The state budget bill moving through the Indiana General Assembly would save about $7 million each year by creating a list of preferred mental health drugs and trying to win larger rebates from manufacturers.
Indianapolis-area hospitals have negotiated reimbursement rates with private health insurers that are two and three times higher than those paid by the federal Medicare program, suggesting the hospitals have the upper hand over insurers, according to a new study.
The company is seeing a rush of new sales for its Web-based electronic medical record system from doctors, who all stand to
receive bonus payments from the federal stimulus act for computerizing their patient records.
The health care industry is responding to reforms that will pay doctors bonuses if they provide high-quality care and save
The scramble by local hospitals to form their physicians and facilities into “clinically integrated” networks
that can do business with employers and health insurers has another huge motivating factor: Beginning January 2012, they can
also do business with Medicare, the massive federal program for seniors.
Physician offices will begin receiving payments from the Medicare that are 21.3-percent below
what they’ve been getting so far this year. Doctors still expect Congress to reverse the payment cuts, but physicians
and the Medicare program will have to reprocess claims, costing both extra money.
The latest idea from Dr. James Spahn, an Indianapolis health care entrepreneur, should help hospitals and nursing homes do
a better job of preventing severe bedsores, or pressure ulcers. That’s good, because Medicare and private health insurers
increasingly won’t pay to treat them.
Don Stumpp, manager of payer contracting at Indianapolis-based physician group American Health Network and president of the Indiana Medical Group Management Association, discussed the impact of the health care reform law on primary care physicians as well as the near-constant threat of a sharp cut in Medicare reimbursement.