Articles

Health insurers press gas on value-based payments

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.

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The price we pay for diabetes

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.

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Moody’s likes what it sees at Community

Hospital system tripled its profit last year by wooing patients to its physicians, trimming hospital and clinical staff by more than 400. The rating agency Moody’s says things look even better in 2015.

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Paying for low value

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.

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Anthem’s offer that hospitals can’t refuse

By subtly threatening the loss of patients via a new “reference lab network,” the Indianapolis-based health insurer has persuaded 63 Indiana hospitals to slash their prices for blood and tissue testing by as much as 80 percent—beyond the discounts Anthem had already negotiated with them.

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Are nurses really overworked and underpaid?

Nurses in Indiana are underpaid, relative to their peers nationally. They are not overworked from a sheer number of hours, but the demands of hospitals nurses have spiked recently, reducing nurses’ margin for caring for patients with a human touch. For a business that competes on service and, increasingly, on price, those are big problems.

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Semper Reformanda

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.

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Babies, business and the bottom line

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.

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