Articles

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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Connecticut to probe WellPoint security breach

Attorney general seeks more details on the breach, which may have compromised financial and health information on almost 500,000
people. He also calls on the Indianapolis-based insurer to provide affected customers with credit monitoring and theft protection
services.

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Braly’s political skirmishes hurting insurer, critics say

When WellPoint Inc. named Angela Braly its CEO three years ago, it touted her experience dealing with politicians and government
regulators. But WellPoint is now the poster child for health insurer bad behavior—credited in Washington with reviving a
dead health reform bill the company opposed.

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Effective stats are new hurdle for U.S. drugmakers

WellPoint Inc.'s announcement of comparative effectiveness research guidelines last week marks a new era for U.S. drugmakers.
The Indianapolis-based health insurer will use studies that compare the effectiveness of one drug against another as a complement
to typical clinical trial research that compares a drug against a placebo sugar pill.

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WellPoint meeting ends abruptly as Bush collapses

Board member William “Bucky” Bush, uncle of former President George W. Bush, appeared OK after a shortened meeting in which
shareholders approved
a “say-on-pay” proposal. Protesters gathered outside WellPoint’s headquarters after the meeting.

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Q&A

Joe Guzman is a co-founder of Indianapolis-based Ascend USA, the new trade adopted after Guzman merged his
benefits brokerage, Benefits Strategies Inc., with benefits business Steven Goodin. The eight-person firm expects to hire
as many 15 new employees in the next year. Those workers will help Ascend diversify from health benefits into brokering commercial
insurance products.

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Study: Quality, costs better at big practices

As physician mergers increase in Indianapolis, a new study has determined that quality at large, multispecialty practices is at
least 5 percent higher and costs are 3.6 percent lower than at small group practices.

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Clarian Health sued over bills for services

The lawsuit filed this week in Marion Superior Court claims Clarian Health charges uninsured patients—or those receiving
treatments not covered by their insurance—unreasonably high prices.

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