Indiana payer mix, regulation & malpractice drivers
- Surprise billing protection: Moderate state statute — partial state-level surprise billing protection alongside federal NSA
- Certificate of Need (CON) status: No Certificate of Need program
- Medicaid expansion status: ACA Medicaid expanded — coverage to 138% federal poverty level
- Malpractice non-economic damages cap: Patient's Compensation Fund (PCF) tiered cap structure — $1.8M total cap (Patient's Compensation Fund pays beyond $500K) under Indiana Medical Malpractice Act (IC § 34-18)
- Hospital price transparency mandate: Federal CMS Hospital Price Transparency Rule (45 CFR Part 180) only — no state-level supplement
- Dominant health insurance market structure: Regional-system dominant — vertically-integrated regional health system shapes market
Indiana medical board & physician licensing
- License status: Statewide license required
- License board: Indiana Medical Licensing Board (MLB) — Indiana Professional Licensing Agency (IPLA) (official site)
- Permit: Indiana Medical Licensing Board MD/DO license required; DEA Schedule II-V + Indiana Prescription Drug Monitoring Program (INSPECT); hospital privileging at IU Health / Ascension St. Vincent / Community Health Network / Franciscan Health / Parkview; NO Certificate of Need program (Indiana repealed CON in 1996); Indiana Patient Compensation Fund (PCF) participation mandatory for all qualifying providers
How medical care costs vary in Indiana
State-specific code or insurance rule: Indiana operates the Indiana Patient's Compensation Fund (PCF) under IC § 34-18 — one of the longest-running and most comprehensive medical malpractice patient compensation funds in the country (since 1975) — with a unique tiered structure: providers pay first $500,000 of any judgment, the PCF pays the next $1,300,000 funded by per-physician annual surcharges, with a $1,800,000 total cap including economic and non-economic damages combined, and Indiana repealed its Certificate of Need program in 1996 making Indiana one of the 15 non-CON states.
Cities in Indiana
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