AG Todd Rokita touts $100M in Indiana Medicaid provider fraud recovery
In a Tuesday press conference, Rokita said the money comes from 89 separate recoveries, some through civil settlements and others via criminal prosecutions.
In a Tuesday press conference, Rokita said the money comes from 89 separate recoveries, some through civil settlements and others via criminal prosecutions.
Although supporters of the effort promised more than $100 million in annual savings, opponents — including Indiana’s top Medicaid official — warned the proposal could undermine care coordination efforts just weeks after other key reforms launched.
Indianapolis-based MDwise, which said it has provided Indiana Medicaid services for more than 30 years, has already launched a court challenge to the state’s action.
Democrats argued that new rules could push eligible Hoosiers out of coverage.
FSSA plans to put out a proposal request for managed care services for the Healthy Indiana Plan, Pathways for Aging, Hoosier Care Connect and Hoosier Healthwise.
Kevin Calvert, 57, was charged with 43 counts of Medicaid fraud and an additional count of theft following an investigation by the attorney general’s Medicaid Fraud Control Unit.
Hospital leaders who spoke with Inside INdiana Business emphasized the bill wouldn’t increase funding, it would give hospitals access to funding that’s already been allocated.
Hoosiers getting insurance under the Healthy Indiana Plan would need to log at least 20 work or volunteer hours a week with the state, a move that supporters hope will curb the program’s enrollment numbers.
Under Senate Bill 2, those enrolled in the Healthy Indiana Plan will need to either work or volunteer for 20 hours each week, with several exceptions for caregivers, disabled beneficiaries and more.
Legislation creating a “military police force” of Indiana National Guard members — to be deployed around the state at the governor’s behest — overwhelmingly passed the Senate on Tuesday despite bipartisan opposition. The Senate also approved more than three dozen other bills.
Republican lawmakers are divided over limiting disease spread versus arguments of enabling drug abuse.
House Enrolled Act 1004, passed in 2023, required the Indiana Department of Insurance to contract with a third party to calculate how Indiana’s nonprofit hospital systems’ commercial prices compared to Medicare reimbursements over time.
Attorney General Todd Rokita announced the settlement Monday, just over a year after filing an antitrust lawsuit against Pfizer Inc., Viatris Inc. and several other companies that distribute injectable epinephrine devices.
The legislation would block government bodies and public universities from enacting any policies that limit cooperation — including of their employees — with federal immigration authorities or laws.
Rep. Ed Clere has decided to leave the Indiana General Assembly after 18 years—and says the political changes brought by President Donald Trump have pushed him out of the party.
Rural hospitals are among those that are most affected by the financial challenges facing health care institutions in Indiana, according to a new report released by the Indiana Hospital Association.
Legislators would likely need to act quickly to enact any tax breaks for 2025 before individuals and businesses begin filing their tax returns.
Lawmakers can meet until mid-March during a non-budget year, but plan to adjourn early to offset the two weeks they spent this month on a failed partisan redistricting proposal.
Despite Thursday’s positive forecasts, Republican state fiscal leaders showed no signs of any spending boosts for the tight budget that took effect July 1.
Indiana health officials are extending open enrollment for two major Medicaid programs, giving more time for hundreds of thousands of Hoosiers facing a forced plan change to select another option from the state’s managed care lineup.