State reaches $700K settlement with Hammond medical provider
The state has reached a $700,000 settlement with a medical provider in Hammond.
Medicaid
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Autism provider agrees to $2M settlement
The United States Attorney’s Office for the Southern District of Indiana has recovered $2 million as part of a civil settlement with an Indiana autism therapy provider and its owner over allegations of Medicaid fraud.
Lawmakers hear mixed reviews on bill to lower health care costs
A wide-ranging bill aimed at lowering health care costs for Hoosiers received mixed reviews in committee on Tuesday, from provisions penalizing hospitals for high prices to curtailing the use of non-compete agreements.
Indiana to get $66.5M to settle overpayment suit against insurer Centene
Indiana has reached a $66.5 million settlement with St. Louis-based health insurer Centene Corp. to resolve allegations that the company overcharged the state’s Medicaid program for pharmaceutical costs.
Indiana House Republicans propose fines for hospitals with high fees
Upset with what they say is the excessive cost of health care in Indiana, House Republicans want to levy fines against hospitals that charge more than 260% of what Medicare reimburses for services.
COA finds ‘extraordinary circumstances’ in spousal support, Medicaid dispute between wife, FSSA
The Indiana Family and Social Services Administration has prevailed before the Court of Appeals of Indiana in a dispute with a woman whose spousal support order increased the amount of Medicaid funding her incapacitated husband received.
Pressure remains on HHC to drop Talevski case: Advocates continue fight to prevent SCOTUS from blocking §1983 claims
Grassroots efforts are hopeful and continuing to pressure the Health & Hospital Corporation of Marion County to withdraw its case pending before the SCOTUS, which is feared as potentially harming the elderly, the disabled and the very young.
Public rally continues push to get HHC to drop SCOTUS petition
Although the oral arguments have passed, grassroots organizers in Indianapolis are sustaining the pressure on the Health & Hospital Corporation of Marion County to withdraw its case pending before the U.S. Supreme Court.
Health and Hospital board ignores protesters, takes no action on Medicaid case
The board of trustees for the Health and Hospital Corp. of Marion County declined to halt a federal lawsuit Tuesday that many fear would diminish the civil rights of patients in public facilities.
Activists, mayor, councilors push HHC to drop Medicaid suit
Health care advocates and members of the Indianapolis City-County Council urged a city entity Thursday to drop a Medicaid lawsuit set to be heard by the U.S. Supreme Court next month.
Elevance Health must face federal suit alleging Medicare Advantage fraud
Indianapolis-based Elevance Health Inc. must face a federal lawsuit alleging that the company defrauded the U.S. government of millions of dollars by falsely certifying incorrect diagnosis data from doctors and other health providers.
Parkview settles with state over billing dispute
Parkview Health in Fort Wayne has settled a nearly $3 million lawsuit with the state over alleged Medicaid overbilling, an allegation the health care system has denied.
Pharmacies can’t discriminate on reproductive health scripts
The Biden administration is warning pharmacies not to discriminate against women who may seek reproductive health prescriptions, including some that might be involved in ending a pregnancy.
Anthem pays $4.5M to Indiana hospitals in ER billing dispute
For five years, health insurer Anthem Inc. has tried to clamp down on what it considered unnecessary, expensive visits to emergency rooms by denying claims or downgrading reimbursements for ER visits that turned out not to be life-threatening. But now, that policy has come back to bite the Indianapolis-based company.
Separate pleading not needed in Medicaid reimbursement dispute, Indiana Supreme Court rules
In a lesson to the lower courts about judicial economy, the Indiana Supreme Court has overturned a ruling that had prevented a health care provider from obtaining a declaratory judgment as to whether it could charge patients for the cost of nonformulary over-the-counter medications.
Ex-ambulance service owner gets probation in fraud case
The former owner of a northwest Indiana ambulance service has avoided prison after pleading guilty in a health care fraud case that cost the government of millions of dollars.
Indiana recovers $316K from settlement of Medicaid fraud kickback scheme
The Indiana Medicaid program has recovered more than $316,000 in funds from a $4.9 million resolution of allegations against PharMerica Inc., one of the nation’s largest long-term care pharmacies, after 14 years of litigation.
Drug pricing enforcement action against Lilly blocked by federal court
The federal government’s assertion that Eli Lilly and Co. violated a program to offer low-income Medicaid and Medicare patients discounted drugs was tossed by the U.S. District Court for the Southern District of Indiana in a 65-page opinion, which also hinted that Congress needs to address the problems with the 340B Drug Pricing Program.
Justices set to hear arguments in Medicaid reimbursement, child victim testimony cases
The Indiana Supreme Court has set schedules to hear several oral arguments next week.
Federal agency blocks Indiana’s Medicaid work requirements
The Biden administration has revoked the federal authorization for Indiana’s planned work requirements for low-income residents who receive their health insurance through Medicaid.