Under the proposed rule, the Centers for Medicare & Medicaid Services would change the formula for what hospitals participating in the program can get reimbursed, in an effort to cut costs for patients.
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The drugmaker is restricting access to a drug discount program intended for safety-net hospitals in a move the company says is needed to identify waste, fraud and abuse.
Read MoreThe topic is being addressed both within hospitals and in state legislatures.
Negotiations continue as a deadline looms, but disagreements persist about the reimbursement rate Ascension St. Vincent should receive for care provided to UnitedHealthcare members.
Hospital leaders and other opponents of price controls argue that the strategy doesn’t address the root causes of high hospital prices, such as rising labor, drug, and technology costs, and that the caps will force hospitals to cut services.
No athlete wants to endure a torn knee ligament. But for OrthoIndy CEO Dr. Matthew Lavery, an injury playing football for Division III Millikin University sparked an interest in fixing other people’s injuries.
The procedure allows surgeons to make smaller incisions than are typically made in traditional mastectomies.
The list of hospitals that since April have either received letters of warning or requests to submit plans to provide transparent pricing includes 34 hospitals in Indiana.
In January, the Centers for Medicare & Medicaid Services, or CMS, removed 285 procedures — mostly musculoskeletal, like revision hip and knee replacements — from its Medicare Inpatient-Only list.
Rural hospitals in Indiana are facing a crisis that could lead to more health deserts across the state, hospital leaders say.
The proposed replacement hospital would cost about $1.64 billion, but the appropriations legislation — the first for the 2027 fiscal year to clear a major congressional hurdle — allows for up to $1.98 billion to go toward the project.
Federal approval cleared the way for Indiana to revamp hospital Medicaid payments, with larger increases going to providers that keep commercial prices lower.
The hospital said the second breach notice is related to additional concerns about Anthem’s claim-payment practices and its failure to apply a contract between the hospital and the insurance company correctly.
The plan to develop the new facilities has become a priority for state leaders and Indiana’s congressional contingent.
The report comes as Indiana hospitals attempt to address widespread criticism — including from state leaders — over high prices.
The budget proposal calls for a new 840,000-square-foot tower that would replace the aging Richard L. Roudebush Veterans Administration Medical Center.
Witham’s announcement comes amid a series of recent moves by Parkview Health involving expansion into areas of the state away from its headquarters in Fort Wayne.
The 44-acre campus will span from 12th to 16th streets and from Capitol Avenue to Interstate 65 — approximately eight square blocks.
Hospitals and other medical providers cannot be held liable for complications that developed while treating a patient for COVID-19 during the pandemic emergency, the Indiana Supreme Court ruled Wednesday.
The amendment allows Indiana counties to benefit from property taxes on nonprofit hospital parcels that don’t have health care or revenue-generating purposes.
House Enrolled Act 1004, passed in 2023, required the Indiana Department of Insurance to contract with a third party to calculate how Indiana’s nonprofit hospital systems’ commercial prices compared to Medicare reimbursements over time.
Jenn Wells, an executive at the Greenfield-based health care system, is trying to make difficult conversations more accessible through a women’s health podcast she started last fall called “Just Jenn.”
