Becker's Healthcare March 19, 2025
Elizabeth Gregerson

Nearly two dozen county-owned hospitals in Indiana have used a legal loophole to reroute billions in supplemental Medicaid funds from nursing homes to hospital projects, according to a March 18 investigative report from IndyStar.

The IndyStar has been investigating the financial implications of the ownership structure since 2020. The IndyStar’s report includes information obtained as a result of a public records lawsuit settlement with eight county-owned hospitals. Though the hospitals were required to disclose financial data from the 2018 to 2023 as part of the settlement, they admitted to no wrongdoing.

Here are five things to know from the investigation:

1. State and federal Medicaid rules in Indiana allow local government-owned nursing homes to claim a 36% higher reimbursement...

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