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Parents of autistic kids gird for showdown with Anthem

May 19, 2016

A showdown is brewing over autism therapy in Indiana. After an Elkhart couple with an autistic son sued Indianapolis- based health insurer Anthem Blue Cross and Blue Shield this month, autism families around the state have started a campaign to get Anthem to change its policy for covering therapy for school-age kids. Two central Indiana residents, both with…

Planning to sue Anthem? Prepare to prove injury

May 19, 2016

Since health insurance giant Anthem Inc. announced Feb. 4 that millions of customers’ information had been stolen in a data breach, class-action lawsuits against the company have been filed in federal courts across the country. Lawsuits arising from data breaches are difficult to sustain, said Jeff Kosc, partner at Benesch Friedlander Coplan& Aronoff LLP.

Fed rule gives insurance exchange incumbents edge

May 19, 2016

If that rule goes into effect, it would be a big plus for Indianapolis- based WellPoint Inc., which sold on the exchanges for 2014 in all 14 states where it operates Blue Cross health insurance plans. Those credits averaged more than $4,000 per person in Indiana this year. “The ease of automatic renewal, including the retention of government subsidies, will…

St. Vincent and Community to dissolve partnership

May 19, 2016

A highly touted partnership between St. Vincent Health, Community Health Network and suburban Indianapolis hospitals is coming to an end- just 18 months after it began. The Accountable Care Consortium was envisioned as a vehicle through which the hospitals would eventually funnel all of their roughly $2.5 billion in annual contracts with health insurers…

Emmis files lawsuit over $4M in legal fees

May 19, 2016

Emmis Communications Corp. has filed a breach-of-contract suit against a New York- based insurance company for refusing to cover any of the more than $4 million in legal fees the media company accumulated in a long-running court battle with preferred shareholders. In a lawsuit filed last week, Indianapolis- based Emmis said Illinois National Insurance Co….

Hilbert seeks comeback in insurance

May 19, 2016

Sterling Investors, which had been legally based in Georgia, had $19 million in assets as of June 30 and turned a profit last year of $420,000, according to documents filed with the Georgia Office of Insurance. But Hilbert, 69, touts the fact that Sterling Investors is already approved to sell in 46 states. “Our goal is to make a small company into a medium-sized…

Homework ahead for buyers on Obamacare exchanges

May 19, 2016

Because of wrinkles in how Obamacare’s generous tax subsidies are calculated, the entrance of new insurers in the Indiana market will likely push down the size of those tax credits and push up the amount consumers receiving those credits must pay. In Marion County, it appears the credits will fall $8 to $36 a month for single coverage, based on IBJ’s analysis of…

Even without expansion, 40,000 more join Medicaid

May 19, 2016

More than 1,094,000 Hoosiers are now enrolled in Medicaid. However, the pace of enrollment is actually a bit slower than predicted by a 2012 analysis by the Indianapolis office of Milliman Inc., a Seattle- based actuarial firm hired by the state government. Milliman expected Medicaid enrollment to grow by 91,000 by this time in 2015 due to what it called…

Bold developer stirs up nursing home biz

May 19, 2016

The 36- year-old CEO of Mainstreet Property Group LLC- who frequently sports a boyish grin and a bold-colored dress shirt, but rarely dons a tie- said he’s “just getting started” in transforming the staid nursing home industry. Now that the construction moratorium was shot down at the last minute- partly thanks to Mainstreet’s aggressive investment plans and…

Upstart fights nursing home moratorium

May 19, 2016

Nursing home companies went on a building spree in Indiana, and now most of them want the Legislature’s help reining in high operating costs brought by over-capacity. Carmel- based Mainstreet Property Group, founded by Zeke Turner, son of Republican state Rep. But Miller and the long-term-care lobby say Turner’s free-market argument doesn’t make sense for an…

Map to financial freedom can fit on an index card

May 19, 2016

Are you paralyzed by the combination of the myriad options and uncertainties of money, the economy and the financial services industry? That’s the message of “The Index Card: Why Personal Finance Doesn’t Have to be Complicated,” by Helaine Olen and Harold Pollack. Back in 2013, Pollack, a University of Chicago public policy professor, was conducting an online…

LifeLine expansion part of IU Health’s reform strategy

May 19, 2016

IU Health leaders think the centralized call service can improve their relationship with hospitals in Terre Haute, Columbus, Richmond and elsewhere, bringing more patients to IU Health. That was the same basic goal IU Health had as it acquired 10 hospitals from 2002 to 2011, as it folded more than 1,550 physicians into its own IU Health Physicians, and as it…

St. Vincent to dangle deal to employers

May 19, 2016

But St. Vincent Health now has a plan it thinks will win over employers. The program is operated by Tennessee- based MissionPoint Health Partners, which- like St. Vincent- is a subsidiary of St. Louis- based Ascension Health, the largest Catholic hospital system in the country.

Hendricks Regional to make $40M bet

May 19, 2016

Hendricks Regional expects to start construction this fall. Hendricks Regional is following Eskenazi Health and Major Health Partners as county-owned hospitals in central Indiana recently building new facilities. In 2014, Hendricks Regional had partnerships with 26 nursing homes, which generated extra federal revenue of $48.5 million.

Physical therapy provider fans out

May 19, 2016

But now it looks as though reform is breaking in exactly the right direction for the Indianapolis- based provider of physical and occupational therapy. “We make a living by optimizing resources, putting the right resources in the right place,” said Tx: Team CEO Scott Benedict, noting that it can save hospital systems 20 percent or more versus having in-house…

Where creativity flows

May 19, 2016

The origins of an Indianapolis- based business that combines swilling beer and sipping wine with free-hand picture painting is rooted in a series of hailstorms that swept through central Indiana nearly a decade ago and in parents who insisted their daughter abandon art and get “a real job.” The skills she learned in college landed her work in Indianapolis and…

Wellfount snags $16M in venture capital

May 19, 2016

With a fresh infusion of $16 million, Indianapolis- based Wellfount Corp. thinks it can achieve the twofold trick of doubling its revenue and becoming cash-flow neutral- all by the end of this year. Revenue doubled last year, to $20 million, and Wellfount says it’s on pace to double again this year, to $40 million. About 100 of those workers are in Indianapolis, where…

WellPoint shares rise above $100 on sunny forecast

May 19, 2016

Increased government spending in health care is turning into a business boom for WellPoint Inc.. The Indianapolis- based health insurer predicted growth in government-funded health insurance programs would push revenue above $100 billion by 2018. And Wall Street analysts set price targets at $120 and even $130.

Anthem seeking OK to test online physician visits

May 19, 2016

Online physician visits could become far more common in Indiana this year under a bill pending in the Indiana General Assembly. House Bill 1258 would allow the large health insurer Anthem Blue Cross and Blue Shield to launch a pilot program using the Live Health Online technology it has developed with Massachusetts- based software firm American Well Corp..

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