The Obama administration could write a new regulation. Congress could pass a short law. States could run a low-cost exchange. But the politics might require all parties to let the tax credits die while they try to pin the blame on the other side.
The new version of the Healthy Indiana Plan, backed by Obamacare funding, has enrolled 229,000 new participants in four months without breaking stride.
Wall Street analysts say a purchase of Louisville-based Humana Inc., which reportedly has put itself up for sale, would by Indianapolis-based Anthem. An Anthem-Humana marriage would be the biggest merger in the history of U.S. health insurance.
The individual hospital campuses around Indianapolis saw their collective revenue rise 8 percent and their collective operating profits rise 22 percent from from 2011 to 2013. That’s solid, just not stellar, growth.
In Indiana, Anthem has struck accountable care organization deals with 14 health care provider groups and signed up nearly 2,900 primary care providers to its medical home program. And it’s pushing for more in the future.
For employer health plans, diabetics generate $10,000 more per year in medical bills than non-diabetics. That means the rise in the prevalence of diabetes over the past 25 years is costing Hoosiers an extra $2.6 billion annually.
A recent ranking of health care value in all 50 states puts Indiana in the basement. By my rough figures, working-age Hoosiers are paying a couple billions dollars extra for their health care.
IU Health had one of its most profitable years ever in 2014, as it cut staff, boosted its physician office visits and improved bill collections. But it is still hoarding cash to be ready for future cuts in reimbursement as well as future building projects.
Think we’re almost done with changes from Obamacare? Think again. Things won’t settle down any sooner than 2017, and they could actually get even wilder after that.
One-third of Indiana’s buyers on Obamacare exchanges were new to their health plans this year—tying Indiana for sixth among the 37 states using the federal exchange.
For years, employers have focused on preventing huge health bills that can result from their older workers. But now Leonard Hoops, the CEO of Visit Indy, is trying to get employers to focus on the costs of the youngest members of their health plans: premature babies.
Through partnerships with county-owned hospitals, Indiana’s nursing homes pulled in about $260 million last year in extra federal funds. That means participating nursing homes enjoyed a 10 percent bonus check.
A central Indiana woman who owned two businesses has been ordered to spend three years on probation and repay all of the money she unlawfully received in Medicaid payments.
The Legislative Services Agency predicts a three-year ban on new skilled nursing beds would save the state $2.2 million—not the $24.6 million reported by the state in December.
St. Vincent’s operations produced a healthy profit margin of 10 percent last year, but nearly half of that money—$134 million—was shipped to Ascension Health, St. Vincent’s parent organization. That’s nearly 5 percent of what Hoosiers and their health plans pay for care at St. Vincent each year.
An estimated 40,000 Hoosiers who already bought health insurance on the Obamacare exchanges now must end those plans and enroll in the expanded Healthy Indiana Plan. Otherwise, they’ll be on the hook to pay back thousands of dollars in Obamacare tax credits.
Since Obamcare was expected to boost insurance coverage nationally by 32 million people, drugmakers like Eli Lilly and Co. stood to benefit. But it’s not working out that way. At least not for Lilly.
The state Medicaid program will pay $24 million more due to the nursing home building boom that occurred in 2014, according to an analysis by accounting firm Myers & Stauffer. The nursing home industry will use that figure to once again argue for halt to new construction.
Marion County Prosecutor Terry Curry said Dr. Bernice Avant was charged Thursday with one count of Medicaid fraud and four counts of theft.
In health care, 5 percent of patients account for 50 percent of costs. Trouble is, those patients aren’t the same from year to year. Not even close.
