp.—will hike premiums an average of 31.4% effective Jan. 1 under plans recently approved by the Indiana Department of Insurance.
SIHO Insurance Services is tackling the gargantuan challenge of growth in the employer-based benefits market in Indianapolis and across the state.
Direct-to-employer health insurance plans, in which an employer contracts directly with a health care network for coverage, restrict provider choice but are generally less expensive for employers and employees.
Indiana lawmakers discovered this legislative session that performing major financial surgery on multibillion-dollar nonprofit hospital systems is a motley and entangled task.
President Trump’s predecessor, Joe Biden, proposed a rule in late November after Trump won re-election that would have extended coverage of drugs like Zepbound and Wegovy.
For Elevance Health and other big insurers, 2024 devolved into something of an annus horribilis over the year’s final weeks. And 2025 holds more challenges but also an opportunity for a rebound.
The company also reported higher medical expenses, mainly from its Medicaid business.
The orders largely direct state agencies to audit current programs and coverage as a means to find health care savings.
In the survey from NORC at the University of Chicago, about 8 in 10 U.S. adults said the person who committed the killing has “a great deal” or “a moderate amount” of responsibility.
The firm, which helps employers transition workers to individual health insurance plans, has more than doubled its workforce in the last year and hopes to go on an acquisition spree.
Indiana physicians are keeping an eye on the trend of large insurers dropping medical practices from their networks, which they call a classic case of David versus Goliath.
Former Gov. Mitch Daniels first introduced the consumer-driven, cost-sharing approach in 2007 when the state expanded Medicaid to moderate-income workers. Gov. Mike Pence developed the program even further.
A Feb. 21 cyberattack against a Nashville, Tennessee-based medical-billing clearinghouse sent shock waves across Indiana’s health care system.
