State Intelligence — Indiana
Signals referencing this state across all sources.
9 signals
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CMS releases 2 qualifying payment amount audits
The Centers for Medicare & Medicaid Services Oct. 20 published two qualifying payment amount audits under the No Surprises Act. The audits were of CareSource in Indiana and the School Employees Retirement System in Ohio, with both required to complete corrective actions following the audits. The CareSource audit focused on almost 25,000 claims, primarily concerning emergency and non-emergency services, while the School Employees Retirement System audit focused on six air ambulance claims. Bot...
CareSource · 2 signals · last 30 days -
Centene to expand CHOICE program to its Ohio, Oklahoma employees
Centene is expanding Custom Health Option and Individual Care Expense Arrangements, formerly known as individual coverage health reimbursement arrangements, to all of its Ohio and Oklahoma employees in plan year 2027. An Oct. 16 news release said the development builds on the company’s CHOICE rollout to Indiana-based employees in 2026. “Our experience in Indiana has […] The post Centene to expand CHOICE program to its Ohio, Oklahoma employees appeared first on Becker's Payer Issues | Payer Ne...
Centene · 13 signals · last 30 days -
Indiana death row inmate seeks execution delay for brain scans ahead of clemency hearings
Indiana death row inmate Jeffrey Weisheit is asking the state’s highest court to move his execution from Nov. 5 to Nov. 19 so experts can analyze brain scans his attorneys say would give Gov. Mike Braun a fuller account of his impairments before deciding clemency. A federal judge approved funding for the testing but ruled […]
SCAN IndianaSCAN Health Plan · 12 signals · last 30 days -
Air ambulance company alleges Anthem owes $30M in No Surprises arbitration awards
Air ambulance operator PHI Health is suing Anthem Blue Cross and Blue Shield for allegedly refusing to pay tens of millions of dollars in binding arbitration awards issued under the No Surprises Act. The complaint, filed Aug. 31 in the U.S. District Court for the Southern District of Indiana, names Anthem alongside more than two […] The post Air ambulance company alleges Anthem owes $30M in No Surprises arbitration awards appeared first on Becker's Payer Issues | Payer News .
Elevance Health + Blue Cross Blue Shield plans · 48 signals · last 30 days -
CMS rebrands ICHRA
CMS has rebranded individual coverage health reimbursement arrangements to CHOICE Arrangements, or Custom Health Option and Individual Care Expense. The new name for the alternative health insurance model was announced Sept. 3 by CMS Administrator Mehmet Oz, MD, at an event in Indiana. ICHRAs let employers give workers a fixed, tax-free amount to buy their […] The post CMS rebrands ICHRA appeared first on Becker's Payer Issues | Payer News .
Policy / Regulatory Changes · 140 signals · last 30 days -
Elevance-backed physician group, Franciscan Alliance partner in value-based care push
Mishawaka, Ind.-based Franciscan Alliance has partnered with Millennium Physician Group to expand value-based care and primary care access across Indiana. Fort Myers, Fla.-based Millennium is part of a national value-based care platform partially owned by Elevance Health. The partnership will combine Franciscan’s physician network with Millennium’s practice management, analytics and value-based care capabilities. Franciscan physicians […] The post Elevance-backed physician group, Franciscan A...
Elevance IndianaElevance Health · 16 signals · last 30 days -
Anthem BCBS Indiana’s ortho network is saving employers $15,000 per case
It has been about eight months since Anthem Blue Cross and Blue Shield in Indiana kicked off its HealthSync Designated Orthopedic Network, directing Anthem HealthSync plan members to surgeons and facilities that satisfy certain cost and quality benchmarks. Now, savings are rolling in. In an upcoming episode of the “Becker’s Payer Issues Podcast,” Jessica Lopez-Liggett, […] The post Anthem BCBS Indiana’s ortho network is saving employers $15,000 per case appeared first on Becker's Payer Issues...
Elevance Health + Blue Cross Blue Shield plans · 48 signals · last 30 days -
Indiana plans to cover GLP-1s for some Medicaid members under BALANCE model
Indiana Gov. Mike Braun directed the state to partake in CMS’ “Better Approaches to Lifestyle and Nutrition for Comprehensive hEalth” model for GLP-1 access in Medicaid. According to a July 30 Indiana news release, under the pilot, GLP-1s will cost the state $85.16 per member per month. Through BALANCE’s negotiations with Eli Lilly and Novo […] The post Indiana plans to cover GLP-1s for some Medicaid members under BALANCE model appeared first on Becker's Payer Issues | Payer News .
Policy / Regulatory Changes · 140 signals · last 30 days -
Indiana home-based Medicaid provider enrollment freeze on the horizon
Indiana Health Coverage Programs got CMS approval to progress with an enrollment and certification moratorium for some Medicaid providers beginning Aug. 1. According to a July 23 bulletin, the freeze will continue for six months. IHCP can extend the pause in six-month increments. The moratorium will target home- and community-based services 1915(c) waiver providers. Affected services include […] The post Indiana home-based Medicaid provider enrollment freeze on the horizon appeared first on B...
Policy / Regulatory Changes · 140 signals · last 30 days