Spotlight on State: Indiana
This is part of a series of summaries that highlight notable legislation and initiatives in health policy and reform of all 50 states. Check back on The Source as we roll out additional states each week. See Indiana state page. Indiana made significant advances in promoting healthcare price competition and transparency in 2020. Most notably, the legislature passed a law to mandate an all-payer claims database (APCD) that will include claims from Medicare, Medicaid or a Medicaid managed care organization, health maintenance organizations (HMOs), pharmacy benefit managers (PBMs), and other payers. The law also [...]
Ind. Code §§ 27-17-5-1 through 27-17-5-3: Discount Medical Card Program Organizations– Disclosures
Statutes require discount medical card program organizations to make certain written disclosures to prospective cardholders on the first page of advertisements, marketing materials, and brochures. These disclosures must include that the program doesn't make payments to providers and that the program can make available a list of program providers.
Ind. Code §§ 27-4-1-1 through 27-4-1-19: Unfair Competition; Unfair or Deceptive Acts and Practices
Statutes regulate the trade practices in the business of insurance, by defining, or providing for the determination of, all such practices which constitute in Indiana unfair methods of competition and unfair or deceptive acts or practices and by prohibiting the trade practices so defined or determined.
Ind. Code §§ 27-8-10-0.1 through 27-8-10-11.2: Life, Accident, and Health– Comprehensive Health Insurance
Statutes create the Indiana comprehensive health insurance association and include laws to govern its operation and application.
Ind. Code § 27-8-10-3.2. Balance billing: Comprehensive Health Insurance
Provides balance billing protections for comprehensive health insurance.
Ind. Code §§ 27-8-13-0.1 through 27-8-13-20: Life, Accident, and Health — Medicare Supplement Insurance Solicitations
Statutes govern Medicare supplement insurance policies.
Ind. Code §§ 27-8-15-0.1 through 27-8-15-34.1: Life, Accident, and Health — Small Employer Group Health Insurance
Statutes governing small employer group health insurance policies.
Ind. Code §§ 27-8-17-1 through 27-8-17-20: Life, Accident, and Health — Health Care Utilization Review
Statutes govern utilization review, which is defined as a system for prospective, concurrent, or retrospective review of the medical necessity and appropriateness of health care services provided or proposed to a covered individual.