<?xml version="1.0" encoding="UTF-8"?><rss xmlns:dc="http://purl.org/dc/elements/1.1/" xmlns:content="http://purl.org/rss/1.0/modules/content/" xmlns:atom="http://www.w3.org/2005/Atom" version="2.0" xmlns:itunes="http://www.itunes.com/dtds/podcast-1.0.dtd" xmlns:googleplay="http://www.google.com/schemas/play-podcasts/1.0"><channel><title><![CDATA[Trendline Health: IN Pulse]]></title><description><![CDATA[A curated digest of healthcare delivery news impacting the state of Indiana. Read by executives, leaders, clinicians, policymakers, and vendors for insights and to stay current with what moves the market.]]></description><link>https://www.trendlinehealth.com/s/in-pulse</link><image><url>https://substackcdn.com/image/fetch/$s_!2gov!,w_256,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fb15ec909-c656-46d6-8158-2ee06b9828d5_1260x1260.png</url><title>Trendline Health: IN Pulse</title><link>https://www.trendlinehealth.com/s/in-pulse</link></image><generator>Substack</generator><lastBuildDate>Sat, 16 May 2026 14:32:57 GMT</lastBuildDate><atom:link href="https://www.trendlinehealth.com/feed" rel="self" type="application/rss+xml"/><copyright><![CDATA[HealthMark, LLC]]></copyright><language><![CDATA[en]]></language><webMaster><![CDATA[Trendlinehealth@substack.com]]></webMaster><itunes:owner><itunes:email><![CDATA[Trendlinehealth@substack.com]]></itunes:email><itunes:name><![CDATA[Mark Newell]]></itunes:name></itunes:owner><itunes:author><![CDATA[Mark Newell]]></itunes:author><googleplay:owner><![CDATA[Trendlinehealth@substack.com]]></googleplay:owner><googleplay:email><![CDATA[Trendlinehealth@substack.com]]></googleplay:email><googleplay:author><![CDATA[Mark Newell]]></googleplay:author><itunes:block><![CDATA[Yes]]></itunes:block><item><title><![CDATA[IN Pulse – April 12, 2026]]></title><description><![CDATA[2026 | Issue 15 &#8211; Medicaid Delays &#8226; 340B Pushback &#8226; AI Patient Tools]]></description><link>https://www.trendlinehealth.com/p/in-pulse-april-12-2026</link><guid isPermaLink="false">https://www.trendlinehealth.com/p/in-pulse-april-12-2026</guid><dc:creator><![CDATA[Mark Newell]]></dc:creator><pubDate>Wed, 15 Apr 2026 20:02:54 GMT</pubDate><enclosure url="https://substackcdn.com/image/fetch/$s_!vIAm!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F0c481305-a12b-4ba6-aeee-4b23df667908_2560x1440.png" length="0" type="image/jpeg"/><content:encoded><![CDATA[<h6>Trendline Health | IN Pulse | 2026 | Issue 15</h6><div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="https://substackcdn.com/image/fetch/$s_!vIAm!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F0c481305-a12b-4ba6-aeee-4b23df667908_2560x1440.png" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!vIAm!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F0c481305-a12b-4ba6-aeee-4b23df667908_2560x1440.png 424w, https://substackcdn.com/image/fetch/$s_!vIAm!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F0c481305-a12b-4ba6-aeee-4b23df667908_2560x1440.png 848w, https://substackcdn.com/image/fetch/$s_!vIAm!,w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F0c481305-a12b-4ba6-aeee-4b23df667908_2560x1440.png 1272w, https://substackcdn.com/image/fetch/$s_!vIAm!,w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F0c481305-a12b-4ba6-aeee-4b23df667908_2560x1440.png 1456w" sizes="100vw"><img src="https://substackcdn.com/image/fetch/$s_!vIAm!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F0c481305-a12b-4ba6-aeee-4b23df667908_2560x1440.png" width="1456" height="819" data-attrs="{&quot;src&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/0c481305-a12b-4ba6-aeee-4b23df667908_2560x1440.png&quot;,&quot;srcNoWatermark&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/769fa402-1307-41c8-b8f6-0236a88e6f2f_2560x1440.png&quot;,&quot;fullscreen&quot;:null,&quot;imageSize&quot;:null,&quot;height&quot;:819,&quot;width&quot;:1456,&quot;resizeWidth&quot;:null,&quot;bytes&quot;:720324,&quot;alt&quot;:null,&quot;title&quot;:null,&quot;type&quot;:&quot;image/png&quot;,&quot;href&quot;:null,&quot;belowTheFold&quot;:false,&quot;topImage&quot;:true,&quot;internalRedirect&quot;:&quot;https://www.trendlinehealth.com/i/194334879?img=https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F769fa402-1307-41c8-b8f6-0236a88e6f2f_2560x1440.png&quot;,&quot;isProcessing&quot;:false,&quot;align&quot;:null,&quot;offset&quot;:false}" class="sizing-normal" alt="" srcset="https://substackcdn.com/image/fetch/$s_!vIAm!,w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F0c481305-a12b-4ba6-aeee-4b23df667908_2560x1440.png 424w, https://substackcdn.com/image/fetch/$s_!vIAm!,w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F0c481305-a12b-4ba6-aeee-4b23df667908_2560x1440.png 848w, https://substackcdn.com/image/fetch/$s_!vIAm!,w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F0c481305-a12b-4ba6-aeee-4b23df667908_2560x1440.png 1272w, https://substackcdn.com/image/fetch/$s_!vIAm!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F0c481305-a12b-4ba6-aeee-4b23df667908_2560x1440.png 1456w" sizes="100vw" fetchpriority="high"></picture><div class="image-link-expand"><div class="pencraft pc-display-flex pc-gap-8 pc-reset"><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container restack-image"><svg role="img" width="20" height="20" viewBox="0 0 20 20" fill="none" stroke-width="1.5" stroke="var(--color-fg-primary)" stroke-linecap="round" stroke-linejoin="round" xmlns="http://www.w3.org/2000/svg"><g><title></title><path d="M2.53001 7.81595C3.49179 4.73911 6.43281 2.5 9.91173 2.5C13.1684 2.5 15.9537 4.46214 17.0852 7.23684L17.6179 8.67647M17.6179 8.67647L18.5002 4.26471M17.6179 8.67647L13.6473 6.91176M17.4995 12.1841C16.5378 15.2609 13.5967 17.5 10.1178 17.5C6.86118 17.5 4.07589 15.5379 2.94432 12.7632L2.41165 11.3235M2.41165 11.3235L1.5293 15.7353M2.41165 11.3235L6.38224 13.0882"></path></g></svg></button><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container view-image"><svg xmlns="http://www.w3.org/2000/svg" width="20" height="20" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-maximize2 lucide-maximize-2"><polyline points="15 3 21 3 21 9"></polyline><polyline points="9 21 3 21 3 15"></polyline><line x1="21" x2="14" y1="3" y2="10"></line><line x1="3" x2="10" y1="21" y2="14"></line></svg></button></div></div></div></a></figure></div><h3>Policy &amp; Regulation</h3><ul><li><p><strong>Indiana nursing homes await $462M in delayed Medicaid supplemental payments</strong><br>Hundreds of millions in supplemental payments for Indiana&#8217;s PathWays for Aging program remain stalled as federal CMS withholds approval of the state&#8217;s payment methodology for FY2026. At least two quarterly installments are overdue, hitting 496 nursing homes hardest and forcing smaller providers to slow vendor payments. FSSA says it&#8217;s working with CMS on resolutions, including potential grandfathering, while providers push for swift action to protect operations.<br><a href="https://indianacapitalchronicle.com/2026/04/08/providers-wait-for-hundreds-of-millions-in-delayed-medicaid-payments/">Indiana Capital Chronicle</a></p></li><li><p><strong>FSSA defends 340B changes projected to save Medicaid $20M but draw hospital fire</strong><br>Indiana&#8217;s Family and Social Services Administration is moving forward with changes that would prevent Medicaid from paying full price for drugs when providers receive 340B discounts, effective July 1. Secretary Mitch Roob called it unfair for taxpayers to subsidize hospital profits and construction; critics, including the Indiana Hospital Association and Damien Center, warn of reduced access and a &#8220;ripple disaster&#8221; across care.</p><blockquote><p>&#8220;Indiana&#8217;s objective is straightforward: to ensure 340B operates as intended and that Medicaid dollars benefit the individuals the program is meant to serve.&#8221;  ~Indiana FSSA Secretary Mitch Roob</p></blockquote><p><a href="https://www.wishtv.com/news/i-team-8/indiana-fssa-defends-340b-changes/">WISH-TV</a></p></li></ul><h3>Growth &amp; Finance</h3><ul><li><p><strong>Beacon Health System taps Sarah Paturalski as president of Beacon Dowagiac, names additional interim leaders</strong><br>Beacon Health System named Sarah Paturalski, MBA, MSN, RN, as president of Beacon Dowagiac effective this summer after a national search. Paturalski, a longtime nursing and clinical leader at Memorial Hospital of South Bend, helped drive major expansions and workforce initiatives. Interim roles were also announced for nursing/clinical services at Memorial Hospital and operations at Three Rivers Health to strengthen operations across the system&#8217;s northern Indiana and southwest Michigan footprint.<br><a href="https://www.beaconhealthsystem.org/news/2026/04/09/beacon-announces-sarah-paturalski-as-president-of-beacon-dowagiac-names-additional-leaders/">Beacon Health System</a></p></li></ul><h3>Innovation &amp; Tech</h3><ul><li><p><strong>Reid Health goes live as early adopter of Epic&#8217;s Emmie AI patient assistant</strong><br>Reid Health in Richmond became only the second U.S. hospital system to implement Epic&#8217;s Emmie, an AI virtual assistant that delivers trusted, clinically connected answers and guidance to patients. CIO Muhammad Siddiqui said the move keeps patients inside secure health system tools instead of public AI, reducing friction and supporting digital equity in a rural service area. The system will track engagement and navigation improvements in year one.<br><a href="https://www.beckershospitalreview.com/healthcare-information-technology/ehrs/why-reid-health-became-an-early-adopter-of-epics-emmie/">Becker&#8217;s Hospital Review</a></p></li></ul><h3>Workforce &amp; Leadership</h3><ul><li><p><strong>IU Health CEO Dennis Murphy shares &#8220;what not to do&#8221; leadership lessons from medical drama &#8216;The Pitt&#8217;</strong><br>Indiana University Health President and CEO Dennis Murphy used scenes from &#8220;The Pitt&#8221; to warn hospital leaders against casual address like &#8220;Hey, Rockstar!&#8221; to clinical staff and against fragmented crisis communication during events like cyberattacks. He stressed using professional titles to show respect and maintaining pre-planned, organization-wide information cascades in emergencies.<br><a href="https://www.beckershospitalreview.com/hospital-management-administration/iu-health-ceos-what-not-to-do-takeaways-from-the-pitt/">Becker&#8217;s Hospital Review</a></p></li><li><p><strong>Schneck Medical Center partners with Community Health Network to expand local heart and vascular care</strong><br>Starting June 8, Schneck Medical Center in Seymour will offer full-time outpatient cardiology services on campus through Community Physician Network Heart and Vascular Care. Board-certified cardiologists Karamchand Paul, MD, and Deovrat Singh, MD, will see patients weekdays, keeping routine care local while providing seamless access to advanced services when needed.<br><a href="https://www.schneckmed.org/community-heart-vascular-schneck">Schneck Medical Center</a></p></li></ul><div><hr></div><p><strong>Sources</strong><br>Curated from Indiana Capital Chronicle, Beacon Health System, Becker&#8217;s Hospital Review, WISH-TV, Schneck Medical Center, and supporting reports.</p><p>Feedback? Drop a note to <a href="mailto:pulse@trendlinehealth.com">pulse@trendlinehealth.com</a>.</p><p>Want IN Pulse in your inbox every Sunday? Subscribe free at &#8594;</p><p class="button-wrapper" data-attrs="{&quot;url&quot;:&quot;https://www.trendlinehealth.com/subscribe?&quot;,&quot;text&quot;:&quot;Subscribe now&quot;,&quot;action&quot;:null,&quot;class&quot;:null}" data-component-name="ButtonCreateButton"><a class="button primary" href="https://www.trendlinehealth.com/subscribe?"><span>Subscribe now</span></a></p><p></p>]]></content:encoded></item><item><title><![CDATA[IN Pulse – April 5, 2026]]></title><description><![CDATA[2026 | Issue 14 &#8211; Community Partnerships &#8226; Maternal Support &#8226; Veteran Care]]></description><link>https://www.trendlinehealth.com/p/in-pulse-april-5-2026</link><guid isPermaLink="false">https://www.trendlinehealth.com/p/in-pulse-april-5-2026</guid><dc:creator><![CDATA[Mark Newell]]></dc:creator><pubDate>Wed, 15 Apr 2026 19:14:26 GMT</pubDate><enclosure url="https://substackcdn.com/image/fetch/$s_!YNQP!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fac1ba57c-5b02-4289-9fb1-3ebd373bc64e_2560x1440.png" length="0" type="image/jpeg"/><content:encoded><![CDATA[<h6>Trendline Health | IN Pulse | 2026 | Issue 14</h6><div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="https://substackcdn.com/image/fetch/$s_!YNQP!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fac1ba57c-5b02-4289-9fb1-3ebd373bc64e_2560x1440.png" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!YNQP!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fac1ba57c-5b02-4289-9fb1-3ebd373bc64e_2560x1440.png 424w, https://substackcdn.com/image/fetch/$s_!YNQP!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fac1ba57c-5b02-4289-9fb1-3ebd373bc64e_2560x1440.png 848w, https://substackcdn.com/image/fetch/$s_!YNQP!,w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fac1ba57c-5b02-4289-9fb1-3ebd373bc64e_2560x1440.png 1272w, https://substackcdn.com/image/fetch/$s_!YNQP!,w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fac1ba57c-5b02-4289-9fb1-3ebd373bc64e_2560x1440.png 1456w" sizes="100vw"><img src="https://substackcdn.com/image/fetch/$s_!YNQP!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fac1ba57c-5b02-4289-9fb1-3ebd373bc64e_2560x1440.png" width="1456" height="819" 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srcset="https://substackcdn.com/image/fetch/$s_!YNQP!,w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fac1ba57c-5b02-4289-9fb1-3ebd373bc64e_2560x1440.png 424w, https://substackcdn.com/image/fetch/$s_!YNQP!,w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fac1ba57c-5b02-4289-9fb1-3ebd373bc64e_2560x1440.png 848w, https://substackcdn.com/image/fetch/$s_!YNQP!,w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fac1ba57c-5b02-4289-9fb1-3ebd373bc64e_2560x1440.png 1272w, https://substackcdn.com/image/fetch/$s_!YNQP!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fac1ba57c-5b02-4289-9fb1-3ebd373bc64e_2560x1440.png 1456w" sizes="100vw" fetchpriority="high"></picture><div 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stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-maximize2 lucide-maximize-2"><polyline points="15 3 21 3 21 9"></polyline><polyline points="9 21 3 21 3 15"></polyline><line x1="21" x2="14" y1="3" y2="10"></line><line x1="3" x2="10" y1="21" y2="14"></line></svg></button></div></div></div></a></figure></div><h2>Growth &amp; Finance</h2><ul><li><p><strong>Riverview Health secures naming rights for Noblesville arena</strong><br>Riverview Health became the naming sponsor of the new 3,400-seat multi-purpose arena at Innovation Mile in Noblesville, now called Riverview Health Arena. The deal, announced March 25-26 with the City of Noblesville and Parkview Health as operational partner, positions the venue as home to the Noblesville Boom (Pacers G League affiliate) while anchoring a broader innovation, sports, and entertainment district. Health-focused programming, including colorectal cancer screening events, will tie clinical care to community wellness and economic development. Leaders emphasized health as connection, movement, and inspiration beyond hospital walls.</p></li></ul><div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="https://substackcdn.com/image/fetch/$s_!vSiB!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fa805e7f7-b47e-495a-918c-40a0ce34b636_1800x1088.jpeg" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!vSiB!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fa805e7f7-b47e-495a-918c-40a0ce34b636_1800x1088.jpeg 424w, https://substackcdn.com/image/fetch/$s_!vSiB!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fa805e7f7-b47e-495a-918c-40a0ce34b636_1800x1088.jpeg 848w, 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data-attrs="{&quot;src&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/a805e7f7-b47e-495a-918c-40a0ce34b636_1800x1088.jpeg&quot;,&quot;srcNoWatermark&quot;:null,&quot;fullscreen&quot;:null,&quot;imageSize&quot;:null,&quot;height&quot;:880,&quot;width&quot;:1456,&quot;resizeWidth&quot;:638,&quot;bytes&quot;:null,&quot;alt&quot;:null,&quot;title&quot;:null,&quot;type&quot;:null,&quot;href&quot;:null,&quot;belowTheFold&quot;:false,&quot;topImage&quot;:false,&quot;internalRedirect&quot;:null,&quot;isProcessing&quot;:false,&quot;align&quot;:null,&quot;offset&quot;:false}" class="sizing-normal" alt="" srcset="https://substackcdn.com/image/fetch/$s_!vSiB!,w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fa805e7f7-b47e-495a-918c-40a0ce34b636_1800x1088.jpeg 424w, https://substackcdn.com/image/fetch/$s_!vSiB!,w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fa805e7f7-b47e-495a-918c-40a0ce34b636_1800x1088.jpeg 848w, https://substackcdn.com/image/fetch/$s_!vSiB!,w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fa805e7f7-b47e-495a-918c-40a0ce34b636_1800x1088.jpeg 1272w, https://substackcdn.com/image/fetch/$s_!vSiB!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fa805e7f7-b47e-495a-918c-40a0ce34b636_1800x1088.jpeg 1456w" sizes="100vw"></picture><div class="image-link-expand"><div class="pencraft pc-display-flex pc-gap-8 pc-reset"><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container restack-image"><svg role="img" width="20" height="20" viewBox="0 0 20 20" fill="none" stroke-width="1.5" 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x1="3" x2="10" y1="21" y2="14"></line></svg></button></div></div></div></a></figure></div><p><a href="https://www.riverview.org/press-release/riverview-health-announced-naming-sponsor-new-arena-innovation-mile-noblesville">Riverview Health Press Release</a> | <a href="https://www.beckershospitalreview.com/digital-marketing/indiana-health-system-nabs-arena-naming-rights/">Beckers Hospital Review</a></p><h2>Policy &amp; Regulation</h2><ul><li><p><strong>Community Health agrees to PILOT payments for Westfield facility</strong><br>Community Health will make payments in lieu of taxes for its Westfield facility, resolving potential property tax disputes while supporting local government services. The arrangement reflects ongoing negotiations between nonprofit health providers and Indiana communities over tax-exempt status for new or expanded sites. Details on exact payment amounts remain limited in early reporting, but the move signals pragmatic collaboration amid growth pressures in Hamilton County.<br><a href="https://www.ibj.com/articles/community-health-to-make-payments-in-lieu-of-taxes-for-westfield-facility">IBJ {Paywall}</a></p></li></ul><h2>Innovation &amp; Access</h2><ul><li><p><strong>IU Health awards $543K grant to Bloomington&#8217;s Healing Hands Outreach Center</strong><br>IU Health committed $543,422 from its Community Impact Investment Fund to Healing Hands Outreach Center, boosting services for low-income expectant and postpartum mothers in Bloomington &#8212; including those who are or were incarcerated. Funding will train community doulas, expand postpartum support groups, and tackle social determinants of health to combat Indiana&#8217;s elevated infant and maternal mortality rates. The grant enables capacity growth after the center served over 40,000 individuals last year.<br><a href="https://iuhealth.org/for-media/press-releases/iu-health-grant-supports-bloomingtons-healing-hands-outreach-center-in-their-efforts-to-assist-bloomington-expectant-and-postpartum-mothers">IU Health Press Release</a></p></li></ul><h2>Workforce &amp; Leadership</h2><ul><li><p><strong>IU Health names Mark Palmenter as new Chief Marketing Officer</strong><br>IU Health tapped Mark Palmenter, former Chief Marketing Officer at Acadia Healthcare, as its new Vice President and Chief Marketing Officer. With Harvard undergraduate and MBA credentials, Palmenter brings proven expertise in enterprise marketing, brand strategy, and expanding care access across behavioral health networks. He will lead a cross-functional marketing team to strengthen patient and consumer connections while advancing IU Health&#8217;s business objectives and reputation.<br><a href="https://iuhealth.org/for-media/press-releases/iu-health-announces-new-chief-marketing-officer">IU Health Press Release</a> | <a href="https://www.beckershospitalreview.com/hospital-executive-moves/iu-health-taps-new-chief-marketing-officer/">Beckers Hospital Review</a></p></li></ul><h2>Policy &amp; Infrastructure</h2><ul><li><p><strong>$1.98B VA hospital rebuild proposed for Indianapolis</strong><br>A proposed $1.98 billion rebuild of the aging Richard L. Roudebush VA Medical Center could deliver a major economic and care upgrade for Indianapolis veterans. The modern 840,000-square-foot facility would expand acute, specialty, and primary care services while addressing chronic infrastructure problems. Included in President Trump&#8217;s 2027 federal budget proposal, the project awaits Congressional approval but promises construction jobs and long-term operational boosts for the region. Senators Jim Banks and Todd Young highlighted its importance for veteran access.<br><a href="https://nationaltoday.com/us/in/indianapolis/news/2026/04/04/va-hospital-rebuild-could-bring-1-98b-investment-to-indianapolis/">Indianapolis Today / National Today</a></p></li></ul><div><hr></div><p><strong>Sources:</strong> Curated from official press releases, Becker&#8217;s Hospital Review, Indianapolis Business Journal, and local reporting. All links verified as of April 6, 2026.</p><p><strong>Feedback?</strong> Reply to this email or send notes to <a href="mailto:pulse@trendlinehealth.com">pulse@trendlinehealth.com</a>.</p><p><strong>Stay ahead of Indiana healthcare.</strong> Subscribe to IN Pulse for free weekly curation &#8594; </p><p class="button-wrapper" data-attrs="{&quot;url&quot;:&quot;https://www.trendlinehealth.com/subscribe?&quot;,&quot;text&quot;:&quot;Subscribe now&quot;,&quot;action&quot;:null,&quot;class&quot;:null}" data-component-name="ButtonCreateButton"><a class="button primary" href="https://www.trendlinehealth.com/subscribe?"><span>Subscribe now</span></a></p>]]></content:encoded></item><item><title><![CDATA[IN Pulse – March 29, 2026]]></title><description><![CDATA[2026 | Issue 13 &#8211; Rural Transformation &#8226; Debt Protection &#8226; Primary Care Gaps]]></description><link>https://www.trendlinehealth.com/p/in-pulse-march-29-2026</link><guid isPermaLink="false">https://www.trendlinehealth.com/p/in-pulse-march-29-2026</guid><dc:creator><![CDATA[Mark Newell]]></dc:creator><pubDate>Wed, 01 Apr 2026 23:24:09 GMT</pubDate><enclosure url="https://substackcdn.com/image/fetch/$s_!-DkC!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F77f4df89-9722-4e22-97b3-e9e1cb80a914_2560x1440.png" length="0" type="image/jpeg"/><content:encoded><![CDATA[<h6>Trendline Health | IN Pulse | 2026 | Issue 13</h6><div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="https://substackcdn.com/image/fetch/$s_!-DkC!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F77f4df89-9722-4e22-97b3-e9e1cb80a914_2560x1440.png" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!-DkC!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F77f4df89-9722-4e22-97b3-e9e1cb80a914_2560x1440.png 424w, https://substackcdn.com/image/fetch/$s_!-DkC!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F77f4df89-9722-4e22-97b3-e9e1cb80a914_2560x1440.png 848w, https://substackcdn.com/image/fetch/$s_!-DkC!,w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F77f4df89-9722-4e22-97b3-e9e1cb80a914_2560x1440.png 1272w, https://substackcdn.com/image/fetch/$s_!-DkC!,w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F77f4df89-9722-4e22-97b3-e9e1cb80a914_2560x1440.png 1456w" sizes="100vw"><img src="https://substackcdn.com/image/fetch/$s_!-DkC!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F77f4df89-9722-4e22-97b3-e9e1cb80a914_2560x1440.png" width="1456" height="819" 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class="image-link-expand"><div class="pencraft pc-display-flex pc-gap-8 pc-reset"><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container restack-image"><svg role="img" width="20" height="20" viewBox="0 0 20 20" fill="none" stroke-width="1.5" stroke="var(--color-fg-primary)" stroke-linecap="round" stroke-linejoin="round" xmlns="http://www.w3.org/2000/svg"><g><title></title><path d="M2.53001 7.81595C3.49179 4.73911 6.43281 2.5 9.91173 2.5C13.1684 2.5 15.9537 4.46214 17.0852 7.23684L17.6179 8.67647M17.6179 8.67647L18.5002 4.26471M17.6179 8.67647L13.6473 6.91176M17.4995 12.1841C16.5378 15.2609 13.5967 17.5 10.1178 17.5C6.86118 17.5 4.07589 15.5379 2.94432 12.7632L2.41165 11.3235M2.41165 11.3235L1.5293 15.7353M2.41165 11.3235L6.38224 13.0882"></path></g></svg></button><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container view-image"><svg xmlns="http://www.w3.org/2000/svg" width="20" height="20" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-maximize2 lucide-maximize-2"><polyline points="15 3 21 3 21 9"></polyline><polyline points="9 21 3 21 3 15"></polyline><line x1="21" x2="14" y1="3" y2="10"></line><line x1="3" x2="10" y1="21" y2="14"></line></svg></button></div></div></div></a></figure></div><h2>Policy &amp; Regulation</h2><ul><li><p><strong>Braun touts 2026 healthcare wins targeting medical debt and rural access</strong><br>Governor Mike Braun highlighted new laws signed this year to ease burdens on Hoosier families. HEA 1271 and SEA 225 require hospitals to connect patients with financial assistance before collections and bar aggressive debt pursuits for non-compliant facilities. HEA 1358 mandates rural health rotations and nutrition education for medical students to bolster the doctor pipeline in underserved areas.</p><blockquote><p>&#8220;These are concrete steps to fix the broken health care system making it harder for Hoosiers to make ends meet at the kitchen table.&#8221; ~Governor Mike Braun</p></blockquote><p><a href="https://www.21alivenews.com/2026/03/25/braun-highlights-major-healthcare-wins-2026/">21Alive News</a></p></li><li><p><strong>Indiana joins Vermont in capping soaring hospital prices</strong><br>Despite political differences, Indiana and Vermont enacted 2025 policies to limit hospital charges for commercially insured patients amid national price pressures. The moves aim to curb costs that strain families and employers.</p><p><a href="https://www.economist.com/united-states/2026/03/12/two-very-different-states-take-aim-at-soaring-hospital-prices">The Economist {Paywall}</a></p></li><li><p><strong>Indiana Rural Health Transformation Program advances with $207M grant and new committee</strong><br>The Indiana Rural Health Transformation Program (RHTP), backed by a nearly $207 million five-year federal grant, aims to boost access, innovation, workforce, and care models in rural communities. Senator Eric Koch (R-Bedford) joined the Region 7 Advisory Committee to guide local needs assessment and grants across eight counties. The initiative emphasizes community-led solutions for prevention, chronic care, behavioral health, and technology.</p></li></ul><div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="https://substackcdn.com/image/fetch/$s_!Kar3!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F2cf67071-10eb-4d0c-86f5-684ace67e927_1418x1472.jpeg" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!Kar3!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F2cf67071-10eb-4d0c-86f5-684ace67e927_1418x1472.jpeg 424w, 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data-attrs="{&quot;src&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/2cf67071-10eb-4d0c-86f5-684ace67e927_1418x1472.jpeg&quot;,&quot;srcNoWatermark&quot;:null,&quot;fullscreen&quot;:null,&quot;imageSize&quot;:null,&quot;height&quot;:1472,&quot;width&quot;:1418,&quot;resizeWidth&quot;:612,&quot;bytes&quot;:null,&quot;alt&quot;:null,&quot;title&quot;:null,&quot;type&quot;:null,&quot;href&quot;:null,&quot;belowTheFold&quot;:false,&quot;topImage&quot;:false,&quot;internalRedirect&quot;:null,&quot;isProcessing&quot;:false,&quot;align&quot;:null,&quot;offset&quot;:false}" class="sizing-normal" alt="" srcset="https://substackcdn.com/image/fetch/$s_!Kar3!,w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F2cf67071-10eb-4d0c-86f5-684ace67e927_1418x1472.jpeg 424w, 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stroke="var(--color-fg-primary)" stroke-linecap="round" stroke-linejoin="round" xmlns="http://www.w3.org/2000/svg"><g><title></title><path d="M2.53001 7.81595C3.49179 4.73911 6.43281 2.5 9.91173 2.5C13.1684 2.5 15.9537 4.46214 17.0852 7.23684L17.6179 8.67647M17.6179 8.67647L18.5002 4.26471M17.6179 8.67647L13.6473 6.91176M17.4995 12.1841C16.5378 15.2609 13.5967 17.5 10.1178 17.5C6.86118 17.5 4.07589 15.5379 2.94432 12.7632L2.41165 11.3235M2.41165 11.3235L1.5293 15.7353M2.41165 11.3235L6.38224 13.0882"></path></g></svg></button><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container view-image"><svg xmlns="http://www.w3.org/2000/svg" width="20" height="20" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-maximize2 lucide-maximize-2"><polyline points="15 3 21 3 21 9"></polyline><polyline points="9 21 3 21 3 15"></polyline><line x1="21" x2="14" y1="3" y2="10"></line><line x1="3" x2="10" y1="21" y2="14"></line></svg></button></div></div></div></a></figure></div><p><a href="https://www.in.gov/grow-rural-health/">IN.gov Grow Rural Health</a> | <a href="https://www.wbiw.com/2026/03/20/senator-eric-koch-named-to-indiana-rural-health-transformation-program-committee/">WBIW</a></p><ul><li><p><strong>Report: Indiana lags nation in primary and preventative care</strong><br>Indiana trails national averages with only 66 primary care physicians per 100,000 residents (vs. 75 nationally) and primary care claiming just 6% of employer health spending (vs. 30% elsewhere). Children&#8217;s well-visit rates and many cancer screenings fall short, though adult checkups and adolescent mental health access beat benchmarks. Experts say underinvestment drives higher costs and worse outcomes; solutions include expanded scope of practice and more residencies.</p></li></ul><div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="https://substackcdn.com/image/fetch/$s_!8Ly3!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fa75dbcb0-a658-457e-8851-38c7632ec504_1515x854.jpeg" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!8Ly3!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fa75dbcb0-a658-457e-8851-38c7632ec504_1515x854.jpeg 424w, https://substackcdn.com/image/fetch/$s_!8Ly3!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fa75dbcb0-a658-457e-8851-38c7632ec504_1515x854.jpeg 848w, https://substackcdn.com/image/fetch/$s_!8Ly3!,w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fa75dbcb0-a658-457e-8851-38c7632ec504_1515x854.jpeg 1272w, https://substackcdn.com/image/fetch/$s_!8Ly3!,w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fa75dbcb0-a658-457e-8851-38c7632ec504_1515x854.jpeg 1456w" sizes="100vw"><img src="https://substackcdn.com/image/fetch/$s_!8Ly3!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fa75dbcb0-a658-457e-8851-38c7632ec504_1515x854.jpeg" width="594" height="334.9409340659341" data-attrs="{&quot;src&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/a75dbcb0-a658-457e-8851-38c7632ec504_1515x854.jpeg&quot;,&quot;srcNoWatermark&quot;:null,&quot;fullscreen&quot;:null,&quot;imageSize&quot;:null,&quot;height&quot;:821,&quot;width&quot;:1456,&quot;resizeWidth&quot;:594,&quot;bytes&quot;:null,&quot;alt&quot;:null,&quot;title&quot;:null,&quot;type&quot;:null,&quot;href&quot;:null,&quot;belowTheFold&quot;:false,&quot;topImage&quot;:false,&quot;internalRedirect&quot;:null,&quot;isProcessing&quot;:false,&quot;align&quot;:null,&quot;offset&quot;:false}" class="sizing-normal" alt="" srcset="https://substackcdn.com/image/fetch/$s_!8Ly3!,w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fa75dbcb0-a658-457e-8851-38c7632ec504_1515x854.jpeg 424w, https://substackcdn.com/image/fetch/$s_!8Ly3!,w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fa75dbcb0-a658-457e-8851-38c7632ec504_1515x854.jpeg 848w, https://substackcdn.com/image/fetch/$s_!8Ly3!,w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fa75dbcb0-a658-457e-8851-38c7632ec504_1515x854.jpeg 1272w, https://substackcdn.com/image/fetch/$s_!8Ly3!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fa75dbcb0-a658-457e-8851-38c7632ec504_1515x854.jpeg 1456w" sizes="100vw"></picture><div class="image-link-expand"><div class="pencraft pc-display-flex pc-gap-8 pc-reset"><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container restack-image"><svg role="img" width="20" height="20" viewBox="0 0 20 20" fill="none" stroke-width="1.5" stroke="var(--color-fg-primary)" stroke-linecap="round" stroke-linejoin="round" xmlns="http://www.w3.org/2000/svg"><g><title></title><path d="M2.53001 7.81595C3.49179 4.73911 6.43281 2.5 9.91173 2.5C13.1684 2.5 15.9537 4.46214 17.0852 7.23684L17.6179 8.67647M17.6179 8.67647L18.5002 4.26471M17.6179 8.67647L13.6473 6.91176M17.4995 12.1841C16.5378 15.2609 13.5967 17.5 10.1178 17.5C6.86118 17.5 4.07589 15.5379 2.94432 12.7632L2.41165 11.3235M2.41165 11.3235L1.5293 15.7353M2.41165 11.3235L6.38224 13.0882"></path></g></svg></button><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container view-image"><svg xmlns="http://www.w3.org/2000/svg" width="20" height="20" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-maximize2 lucide-maximize-2"><polyline points="15 3 21 3 21 9"></polyline><polyline points="9 21 3 21 3 15"></polyline><line x1="21" x2="14" y1="3" y2="10"></line><line x1="3" x2="10" y1="21" y2="14"></line></svg></button></div></div></div></a><figcaption class="image-caption">Report: <a href="https://fairbanks.indianapolis.iu.edu/doc/research-centers/research/primary-preventive-care.pdf">Increasing Primary Care and Preventive Care Utilization in Indiana: A State-Level Approach</a></figcaption></figure></div><p><a href="https://indianacapitalchronicle.com/2026/03/24/report-finds-indiana-lags-nation-in-primary-preventative-care/">Indiana Capital Chronicle</a></p><h2>Growth &amp; Finance</h2><ul><li><p><strong>IU Health Bloomington shows IRS loss but strong state-reported surplus</strong><br>IU Health Bloomington reported a $20 million loss on 2024 IRS filings&#8212;the third straight year&#8212;while posting a $120 million operating surplus to the state. Differences stem from accounting methods and which affiliated entities are included. Systemwide, IU Health logged nearly $1 billion in profit, mostly from investments. The conflicting numbers fuel ongoing debate over hospital financial health.</p><p><a href="https://www.spencereveningworld.com/story/news/2026/03/19/iu-health-bloomington-reports-loss-to-irs-profit-to-indiana-heres-why/89201608007/">Spencer Evening World</a></p></li><li><p><strong>Indiana Orthopedic Institute expands to full musculoskeletal care</strong><br>Indiana Orthopedic Institute is growing beyond hip and knee replacements with new spinal care and foot/ankle service lines launching this summer and fall. Fellowship-trained surgeon Dr. Daniel Williams joins in May for sports medicine and general orthopedics. A new Greenwood outpatient clinic opened March 30, adding to recent walk-in urgent care expansions. Founder and CEO Dr. Michael Meneghini said the model delivers &#8220;high-quality, efficient care&#8221; that resonates with patients and employers.</p><blockquote><p>&#8220;This high-quality, efficient care is attractive to patients and employers providing their health benefits.&#8221; ~Dr. Michael Meneghini, Indiana Orthopedic Institute&#8217;s founder and CEO</p></blockquote><p><a href="https://www.indianaortho.com/indiana-orthopedic-institute-unveils-expansion-of-services/">Indiana Orthopedic Institute</a></p></li></ul><h2>Workforce &amp; Leadership</h2><ul><li><p><strong>Perry County Memorial Hospital names new CEO</strong><br>Tell City-based Perry County Memorial Hospital tapped longtime insider Nick Harley as CEO. Harley previously served as the hospital&#8217;s COO and vice president of ambulatory operations.</p><p><a href="https://www.beckershospitalreview.com/hospital-executive-moves/indiana-hospital-taps-new-ceo-2/">Becker&#8217;s Hospital Review</a></p></li></ul><div><hr></div><p><strong>Sources:</strong> Curated from public reports and announcements, March 2026.</p><p>Feedback? Drop a note to <a href="mailto:inpulse@trendlinehealth.com">inpulse@trendlinehealth.com</a>.</p><p>Want this in your inbox weekly? </p><p class="button-wrapper" data-attrs="{&quot;url&quot;:&quot;https://www.trendlinehealth.com/subscribe?&quot;,&quot;text&quot;:&quot;Subscribe now&quot;,&quot;action&quot;:null,&quot;class&quot;:null}" data-component-name="ButtonCreateButton"><a class="button primary" href="https://www.trendlinehealth.com/subscribe?"><span>Subscribe now</span></a></p>]]></content:encoded></item><item><title><![CDATA[IN Pulse – March 22, 2026]]></title><description><![CDATA[2026 | Issue 12 &#8211; Medicaid Shakeup &#8226; Nursing Home Shift &#8226; Leadership Transitions]]></description><link>https://www.trendlinehealth.com/p/in-pulse-march-22-2026</link><guid isPermaLink="false">https://www.trendlinehealth.com/p/in-pulse-march-22-2026</guid><dc:creator><![CDATA[Mark Newell]]></dc:creator><pubDate>Tue, 24 Mar 2026 14:41:23 GMT</pubDate><enclosure url="https://substack-post-media.s3.amazonaws.com/public/images/41378d8a-ce05-4172-a6f4-882b6d5cd8e2_2560x1440.png" length="0" type="image/jpeg"/><content:encoded><![CDATA[<h6>Trendline Health | IN Pulse | 2026 | Issue 12</h6><div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="https://substackcdn.com/image/fetch/$s_!HZWJ!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fc2a72e1f-b09b-44bf-8ce3-ebc2dd4ac910_2560x1080.png" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!HZWJ!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fc2a72e1f-b09b-44bf-8ce3-ebc2dd4ac910_2560x1080.png 424w, https://substackcdn.com/image/fetch/$s_!HZWJ!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fc2a72e1f-b09b-44bf-8ce3-ebc2dd4ac910_2560x1080.png 848w, https://substackcdn.com/image/fetch/$s_!HZWJ!,w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fc2a72e1f-b09b-44bf-8ce3-ebc2dd4ac910_2560x1080.png 1272w, https://substackcdn.com/image/fetch/$s_!HZWJ!,w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fc2a72e1f-b09b-44bf-8ce3-ebc2dd4ac910_2560x1080.png 1456w" sizes="100vw"><img src="https://substackcdn.com/image/fetch/$s_!HZWJ!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fc2a72e1f-b09b-44bf-8ce3-ebc2dd4ac910_2560x1080.png" width="2560" height="1080" data-attrs="{&quot;src&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/c2a72e1f-b09b-44bf-8ce3-ebc2dd4ac910_2560x1080.png&quot;,&quot;srcNoWatermark&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/397de525-042f-4cf0-8c83-93cfdcf85367_2560x1080.png&quot;,&quot;fullscreen&quot;:null,&quot;imageSize&quot;:null,&quot;height&quot;:1080,&quot;width&quot;:2560,&quot;resizeWidth&quot;:null,&quot;bytes&quot;:1187227,&quot;alt&quot;:null,&quot;title&quot;:null,&quot;type&quot;:&quot;image/png&quot;,&quot;href&quot;:null,&quot;belowTheFold&quot;:false,&quot;topImage&quot;:true,&quot;internalRedirect&quot;:&quot;https://www.trendlinehealth.com/i/191985049?img=https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F68caea30-36e3-4088-8195-b4b9096e795e_2560x1440.png&quot;,&quot;isProcessing&quot;:false,&quot;align&quot;:null,&quot;offset&quot;:false}" class="sizing-normal" alt="" srcset="https://substackcdn.com/image/fetch/$s_!HZWJ!,w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fc2a72e1f-b09b-44bf-8ce3-ebc2dd4ac910_2560x1080.png 424w, https://substackcdn.com/image/fetch/$s_!HZWJ!,w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fc2a72e1f-b09b-44bf-8ce3-ebc2dd4ac910_2560x1080.png 848w, https://substackcdn.com/image/fetch/$s_!HZWJ!,w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fc2a72e1f-b09b-44bf-8ce3-ebc2dd4ac910_2560x1080.png 1272w, https://substackcdn.com/image/fetch/$s_!HZWJ!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fc2a72e1f-b09b-44bf-8ce3-ebc2dd4ac910_2560x1080.png 1456w" sizes="100vw" fetchpriority="high"></picture><div class="image-link-expand"><div class="pencraft pc-display-flex pc-gap-8 pc-reset"><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container restack-image"><svg role="img" width="20" height="20" viewBox="0 0 20 20" fill="none" stroke-width="1.5" stroke="var(--color-fg-primary)" stroke-linecap="round" stroke-linejoin="round" xmlns="http://www.w3.org/2000/svg"><g><title></title><path d="M2.53001 7.81595C3.49179 4.73911 6.43281 2.5 9.91173 2.5C13.1684 2.5 15.9537 4.46214 17.0852 7.23684L17.6179 8.67647M17.6179 8.67647L18.5002 4.26471M17.6179 8.67647L13.6473 6.91176M17.4995 12.1841C16.5378 15.2609 13.5967 17.5 10.1178 17.5C6.86118 17.5 4.07589 15.5379 2.94432 12.7632L2.41165 11.3235M2.41165 11.3235L1.5293 15.7353M2.41165 11.3235L6.38224 13.0882"></path></g></svg></button><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container view-image"><svg xmlns="http://www.w3.org/2000/svg" width="20" height="20" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-maximize2 lucide-maximize-2"><polyline points="15 3 21 3 21 9"></polyline><polyline points="9 21 3 21 3 15"></polyline><line x1="21" x2="14" y1="3" y2="10"></line><line x1="3" x2="10" y1="21" y2="14"></line></svg></button></div></div></div></a></figure></div><h3>Policy &amp; Regulation</h3><ul><li><p><strong>Indiana targets 340B savings in major Medicaid drug reimbursement overhaul</strong><br>FSSA plans to discontinue Medicaid reimbursement for drugs purchased under the federal 340B program starting July 1, 2026, letting the state capture roughly $63 million annually in rebates for its budget. Safety-net providers like HealthNet and the Damien Center warn of $3&#8211;5 million hits each, potentially slashing services for low-income and uninsured Hoosiers and driving more emergency visits. Critics question whether the move truly saves money or just shifts costs. Public comments due by March 27.</p><div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="https://substackcdn.com/image/fetch/$s_!IDqC!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fb8f03034-63da-4790-85b8-c514d04e14d6_1620x1112.png" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!IDqC!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fb8f03034-63da-4790-85b8-c514d04e14d6_1620x1112.png 424w, https://substackcdn.com/image/fetch/$s_!IDqC!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fb8f03034-63da-4790-85b8-c514d04e14d6_1620x1112.png 848w, https://substackcdn.com/image/fetch/$s_!IDqC!,w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fb8f03034-63da-4790-85b8-c514d04e14d6_1620x1112.png 1272w, https://substackcdn.com/image/fetch/$s_!IDqC!,w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fb8f03034-63da-4790-85b8-c514d04e14d6_1620x1112.png 1456w" sizes="100vw"><img src="https://substackcdn.com/image/fetch/$s_!IDqC!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fb8f03034-63da-4790-85b8-c514d04e14d6_1620x1112.png" width="1456" height="999" data-attrs="{&quot;src&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/b8f03034-63da-4790-85b8-c514d04e14d6_1620x1112.png&quot;,&quot;srcNoWatermark&quot;:null,&quot;fullscreen&quot;:null,&quot;imageSize&quot;:null,&quot;height&quot;:999,&quot;width&quot;:1456,&quot;resizeWidth&quot;:null,&quot;bytes&quot;:null,&quot;alt&quot;:null,&quot;title&quot;:null,&quot;type&quot;:null,&quot;href&quot;:null,&quot;belowTheFold&quot;:false,&quot;topImage&quot;:false,&quot;internalRedirect&quot;:null,&quot;isProcessing&quot;:false,&quot;align&quot;:null,&quot;offset&quot;:false}" class="sizing-normal" alt="" srcset="https://substackcdn.com/image/fetch/$s_!IDqC!,w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fb8f03034-63da-4790-85b8-c514d04e14d6_1620x1112.png 424w, https://substackcdn.com/image/fetch/$s_!IDqC!,w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fb8f03034-63da-4790-85b8-c514d04e14d6_1620x1112.png 848w, https://substackcdn.com/image/fetch/$s_!IDqC!,w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fb8f03034-63da-4790-85b8-c514d04e14d6_1620x1112.png 1272w, https://substackcdn.com/image/fetch/$s_!IDqC!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fb8f03034-63da-4790-85b8-c514d04e14d6_1620x1112.png 1456w" sizes="100vw"></picture><div class="image-link-expand"><div class="pencraft pc-display-flex pc-gap-8 pc-reset"><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container restack-image"><svg role="img" width="20" height="20" viewBox="0 0 20 20" fill="none" stroke-width="1.5" stroke="var(--color-fg-primary)" stroke-linecap="round" stroke-linejoin="round" xmlns="http://www.w3.org/2000/svg"><g><title></title><path d="M2.53001 7.81595C3.49179 4.73911 6.43281 2.5 9.91173 2.5C13.1684 2.5 15.9537 4.46214 17.0852 7.23684L17.6179 8.67647M17.6179 8.67647L18.5002 4.26471M17.6179 8.67647L13.6473 6.91176M17.4995 12.1841C16.5378 15.2609 13.5967 17.5 10.1178 17.5C6.86118 17.5 4.07589 15.5379 2.94432 12.7632L2.41165 11.3235M2.41165 11.3235L1.5293 15.7353M2.41165 11.3235L6.38224 13.0882"></path></g></svg></button><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container view-image"><svg xmlns="http://www.w3.org/2000/svg" width="20" height="20" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-maximize2 lucide-maximize-2"><polyline points="15 3 21 3 21 9"></polyline><polyline points="9 21 3 21 3 15"></polyline><line x1="21" x2="14" y1="3" y2="10"></line><line x1="3" x2="10" y1="21" y2="14"></line></svg></button></div></div></div></a></figure></div><p><a href="https://www.ipm.org/news/2026-03-19/medicaid-drug-reimbursements-could-end-for-health-care-providers-across-indiana">IPM News</a> | <a href="https://www.ibj.com/articles/indiana-considering-change-to-cut-medicaid-coverage-of-drugs-through-federal-program">IBJ {Paywall}</a></p><p></p></li><li><p><strong>Gov. Braun signs bill moving long-stay nursing home residents out of Medicaid managed care</strong><br>Long-term nursing home residents (100+ days) will shift from managed care back to fee-for-service beginning July 1, 2027, after Gov. Mike Braun signed HB 1277 on March 12. The PathWays for Aging program has faced payment delays and denials totaling an estimated $100 million from MCOs like UnitedHealthcare, Humana, and Elevance. The state will also pursue an assisted living Medicaid waiver.</p><p><a href="https://www.beckershospitalreview.com/post-acute/indiana-to-move-long-term-nursing-home-residents-out-of-medicaid-managed-care/">Becker&#8217;s Hospital Review</a></p><p></p></li></ul><h3>Workforce &amp; Leadership</h3><ul><li><p><strong>Deaconess Illinois CFO brings rental-car discipline to healthcare finance</strong><br>Jason Hinkle, CFO of Deaconess Illinois (part of Evansville-based Deaconess Health System), oversees four hospitals after an unconventional route: EY healthcare audits, four years at Enterprise Mobility as senior accountant, then roles at Advocate Health and Loyola Medicine. He&#8217;s importing performance-based pay tying frontline leaders&#8217; compensation to budget results &#8212; giving them &#8220;skin in the game&#8221; &#8212; while pushing AI into daily operations.</p><p><a href="https://www.beckershospitalreview.com/finance/1-cfos-unconventional-path-from-rental-cars-to-healthcare/">Becker&#8217;s Hospital Review</a></p></li></ul><div><hr></div><p><strong>Sources:</strong> Curated from IBJ, IPM, Becker&#8217;s Hospital Review, and supporting public notices. All links active as of March 24, 2026.</p><p>Feedback? Hit reply or email <a href="mailto:inpulse@trendlinehealth.com">inpulse@trendlinehealth.com</a></p><p>Want this in your inbox every week? </p><div class="subscription-widget-wrap-editor" data-attrs="{&quot;url&quot;:&quot;https://www.trendlinehealth.com/subscribe?&quot;,&quot;text&quot;:&quot;Subscribe&quot;,&quot;language&quot;:&quot;en&quot;}" data-component-name="SubscribeWidgetToDOM"><div class="subscription-widget show-subscribe"><div class="preamble"><p class="cta-caption">Thanks for reading Trendline Health! Subscribe for free to receive new posts and support my work.</p></div><form class="subscription-widget-subscribe"><input type="email" class="email-input" name="email" placeholder="Type your email&#8230;" tabindex="-1"><input type="submit" class="button primary" value="Subscribe"><div class="fake-input-wrapper"><div class="fake-input"></div><div class="fake-button"></div></div></form></div></div>]]></content:encoded></item><item><title><![CDATA[IN Pulse – March 15, 2026]]></title><description><![CDATA[2026 | Issue 11 &#8211; Leadership Shifts &#8226; Cancer Quality &#8226; Big Bets]]></description><link>https://www.trendlinehealth.com/p/in-pulse-march-15-2026</link><guid isPermaLink="false">https://www.trendlinehealth.com/p/in-pulse-march-15-2026</guid><dc:creator><![CDATA[Mark Newell]]></dc:creator><pubDate>Tue, 17 Mar 2026 15:28:27 GMT</pubDate><enclosure url="https://substackcdn.com/image/fetch/$s_!tyFi!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fa06b1b14-49d3-4950-9da5-b598fee17191_1024x608.png" length="0" type="image/jpeg"/><content:encoded><![CDATA[<h6>Trendline Health | IN Pulse | 2026 | Issue 11</h6><div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="https://substackcdn.com/image/fetch/$s_!tyFi!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fa06b1b14-49d3-4950-9da5-b598fee17191_1024x608.png" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!tyFi!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fa06b1b14-49d3-4950-9da5-b598fee17191_1024x608.png 424w, https://substackcdn.com/image/fetch/$s_!tyFi!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fa06b1b14-49d3-4950-9da5-b598fee17191_1024x608.png 848w, https://substackcdn.com/image/fetch/$s_!tyFi!,w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fa06b1b14-49d3-4950-9da5-b598fee17191_1024x608.png 1272w, https://substackcdn.com/image/fetch/$s_!tyFi!,w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fa06b1b14-49d3-4950-9da5-b598fee17191_1024x608.png 1456w" sizes="100vw"><img src="https://substackcdn.com/image/fetch/$s_!tyFi!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fa06b1b14-49d3-4950-9da5-b598fee17191_1024x608.png" width="1024" height="608" data-attrs="{&quot;src&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/a06b1b14-49d3-4950-9da5-b598fee17191_1024x608.png&quot;,&quot;srcNoWatermark&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/72b78bf7-3639-4927-bde8-feb819a2ffb0_1024x608.png&quot;,&quot;fullscreen&quot;:null,&quot;imageSize&quot;:&quot;normal&quot;,&quot;height&quot;:608,&quot;width&quot;:1024,&quot;resizeWidth&quot;:null,&quot;bytes&quot;:null,&quot;alt&quot;:null,&quot;title&quot;:null,&quot;type&quot;:null,&quot;href&quot;:null,&quot;belowTheFold&quot;:false,&quot;topImage&quot;:true,&quot;internalRedirect&quot;:null,&quot;isProcessing&quot;:false,&quot;align&quot;:null,&quot;offset&quot;:false}" class="sizing-normal" alt="" srcset="https://substackcdn.com/image/fetch/$s_!tyFi!,w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fa06b1b14-49d3-4950-9da5-b598fee17191_1024x608.png 424w, https://substackcdn.com/image/fetch/$s_!tyFi!,w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fa06b1b14-49d3-4950-9da5-b598fee17191_1024x608.png 848w, https://substackcdn.com/image/fetch/$s_!tyFi!,w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fa06b1b14-49d3-4950-9da5-b598fee17191_1024x608.png 1272w, https://substackcdn.com/image/fetch/$s_!tyFi!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fa06b1b14-49d3-4950-9da5-b598fee17191_1024x608.png 1456w" sizes="100vw" fetchpriority="high"></picture><div class="image-link-expand"><div class="pencraft pc-display-flex pc-gap-8 pc-reset"><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container restack-image"><svg role="img" width="20" height="20" viewBox="0 0 20 20" fill="none" stroke-width="1.5" stroke="var(--color-fg-primary)" stroke-linecap="round" stroke-linejoin="round" xmlns="http://www.w3.org/2000/svg"><g><title></title><path d="M2.53001 7.81595C3.49179 4.73911 6.43281 2.5 9.91173 2.5C13.1684 2.5 15.9537 4.46214 17.0852 7.23684L17.6179 8.67647M17.6179 8.67647L18.5002 4.26471M17.6179 8.67647L13.6473 6.91176M17.4995 12.1841C16.5378 15.2609 13.5967 17.5 10.1178 17.5C6.86118 17.5 4.07589 15.5379 2.94432 12.7632L2.41165 11.3235M2.41165 11.3235L1.5293 15.7353M2.41165 11.3235L6.38224 13.0882"></path></g></svg></button><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container view-image"><svg xmlns="http://www.w3.org/2000/svg" width="20" height="20" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-maximize2 lucide-maximize-2"><polyline points="15 3 21 3 21 9"></polyline><polyline points="9 21 3 21 3 15"></polyline><line x1="21" x2="14" y1="3" y2="10"></line><line x1="3" x2="10" y1="21" y2="14"></line></svg></button></div></div></div></a></figure></div><h3>Growth &amp; Finance</h3><ul><li><p><strong>IU Health absorbs short-term pain for massive future bets</strong><br>IU Health posted just $50M operating income (0.5% margin) in 2025, down from $257M, as it funds a $2.3B downtown Indianapolis hospital (opening 2027), a new 140-bed facility near Fort Wayne, systemwide Epic rollout, and regional consolidations. CFO Jenni Alvey called the pressure from these &#8220;big, one-time endeavors&#8221; expected through 2027 but essential for long-term margin growth and a stronger balance sheet. The system has already delivered $1.4B in affordability savings to Hoosiers via price cuts.</p><div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="https://substackcdn.com/image/fetch/$s_!JW4V!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F5d96cffd-1003-4c89-804a-a3250aa864c9_845x475.webp" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!JW4V!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F5d96cffd-1003-4c89-804a-a3250aa864c9_845x475.webp 424w, https://substackcdn.com/image/fetch/$s_!JW4V!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F5d96cffd-1003-4c89-804a-a3250aa864c9_845x475.webp 848w, https://substackcdn.com/image/fetch/$s_!JW4V!,w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F5d96cffd-1003-4c89-804a-a3250aa864c9_845x475.webp 1272w, https://substackcdn.com/image/fetch/$s_!JW4V!,w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F5d96cffd-1003-4c89-804a-a3250aa864c9_845x475.webp 1456w" sizes="100vw"><img src="https://substackcdn.com/image/fetch/$s_!JW4V!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F5d96cffd-1003-4c89-804a-a3250aa864c9_845x475.webp" width="650" height="365.38461538461536" data-attrs="{&quot;src&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/5d96cffd-1003-4c89-804a-a3250aa864c9_845x475.webp&quot;,&quot;srcNoWatermark&quot;:null,&quot;fullscreen&quot;:null,&quot;imageSize&quot;:null,&quot;height&quot;:475,&quot;width&quot;:845,&quot;resizeWidth&quot;:650,&quot;bytes&quot;:null,&quot;alt&quot;:null,&quot;title&quot;:null,&quot;type&quot;:null,&quot;href&quot;:null,&quot;belowTheFold&quot;:false,&quot;topImage&quot;:false,&quot;internalRedirect&quot;:null,&quot;isProcessing&quot;:false,&quot;align&quot;:null,&quot;offset&quot;:false}" class="sizing-normal" alt="" srcset="https://substackcdn.com/image/fetch/$s_!JW4V!,w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F5d96cffd-1003-4c89-804a-a3250aa864c9_845x475.webp 424w, https://substackcdn.com/image/fetch/$s_!JW4V!,w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F5d96cffd-1003-4c89-804a-a3250aa864c9_845x475.webp 848w, https://substackcdn.com/image/fetch/$s_!JW4V!,w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F5d96cffd-1003-4c89-804a-a3250aa864c9_845x475.webp 1272w, https://substackcdn.com/image/fetch/$s_!JW4V!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F5d96cffd-1003-4c89-804a-a3250aa864c9_845x475.webp 1456w" sizes="100vw"></picture><div class="image-link-expand"><div class="pencraft pc-display-flex pc-gap-8 pc-reset"><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container restack-image"><svg role="img" width="20" height="20" viewBox="0 0 20 20" fill="none" stroke-width="1.5" stroke="var(--color-fg-primary)" stroke-linecap="round" stroke-linejoin="round" xmlns="http://www.w3.org/2000/svg"><g><title></title><path d="M2.53001 7.81595C3.49179 4.73911 6.43281 2.5 9.91173 2.5C13.1684 2.5 15.9537 4.46214 17.0852 7.23684L17.6179 8.67647M17.6179 8.67647L18.5002 4.26471M17.6179 8.67647L13.6473 6.91176M17.4995 12.1841C16.5378 15.2609 13.5967 17.5 10.1178 17.5C6.86118 17.5 4.07589 15.5379 2.94432 12.7632L2.41165 11.3235M2.41165 11.3235L1.5293 15.7353M2.41165 11.3235L6.38224 13.0882"></path></g></svg></button><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container view-image"><svg xmlns="http://www.w3.org/2000/svg" width="20" height="20" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-maximize2 lucide-maximize-2"><polyline points="15 3 21 3 21 9"></polyline><polyline points="9 21 3 21 3 15"></polyline><line x1="21" x2="14" y1="3" y2="10"></line><line x1="3" x2="10" y1="21" y2="14"></line></svg></button></div></div></div></a></figure></div><p><a href="https://www.beckershospitalreview.com/finance/iu-health-bets-on-big-one-time-endeavors-for-the-future/">Becker&#8217;s Hospital Review</a></p><p></p></li></ul><h3>Innovation &amp; Tech</h3><ul><li><p><strong>Hancock Health launches dedicated non-chemo infusion center in Greenfield</strong><br>Hancock Health opened a new infusion center in its Professional Building on March 13, featuring private stations, specialized nurses, on-site pharmacy, Wi-Fi, TVs, and comforts for multi-hour treatments. Services target neurological disorders, autoimmune conditions, osteoporosis, anemia, infections, hydration and low-dose radiation for osteoarthritis.</p></li></ul><blockquote><p>&#8220;Expanding our infusion services allows more patients to receive advanced treatments close to home.&#8221; ~Dr. Julia Compton, Vice President of the Oncology Service Line at Hancock Health</p></blockquote><p><a href="https://wibc.com/881344/hancock-health-opens-new-dedicated-infusion-center/">WIBC</a></p><p></p><h3>Workforce &amp; Leadership</h3><ul><li><p><strong>Reid Health promotes longtime finance leader Gregory Turner to CFO</strong><br>Gregory Turner, who joined Reid Health in 2013 and rose from reimbursement analyst to Director of Financial Services, takes the CFO role left open since Ben Wells became CEO in September 2025.</p></li></ul><blockquote><p>&#8220;I&#8217;m also impressed by Greg&#8217;s passion for Reid and our mission, which will serve him well in this role as we work to maintain Reid&#8217;s financial stability while also meeting the health needs of our communities.&#8221; ~Ben Wells, President/CEO of Reid Health</p></blockquote><p><a href="https://buildingindiana.com/stories/reid-healths-director-of-financial-services-named-cfo,73974">Building Indiana Business</a></p><ul><li><p><strong>Indiana Business Health Collaborative taps Beth Lock as new CEO/Executive Director</strong><br>The employer-driven group formed in 2024 to cut healthcare costs and boost workforce health named Beth Lock, veteran advocate and former Parkview Health policy leader, to the top role via a partnership with Lock Strategies, LLC. Luke Messer stepped down in Q1 2026 after launching the collaborative.</p><p><a href="https://buildingindiana.com/stories/indiana-business-health-collaborative-announces-new-leadership,75147">Building Indiana Business</a></p><p></p></li></ul><h3>Quality &amp; Access</h3><ul><li><p><strong>IU Health Cancer Center Lafayette earns three-year ACR radiation oncology accreditation</strong><br>The American College of Radiology awarded IU Health Cancer Center Lafayette its gold seal for meeting the highest national standards in technology, safety, clinical processes, and patient care. The three-year term underscores quality for patients across the region.</p></li></ul><blockquote><p>&#8220;This reaccreditation matters, because it&#8217;s an external confirmation that our technology, our processes and our clinical judgment meet the highest national standards, when it matters most.&#8221; ~Matthew Orton, MD, Radiation Oncologist at IU Health Arnett</p></blockquote><p><a href="https://iuhealth.org/for-media/press-releases/iu-health-cancer-center-lafayette-earns-three-year-radiation-oncology-accreditation">IU Health</a></p><div><hr></div><p><strong>Sources:</strong> Curated from Building Indiana Business, IU Health, WIBC, Becker&#8217;s Hospital Review. </p><p>Feedback? Drop a note to <a href="mailto:inpulse@trendlinehealth.com">inpulse@trendlinehealth.com</a></p><div class="subscription-widget-wrap-editor" data-attrs="{&quot;url&quot;:&quot;https://www.trendlinehealth.com/subscribe?&quot;,&quot;text&quot;:&quot;Subscribe&quot;,&quot;language&quot;:&quot;en&quot;}" data-component-name="SubscribeWidgetToDOM"><div class="subscription-widget show-subscribe"><div class="preamble"><p class="cta-caption">Thanks for reading Trendline Health! Subscribe for free to receive new posts and support my work.</p></div><form class="subscription-widget-subscribe"><input type="email" class="email-input" name="email" placeholder="Type your email&#8230;" tabindex="-1"><input type="submit" class="button primary" value="Subscribe"><div class="fake-input-wrapper"><div class="fake-input"></div><div class="fake-button"></div></div></form></div></div><p></p>]]></content:encoded></item><item><title><![CDATA[IN Pulse – March 8, 2026]]></title><description><![CDATA[2026 | Issue 10 &#8211; Workforce Surge &#8226; Rural Transformation &#8226; Metabolic Access]]></description><link>https://www.trendlinehealth.com/p/in-pulse-march-11-2026</link><guid isPermaLink="false">https://www.trendlinehealth.com/p/in-pulse-march-11-2026</guid><dc:creator><![CDATA[Mark Newell]]></dc:creator><pubDate>Wed, 11 Mar 2026 22:20:39 GMT</pubDate><enclosure url="https://substackcdn.com/image/fetch/$s_!YKia!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fb2925002-69d1-43dc-a766-8c25265727a6_1024x608.png" length="0" type="image/jpeg"/><content:encoded><![CDATA[<h6>Trendline Health | IN Pulse | 2026 | Issue 10</h6><div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="https://substackcdn.com/image/fetch/$s_!YKia!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fb2925002-69d1-43dc-a766-8c25265727a6_1024x608.png" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!YKia!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fb2925002-69d1-43dc-a766-8c25265727a6_1024x608.png 424w, https://substackcdn.com/image/fetch/$s_!YKia!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fb2925002-69d1-43dc-a766-8c25265727a6_1024x608.png 848w, https://substackcdn.com/image/fetch/$s_!YKia!,w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fb2925002-69d1-43dc-a766-8c25265727a6_1024x608.png 1272w, https://substackcdn.com/image/fetch/$s_!YKia!,w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fb2925002-69d1-43dc-a766-8c25265727a6_1024x608.png 1456w" sizes="100vw"><img src="https://substackcdn.com/image/fetch/$s_!YKia!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fb2925002-69d1-43dc-a766-8c25265727a6_1024x608.png" width="1024" height="608" data-attrs="{&quot;src&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/b2925002-69d1-43dc-a766-8c25265727a6_1024x608.png&quot;,&quot;srcNoWatermark&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/d7d0e1e8-f74e-41bd-835d-874110c25ff4_1024x608.png&quot;,&quot;fullscreen&quot;:null,&quot;imageSize&quot;:&quot;normal&quot;,&quot;height&quot;:608,&quot;width&quot;:1024,&quot;resizeWidth&quot;:null,&quot;bytes&quot;:null,&quot;alt&quot;:null,&quot;title&quot;:null,&quot;type&quot;:null,&quot;href&quot;:null,&quot;belowTheFold&quot;:false,&quot;topImage&quot;:true,&quot;internalRedirect&quot;:null,&quot;isProcessing&quot;:false,&quot;align&quot;:null,&quot;offset&quot;:false}" class="sizing-normal" alt="" srcset="https://substackcdn.com/image/fetch/$s_!YKia!,w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fb2925002-69d1-43dc-a766-8c25265727a6_1024x608.png 424w, https://substackcdn.com/image/fetch/$s_!YKia!,w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fb2925002-69d1-43dc-a766-8c25265727a6_1024x608.png 848w, https://substackcdn.com/image/fetch/$s_!YKia!,w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fb2925002-69d1-43dc-a766-8c25265727a6_1024x608.png 1272w, https://substackcdn.com/image/fetch/$s_!YKia!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fb2925002-69d1-43dc-a766-8c25265727a6_1024x608.png 1456w" sizes="100vw" fetchpriority="high"></picture><div class="image-link-expand"><div class="pencraft pc-display-flex pc-gap-8 pc-reset"><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container restack-image"><svg role="img" width="20" height="20" viewBox="0 0 20 20" fill="none" stroke-width="1.5" stroke="var(--color-fg-primary)" stroke-linecap="round" stroke-linejoin="round" xmlns="http://www.w3.org/2000/svg"><g><title></title><path d="M2.53001 7.81595C3.49179 4.73911 6.43281 2.5 9.91173 2.5C13.1684 2.5 15.9537 4.46214 17.0852 7.23684L17.6179 8.67647M17.6179 8.67647L18.5002 4.26471M17.6179 8.67647L13.6473 6.91176M17.4995 12.1841C16.5378 15.2609 13.5967 17.5 10.1178 17.5C6.86118 17.5 4.07589 15.5379 2.94432 12.7632L2.41165 11.3235M2.41165 11.3235L1.5293 15.7353M2.41165 11.3235L6.38224 13.0882"></path></g></svg></button><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container view-image"><svg xmlns="http://www.w3.org/2000/svg" width="20" height="20" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-maximize2 lucide-maximize-2"><polyline points="15 3 21 3 21 9"></polyline><polyline points="9 21 3 21 3 15"></polyline><line x1="21" x2="14" y1="3" y2="10"></line><line x1="3" x2="10" y1="21" y2="14"></line></svg></button></div></div></div></a></figure></div><h3>Workforce &amp; Education</h3><ul><li><p><strong>Ivy Tech Evansville launches fast-track CCMA program with Deaconess partnership</strong><br>Ivy Tech Evansville and Deaconess Health System are rolling out a new 10-week Certified Clinical Medical Assistant (CCMA) program starting May 26, 2026, with classes and clinical training held on the Deaconess Midtown campus. The initiative targets immediate workforce gaps in Southwestern Indiana and may be fully covered for eligible students via Indiana&#8217;s Next Level Jobs Workforce Ready Grant.</p></li></ul><blockquote><p>&#8220;This collaboration strengthens our community&#8217;s healthcare workforce while giving students hands-on experience, industry-recognized credentials, and a direct connection to employment opportunities right here in Southwestern Indiana.&#8221; ~Daniela Vidal, Chancellor of Ivy Tech Evansville</p></blockquote><p><a href="https://www.ivytech.edu/about-ivy-tech/news/evansville/2026/ccma-1">Ivy Tech Evansville News</a><br><a href="https://www.courierpress.com/story/news/local/2026/03/06/summer-ccma-training-opens-at-ivy-tech-with-deaconess-support/89004757007/">Courier &amp; Press coverage</a></p><ul><li><p><strong>Landmark Ferguson gift + IU Health investment supercharges Ivy Tech Bloomington nursing expansion</strong><br>Connie and Steve Ferguson joined IU Health&#8217;s $10 million commitment to create two new endowments at Ivy Tech Bloomington&#8217;s Lee J. Marchant School of Nursing, fueling evening/weekend cohorts, faculty support, facility upgrades, clinical capacity growth, and scholarships tied to IU Health employment. The push builds on an innovative evening nursing model already showing strong enrollment and aims to help close Indiana&#8217;s ~4,300-nurse shortage while keeping graduates (90%+) in-state.</p><div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="https://substackcdn.com/image/fetch/$s_!wh_8!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F89c1d77e-e9d7-4a7b-a2bb-03a1ec149416_1600x1080.png" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!wh_8!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F89c1d77e-e9d7-4a7b-a2bb-03a1ec149416_1600x1080.png 424w, 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https://substackcdn.com/image/fetch/$s_!wh_8!,w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F89c1d77e-e9d7-4a7b-a2bb-03a1ec149416_1600x1080.png 848w, https://substackcdn.com/image/fetch/$s_!wh_8!,w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F89c1d77e-e9d7-4a7b-a2bb-03a1ec149416_1600x1080.png 1272w, https://substackcdn.com/image/fetch/$s_!wh_8!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F89c1d77e-e9d7-4a7b-a2bb-03a1ec149416_1600x1080.png 1456w" sizes="100vw"></picture><div class="image-link-expand"><div class="pencraft pc-display-flex pc-gap-8 pc-reset"><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container restack-image"><svg role="img" width="20" height="20" viewBox="0 0 20 20" fill="none" stroke-width="1.5" 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x1="3" x2="10" y1="21" y2="14"></line></svg></button></div></div></div></a><figcaption class="image-caption">Source: <a href="https://www.ivytech.edu/about-ivy-tech/news">https://www.ivytech.edu/about-ivy-tech/news</a></figcaption></figure></div><p><a href="https://iuhealth.org/for-media/press-releases/landmark-gift-from-connie-and-steve-ferguson-with-iu-health-investment-to-strengthen-indianas-nursing-workforce">IU Health Press Release</a> | <a href="https://www.heraldtimesonline.com/story/news/local/2026/03/05/ivy-tech-nursing-school-receives-investments-from-connie-and-steve-ferguson-iu-health-foundation/88982273007/?gnt-cfr=1&amp;gca-cat=p&amp;gca-uir=true&amp;gca-epti=z111305p001350c001350v111305&amp;gca-ft=159&amp;gca-ds=sophi">The Herald-Times</a></p></li></ul><h3>Rural Health &amp; Funding</h3><ul><li><p><strong>GROW Regional Grants now open &#8211; $120M Year 1 for Indiana rural coalitions</strong><br>Indiana&#8217;s Rural Health Transformation Program (RHTP) launched the GROW Regional Grants application process, distributing $120 million in first-year funding across eight regional coalitions to tackle technology, access, innovative care, workforce, and chronic disease priorities. Letters of intent are due May 1; full applications July 1; awards begin September 1. Regional Committees of diverse rural stakeholders will guide equitable, data-driven investments.</p><p><a href="https://www.in.gov/grow-rural-health/regional-grants/">GROW Rural Indiana &#8211; Regional Grants</a> | <a href="https://www.wbiw.com/2026/03/03/applications-open-for-grow-regional-grants-through-rural-health-transformation-program/">WBIW announcement</a></p></li></ul><h3>Innovation &amp; Access</h3><ul><li><p><strong>Community Health Network embeds Nourish virtual dietitians across specialties statewide</strong><br>Community Health Network partnered with Nourish to integrate in-network, virtual metabolic health care&#8212;led by registered dietitians&#8212;into primary care, cardiology, gastroenterology, endocrinology, oncology, nephrology, and women&#8217;s health workflows. Patients access the service at little to no out-of-pocket cost via existing benefits, supported by an AI-powered app for ongoing tracking. The move targets root-cause metabolic dysfunction behind major chronic conditions.</p><p><a href="https://www.ecommunity.com/news/2026/community-partners-nourish-improve-metabolic-health-nutrition-across-indiana">Community Health Network News</a> | <a href="https://www.hcinnovationgroup.com/clinical-it/digital-health-innovation/news/55360847/community-health-network-expands-access-to-nutrition-counseling">Healthcare Innovation follow-up</a></p></li></ul><h3>Cancer Care Expansion</h3><ul><li><p><strong>Fort Wayne Medical Oncology &amp; Hematology + Cameron Health broaden oncology services in Angola</strong><br>FWMOH and Cameron Health expanded cancer care capacity at the Regional Cancer Care Center on the Cameron campus in Angola with renovated space, five new exam rooms, 12 infusion bays, and increased days of service for medical oncology, hematology, infusion therapy, and palliative care. The upgrade responds to rising cancer rates in Steuben County and builds on a 25-year partnership.</p></li></ul><blockquote><p>&#8220;This expansion reflects our commitment to meeting the growing need for cancer care in Angola and the surrounding communities,&#8221; said Dr. Praveen Kollipara, Board-certified medical oncologist and president of FWMOH</p></blockquote><p><a href="https://www.globenewswire.com/news-release/2026/03/04/3249287/0/en/Fort-Wayne-Medical-Oncology-and-Hematology-and-Cameron-Health-Partner-to-Increase-Access-to-Community-Cancer-Care-in-Angola-Indiana.html">GlobeNewswire / AON release</a></p><div><hr></div><p><em>Trendline Health IN Pulse is curated weekly for Indiana healthcare leaders. Got a tip or feedback? Send to <a href="mailto:inpulse@trendlinehealth.com">inpulse@trendlinehealth.com</a>.</em></p><div class="subscription-widget-wrap-editor" data-attrs="{&quot;url&quot;:&quot;https://www.trendlinehealth.com/subscribe?&quot;,&quot;text&quot;:&quot;Subscribe&quot;,&quot;language&quot;:&quot;en&quot;}" data-component-name="SubscribeWidgetToDOM"><div class="subscription-widget show-subscribe"><div class="preamble"><p class="cta-caption">Thanks for reading Trendline Health! Subscribe for free to receive new posts and support my work.</p></div><form class="subscription-widget-subscribe"><input type="email" class="email-input" name="email" placeholder="Type your email&#8230;" tabindex="-1"><input type="submit" class="button primary" value="Subscribe"><div class="fake-input-wrapper"><div class="fake-input"></div><div class="fake-button"></div></div></form></div></div><p></p>]]></content:encoded></item><item><title><![CDATA[IN Pulse – March 1, 2026]]></title><description><![CDATA[2026 | Issue 9 &#8211; Medicaid Overhaul &#8226; Nursing Boost &#8226; Cyber Fallout]]></description><link>https://www.trendlinehealth.com/p/in-pulse-march-4-2026</link><guid isPermaLink="false">https://www.trendlinehealth.com/p/in-pulse-march-4-2026</guid><dc:creator><![CDATA[Mark Newell]]></dc:creator><pubDate>Wed, 04 Mar 2026 21:13:23 GMT</pubDate><enclosure url="https://substackcdn.com/image/fetch/$s_!6D5F!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fed7afc9d-5f7d-425c-989f-bc24f3236f64_2560x1440.png" length="0" type="image/jpeg"/><content:encoded><![CDATA[<h6>Trendline Health | IN Pulse | 2026 | Issue 9</h6><div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="https://substackcdn.com/image/fetch/$s_!6D5F!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fed7afc9d-5f7d-425c-989f-bc24f3236f64_2560x1440.png" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!6D5F!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fed7afc9d-5f7d-425c-989f-bc24f3236f64_2560x1440.png 424w, https://substackcdn.com/image/fetch/$s_!6D5F!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fed7afc9d-5f7d-425c-989f-bc24f3236f64_2560x1440.png 848w, https://substackcdn.com/image/fetch/$s_!6D5F!,w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fed7afc9d-5f7d-425c-989f-bc24f3236f64_2560x1440.png 1272w, https://substackcdn.com/image/fetch/$s_!6D5F!,w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fed7afc9d-5f7d-425c-989f-bc24f3236f64_2560x1440.png 1456w" sizes="100vw"><img src="https://substackcdn.com/image/fetch/$s_!6D5F!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fed7afc9d-5f7d-425c-989f-bc24f3236f64_2560x1440.png" width="1456" height="819" data-attrs="{&quot;src&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/ed7afc9d-5f7d-425c-989f-bc24f3236f64_2560x1440.png&quot;,&quot;srcNoWatermark&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/92a8c674-ab72-4058-a135-aefed47e03bd_2560x1440.png&quot;,&quot;fullscreen&quot;:null,&quot;imageSize&quot;:null,&quot;height&quot;:819,&quot;width&quot;:1456,&quot;resizeWidth&quot;:null,&quot;bytes&quot;:5359246,&quot;alt&quot;:null,&quot;title&quot;:null,&quot;type&quot;:&quot;image/png&quot;,&quot;href&quot;:null,&quot;belowTheFold&quot;:false,&quot;topImage&quot;:true,&quot;internalRedirect&quot;:&quot;https://www.trendlinehealth.com/i/189919100?img=https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F92a8c674-ab72-4058-a135-aefed47e03bd_2560x1440.png&quot;,&quot;isProcessing&quot;:false,&quot;align&quot;:null,&quot;offset&quot;:false}" class="sizing-normal" alt="" srcset="https://substackcdn.com/image/fetch/$s_!6D5F!,w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fed7afc9d-5f7d-425c-989f-bc24f3236f64_2560x1440.png 424w, https://substackcdn.com/image/fetch/$s_!6D5F!,w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fed7afc9d-5f7d-425c-989f-bc24f3236f64_2560x1440.png 848w, https://substackcdn.com/image/fetch/$s_!6D5F!,w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fed7afc9d-5f7d-425c-989f-bc24f3236f64_2560x1440.png 1272w, https://substackcdn.com/image/fetch/$s_!6D5F!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fed7afc9d-5f7d-425c-989f-bc24f3236f64_2560x1440.png 1456w" sizes="100vw" fetchpriority="high"></picture><div class="image-link-expand"><div class="pencraft pc-display-flex pc-gap-8 pc-reset"><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container restack-image"><svg role="img" width="20" height="20" viewBox="0 0 20 20" fill="none" stroke-width="1.5" stroke="var(--color-fg-primary)" stroke-linecap="round" stroke-linejoin="round" xmlns="http://www.w3.org/2000/svg"><g><title></title><path d="M2.53001 7.81595C3.49179 4.73911 6.43281 2.5 9.91173 2.5C13.1684 2.5 15.9537 4.46214 17.0852 7.23684L17.6179 8.67647M17.6179 8.67647L18.5002 4.26471M17.6179 8.67647L13.6473 6.91176M17.4995 12.1841C16.5378 15.2609 13.5967 17.5 10.1178 17.5C6.86118 17.5 4.07589 15.5379 2.94432 12.7632L2.41165 11.3235M2.41165 11.3235L1.5293 15.7353M2.41165 11.3235L6.38224 13.0882"></path></g></svg></button><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container view-image"><svg xmlns="http://www.w3.org/2000/svg" width="20" height="20" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-maximize2 lucide-maximize-2"><polyline points="15 3 21 3 21 9"></polyline><polyline points="9 21 3 21 3 15"></polyline><line x1="21" x2="14" y1="3" y2="10"></line><line x1="3" x2="10" y1="21" y2="14"></line></svg></button></div></div></div></a></figure></div><h2>Policy &amp; Regulation</h2><ul><li><p><strong>Indiana Enacts First-in-Nation Ban on Insurer Penalties for Out-of-Network Care</strong><br>Lawmakers passed SEA 189 to block health insurers like Elevance from slapping 10% reimbursement cuts on hospitals using out-of-network providers, protecting patient access and countering market dominance in Indiana&#8217;s commercial insurance. The bill sets dispute resolution under the No Surprises Act, requiring good-faith negotiations after 25 IDR cases in 90 days, amid Elevance&#8217;s 68% market share. Providers hail it as a win against unfair leverage; Elevance calls it a step for transparency to curb costs.</p><div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="https://substackcdn.com/image/fetch/$s_!MH28!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fc95fc2f8-c20d-444e-8020-352b1bd712d4_2290x1044.jpeg" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!MH28!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fc95fc2f8-c20d-444e-8020-352b1bd712d4_2290x1044.jpeg 424w, https://substackcdn.com/image/fetch/$s_!MH28!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fc95fc2f8-c20d-444e-8020-352b1bd712d4_2290x1044.jpeg 848w, https://substackcdn.com/image/fetch/$s_!MH28!,w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fc95fc2f8-c20d-444e-8020-352b1bd712d4_2290x1044.jpeg 1272w, https://substackcdn.com/image/fetch/$s_!MH28!,w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fc95fc2f8-c20d-444e-8020-352b1bd712d4_2290x1044.jpeg 1456w" sizes="100vw"><img src="https://substackcdn.com/image/fetch/$s_!MH28!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fc95fc2f8-c20d-444e-8020-352b1bd712d4_2290x1044.jpeg" width="599" height="273.1703296703297" data-attrs="{&quot;src&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/c95fc2f8-c20d-444e-8020-352b1bd712d4_2290x1044.jpeg&quot;,&quot;srcNoWatermark&quot;:null,&quot;fullscreen&quot;:null,&quot;imageSize&quot;:null,&quot;height&quot;:664,&quot;width&quot;:1456,&quot;resizeWidth&quot;:599,&quot;bytes&quot;:null,&quot;alt&quot;:null,&quot;title&quot;:null,&quot;type&quot;:null,&quot;href&quot;:null,&quot;belowTheFold&quot;:false,&quot;topImage&quot;:false,&quot;internalRedirect&quot;:null,&quot;isProcessing&quot;:false,&quot;align&quot;:null,&quot;offset&quot;:false}" class="sizing-normal" alt="" srcset="https://substackcdn.com/image/fetch/$s_!MH28!,w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fc95fc2f8-c20d-444e-8020-352b1bd712d4_2290x1044.jpeg 424w, https://substackcdn.com/image/fetch/$s_!MH28!,w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fc95fc2f8-c20d-444e-8020-352b1bd712d4_2290x1044.jpeg 848w, https://substackcdn.com/image/fetch/$s_!MH28!,w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fc95fc2f8-c20d-444e-8020-352b1bd712d4_2290x1044.jpeg 1272w, https://substackcdn.com/image/fetch/$s_!MH28!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fc95fc2f8-c20d-444e-8020-352b1bd712d4_2290x1044.jpeg 1456w" sizes="100vw"></picture><div class="image-link-expand"><div class="pencraft pc-display-flex pc-gap-8 pc-reset"><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container restack-image"><svg role="img" width="20" height="20" viewBox="0 0 20 20" fill="none" stroke-width="1.5" stroke="var(--color-fg-primary)" stroke-linecap="round" stroke-linejoin="round" xmlns="http://www.w3.org/2000/svg"><g><title></title><path d="M2.53001 7.81595C3.49179 4.73911 6.43281 2.5 9.91173 2.5C13.1684 2.5 15.9537 4.46214 17.0852 7.23684L17.6179 8.67647M17.6179 8.67647L18.5002 4.26471M17.6179 8.67647L13.6473 6.91176M17.4995 12.1841C16.5378 15.2609 13.5967 17.5 10.1178 17.5C6.86118 17.5 4.07589 15.5379 2.94432 12.7632L2.41165 11.3235M2.41165 11.3235L1.5293 15.7353M2.41165 11.3235L6.38224 13.0882"></path></g></svg></button><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container view-image"><svg xmlns="http://www.w3.org/2000/svg" width="20" height="20" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-maximize2 lucide-maximize-2"><polyline points="15 3 21 3 21 9"></polyline><polyline points="9 21 3 21 3 15"></polyline><line x1="21" x2="14" y1="3" y2="10"></line><line x1="3" x2="10" y1="21" y2="14"></line></svg></button></div></div></div></a><figcaption class="image-caption">Source: Elevance Health 2024 Impact Report</figcaption></figure></div><p><a href="https://www.ihaconnect.org/news/indiana-first-in-nation-to-block-insurer-penalties-that-threaten-patient-access-to-care">Indiana Hospital Association</a> | <a href="https://www.beckershospitalreview.com/legal-regulatory-issues/indiana-passes-bill-blocking-elevances-10-out-of-network-hospital-penalty/">Becker&#8217;s Hospital Review</a></p></li><li><p><strong>Medicaid Long-Term Care Bill Caps Costs, Heads to Governor</strong><br>HB 1277 clears legislature with unanimous House support, mandating federal approval for individual cost caps on home-based services under PathWays for Aging to match nursing facility rates, aiming to control expenses in Indiana&#8217;s shifting managed-care model. Critics warn of unintended shifts to institutional care; supporters see it as a compromise for sustainability amid aging demographics. Delays in transitions and added sunsets address provider concerns.</p><p><a href="https://www.newsfromthestates.com/article/cost-caps-central-medicaid-long-term-care-bill-clearing-indiana-legislature">News From The States</a></p></li><li><p><strong>State to Rebid $68B Medicaid Contracts Amid Vendor Woes</strong><br>FSSA launches massive rebidding for managed care covering 1.4 million Hoosiers across HIP, Pathways, Hoosier Care Connect, and Hoosier Healthwise, targeting January 2029 start after MDwise removal and $100M+ in delayed payments from insurers like Humana and Elevance. Secretary Mitch Roob dubs it the &#8220;Mother of All Procurements&#8221; to fix billing glitches and stabilize services. Lawmakers flag risks of disruption for vulnerable groups like seniors and disabled.</p><div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="https://substackcdn.com/image/fetch/$s_!kI_V!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fb0fde1ba-419b-4ff8-85ed-6183abf0376a_929x663.png" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!kI_V!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fb0fde1ba-419b-4ff8-85ed-6183abf0376a_929x663.png 424w, https://substackcdn.com/image/fetch/$s_!kI_V!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fb0fde1ba-419b-4ff8-85ed-6183abf0376a_929x663.png 848w, https://substackcdn.com/image/fetch/$s_!kI_V!,w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fb0fde1ba-419b-4ff8-85ed-6183abf0376a_929x663.png 1272w, https://substackcdn.com/image/fetch/$s_!kI_V!,w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fb0fde1ba-419b-4ff8-85ed-6183abf0376a_929x663.png 1456w" sizes="100vw"><img src="https://substackcdn.com/image/fetch/$s_!kI_V!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fb0fde1ba-419b-4ff8-85ed-6183abf0376a_929x663.png" width="600" height="428.20236813778257" data-attrs="{&quot;src&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/b0fde1ba-419b-4ff8-85ed-6183abf0376a_929x663.png&quot;,&quot;srcNoWatermark&quot;:null,&quot;fullscreen&quot;:null,&quot;imageSize&quot;:null,&quot;height&quot;:663,&quot;width&quot;:929,&quot;resizeWidth&quot;:600,&quot;bytes&quot;:null,&quot;alt&quot;:null,&quot;title&quot;:null,&quot;type&quot;:null,&quot;href&quot;:null,&quot;belowTheFold&quot;:false,&quot;topImage&quot;:false,&quot;internalRedirect&quot;:null,&quot;isProcessing&quot;:false,&quot;align&quot;:null,&quot;offset&quot;:false}" class="sizing-normal" alt="" srcset="https://substackcdn.com/image/fetch/$s_!kI_V!,w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fb0fde1ba-419b-4ff8-85ed-6183abf0376a_929x663.png 424w, https://substackcdn.com/image/fetch/$s_!kI_V!,w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fb0fde1ba-419b-4ff8-85ed-6183abf0376a_929x663.png 848w, https://substackcdn.com/image/fetch/$s_!kI_V!,w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fb0fde1ba-419b-4ff8-85ed-6183abf0376a_929x663.png 1272w, https://substackcdn.com/image/fetch/$s_!kI_V!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fb0fde1ba-419b-4ff8-85ed-6183abf0376a_929x663.png 1456w" sizes="100vw"></picture><div class="image-link-expand"><div class="pencraft pc-display-flex pc-gap-8 pc-reset"><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container restack-image"><svg role="img" width="20" height="20" viewBox="0 0 20 20" fill="none" stroke-width="1.5" stroke="var(--color-fg-primary)" stroke-linecap="round" stroke-linejoin="round" xmlns="http://www.w3.org/2000/svg"><g><title></title><path d="M2.53001 7.81595C3.49179 4.73911 6.43281 2.5 9.91173 2.5C13.1684 2.5 15.9537 4.46214 17.0852 7.23684L17.6179 8.67647M17.6179 8.67647L18.5002 4.26471M17.6179 8.67647L13.6473 6.91176M17.4995 12.1841C16.5378 15.2609 13.5967 17.5 10.1178 17.5C6.86118 17.5 4.07589 15.5379 2.94432 12.7632L2.41165 11.3235M2.41165 11.3235L1.5293 15.7353M2.41165 11.3235L6.38224 13.0882"></path></g></svg></button><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container view-image"><svg xmlns="http://www.w3.org/2000/svg" width="20" height="20" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-maximize2 lucide-maximize-2"><polyline points="15 3 21 3 21 9"></polyline><polyline points="9 21 3 21 3 15"></polyline><line x1="21" x2="14" y1="3" y2="10"></line><line x1="3" x2="10" y1="21" y2="14"></line></svg></button></div></div></div></a></figure></div><p><a href="https://www.wishtv.com/news/politics/indiana-to-rebid-68-billion-in-medicaid-contracts/">WISH-TV</a></p></li><li><p><strong>House Advances SB 1 for Stricter SNAP, Medicaid Verification to Curb Fraud</strong><br>SB 1 passes 62-31, tightening work requirements to 80 monthly hours, slashing asset limits, ending expanded SNAP eligibility, and mandating immigration checks with federal referrals, positioning it as &#8220;HIP 3.0&#8221; to sustain programs eating 20% of state budget. Democrats blast added red tape risking coverage losses for low-wage Hoosiers; backers cite $10M+ in improper payments. Over 80 advocacy groups oppose, warning of heightened hunger and medical debt.</p><p><a href="https://www.therepublic.com/2026/02/23/indiana-house-backs-bill-with-stricter-verification-for-snap-medicaid-eligibility/">The Republic</a> | <a href="https://www.chicagotribune.com/2026/02/23/bill-aimed-at-tackling-fraud-passes-indiana-house-in-final-week/">Chicago Tribune</a> | <a href="https://www.wishtv.com/news/politics/indiana-house-backs-bill-with-stricter-verification-for-snap-medicaid-eligibility/">WISH-TV</a> | <a href="https://wibc.com/879451/house-passes-sb-1-critics-warn-of-red-tape-for-medicaid-and-snap/">WIBC</a></p></li><li><p><strong>Bill Amended to Tax Nonprofit Hospitals&#8217; Nonmedical Land</strong><br>Senate Bill 4 advances with unanimous committee vote, stripping exemptions for undeveloped hospital-owned property not tied to clinical or revenue uses, allowing counties to tax parcels while sparing parking and admin spaces. 10-year grace for pre-June 2026 buys; immediate for later. IHA pushes tweaks to align intent, eyeing revenue boosts for locals amid hospital expansions.</p><p><a href="https://www.therepublic.com/2026/02/23/lawmakers-amend-bill-to-tax-nonprofit-hospitals-on-nonmedical-property/">The Republic</a></p></li><li><p><strong>Indiana Doctor Gets 8 Years for $20M Fraud Scheme</strong><br>Chesterton physician Bethany Cataldi sentenced to 97 months for billing $50M in fake balloon sinuplasty procedures, netting $20M from Medicare and insurers while hitting patients with bogus co-pays. U.S. Attorney slams abuse of trust targeting seniors; assets forfeited include luxury goods. Spotlights need for tighter oversight in Hoosier billing practices.</p><p><a href="https://wibc.com/879108/indiana-doctor-sentenced-to-8-years-for-20m-healthcare-fraud/">WIBC</a></p></li><li><p><strong>FTC Ditches Noncompete Ban But Ramps Up Healthcare Scrutiny</strong><br>FTC withdraws nationwide noncompete rule but vows case-by-case enforcement, warning Indiana hospitals and firms to review restrictive covenants amid new state bans like SB 475 limiting physician mobility. Focus on anticompetitive effects hurting patient choice and staff retention. Expect more probes as states tighten rules.</p><p><a href="https://www.jdsupra.com/legalnews/expect-increase-in-ftc-noncompete-1567882/">JD Supra</a></p></li></ul><h2>Growth &amp; Finance</h2><p><strong>Marion Health Opens New East Hospital in Gas City</strong><br>Marion Health launches 113,000-sq-ft acute-care facility blending industrial heritage with modern tech for underserved Grant County, offering ambulatory services in energy-efficient design. BSA-led project boosts rural access, pandemic-ready features included. Fills critical gaps in community care.</p><div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="https://substackcdn.com/image/fetch/$s_!uWWq!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F8e286178-7174-4e9d-b2c5-8fd8adb47fa6_630x420.jpeg" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!uWWq!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F8e286178-7174-4e9d-b2c5-8fd8adb47fa6_630x420.jpeg 424w, https://substackcdn.com/image/fetch/$s_!uWWq!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F8e286178-7174-4e9d-b2c5-8fd8adb47fa6_630x420.jpeg 848w, https://substackcdn.com/image/fetch/$s_!uWWq!,w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F8e286178-7174-4e9d-b2c5-8fd8adb47fa6_630x420.jpeg 1272w, https://substackcdn.com/image/fetch/$s_!uWWq!,w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F8e286178-7174-4e9d-b2c5-8fd8adb47fa6_630x420.jpeg 1456w" sizes="100vw"><img src="https://substackcdn.com/image/fetch/$s_!uWWq!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F8e286178-7174-4e9d-b2c5-8fd8adb47fa6_630x420.jpeg" width="536" height="357.3333333333333" data-attrs="{&quot;src&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/8e286178-7174-4e9d-b2c5-8fd8adb47fa6_630x420.jpeg&quot;,&quot;srcNoWatermark&quot;:null,&quot;fullscreen&quot;:null,&quot;imageSize&quot;:null,&quot;height&quot;:420,&quot;width&quot;:630,&quot;resizeWidth&quot;:536,&quot;bytes&quot;:null,&quot;alt&quot;:null,&quot;title&quot;:null,&quot;type&quot;:null,&quot;href&quot;:null,&quot;belowTheFold&quot;:false,&quot;topImage&quot;:false,&quot;internalRedirect&quot;:null,&quot;isProcessing&quot;:false,&quot;align&quot;:null,&quot;offset&quot;:false}" class="sizing-normal" alt="" srcset="https://substackcdn.com/image/fetch/$s_!uWWq!,w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F8e286178-7174-4e9d-b2c5-8fd8adb47fa6_630x420.jpeg 424w, https://substackcdn.com/image/fetch/$s_!uWWq!,w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F8e286178-7174-4e9d-b2c5-8fd8adb47fa6_630x420.jpeg 848w, https://substackcdn.com/image/fetch/$s_!uWWq!,w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F8e286178-7174-4e9d-b2c5-8fd8adb47fa6_630x420.jpeg 1272w, https://substackcdn.com/image/fetch/$s_!uWWq!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F8e286178-7174-4e9d-b2c5-8fd8adb47fa6_630x420.jpeg 1456w" sizes="100vw"></picture><div class="image-link-expand"><div class="pencraft pc-display-flex pc-gap-8 pc-reset"><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container restack-image"><svg role="img" width="20" height="20" viewBox="0 0 20 20" fill="none" stroke-width="1.5" stroke="var(--color-fg-primary)" stroke-linecap="round" stroke-linejoin="round" xmlns="http://www.w3.org/2000/svg"><g><title></title><path d="M2.53001 7.81595C3.49179 4.73911 6.43281 2.5 9.91173 2.5C13.1684 2.5 15.9537 4.46214 17.0852 7.23684L17.6179 8.67647M17.6179 8.67647L18.5002 4.26471M17.6179 8.67647L13.6473 6.91176M17.4995 12.1841C16.5378 15.2609 13.5967 17.5 10.1178 17.5C6.86118 17.5 4.07589 15.5379 2.94432 12.7632L2.41165 11.3235M2.41165 11.3235L1.5293 15.7353M2.41165 11.3235L6.38224 13.0882"></path></g></svg></button><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container view-image"><svg xmlns="http://www.w3.org/2000/svg" width="20" height="20" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-maximize2 lucide-maximize-2"><polyline points="15 3 21 3 21 9"></polyline><polyline points="9 21 3 21 3 15"></polyline><line x1="21" x2="14" y1="3" y2="10"></line><line x1="3" x2="10" y1="21" y2="14"></line></svg></button></div></div></div></a></figure></div><ul><li><p><a href="https://healthcaredesignmagazine.com/featured-firms-projects/marion-health/">Healthcare Design Magazine</a></p></li></ul><h2>Innovation &amp; Tech</h2><ul><li><p><strong>Reid Health CIO Snags National Nod for Patient Care Tech</strong><br>Muhammad Siddiqui earns Becker&#8217;s &#8220;CIOs to Know&#8221; spot&#8212;sole Hoosier on list&#8212;for rolling out smart rooms and AI governance at rural Reid Health, streamlining workflows and personalizing care. Credits team for proving tech value in underserved areas. Drives innovation amid rapid IT shifts.</p><p><a href="https://www.pal-item.com/story/news/local/2026/02/24/reid-health-cio-muhammad-siddiqui-national-recognition-patient-care-innovation/88839759007/">Pal-Item</a></p></li><li><p><strong>Reid Health Joins Epic Suit Against Health Gorilla Over Data Misuse</strong><br>Reid Health teams with Epic, OCHIN, Trinity, UMass in fraud lawsuit alleging Health Gorilla enabled improper patient data access via Carequality/TEFCA for non-treatment purposes, risking interoperability. Gorilla pushes for governance resolution, calls it smear tactic. Could destabilize national data exchange if unchecked.</p><p><a href="https://www.healthcareitnews.com/news/health-gorilla-asks-court-throw-out-epics-request-jury-trial">Healthcare IT News</a></p></li><li><p><strong>IU Health Sues Change Healthcare for $66M Cyberattack Losses</strong><br>IU Health files negligence suit over 2024 ransomware breach lacking multifactor auth, causing billing halts and $66M in uncollected accounts, new vendors, and manual workarounds. Joins Tampa General in blasting inadequate safeguards. Exposes IT vulnerabilities hitting Indiana ops hard.</p><p><a href="https://www.beckershospitalreview.com/healthcare-information-technology/cybersecurity/iu-health-tampa-general-sue-change-healthcare-over-2024-cyberattack-fallout/">Becker&#8217;s Hospital Review</a></p></li></ul><h2>Workforce &amp; Leadership</h2><ul><li><p><strong>IU Health, Donors Pump $10M+ into Nursing Pipeline</strong><br>IU Health invests $10M alongside Ferguson philanthropists&#8217; gift to Ivy Tech Bloomington for expanded evening/weekend nursing programs, targeting 4,300 annual shortages and 5,000 more needed by 2031. Bolsters residencies and retention in state&#8217;s largest system employing 39,000. Tackles aging population demands head-on.</p><div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="https://substackcdn.com/image/fetch/$s_!KVDQ!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F6b5c2d3a-3a72-4aac-9a56-8d19267b9ad6_2500x1536.png" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!KVDQ!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F6b5c2d3a-3a72-4aac-9a56-8d19267b9ad6_2500x1536.png 424w, https://substackcdn.com/image/fetch/$s_!KVDQ!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F6b5c2d3a-3a72-4aac-9a56-8d19267b9ad6_2500x1536.png 848w, 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https://substackcdn.com/image/fetch/$s_!KVDQ!,w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F6b5c2d3a-3a72-4aac-9a56-8d19267b9ad6_2500x1536.png 848w, https://substackcdn.com/image/fetch/$s_!KVDQ!,w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F6b5c2d3a-3a72-4aac-9a56-8d19267b9ad6_2500x1536.png 1272w, https://substackcdn.com/image/fetch/$s_!KVDQ!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F6b5c2d3a-3a72-4aac-9a56-8d19267b9ad6_2500x1536.png 1456w" sizes="100vw" loading="lazy"></picture><div class="image-link-expand"><div class="pencraft pc-display-flex pc-gap-8 pc-reset"><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container restack-image"><svg role="img" width="20" height="20" viewBox="0 0 20 20" fill="none" stroke-width="1.5" stroke="var(--color-fg-primary)" stroke-linecap="round" stroke-linejoin="round" xmlns="http://www.w3.org/2000/svg"><g><title></title><path d="M2.53001 7.81595C3.49179 4.73911 6.43281 2.5 9.91173 2.5C13.1684 2.5 15.9537 4.46214 17.0852 7.23684L17.6179 8.67647M17.6179 8.67647L18.5002 4.26471M17.6179 8.67647L13.6473 6.91176M17.4995 12.1841C16.5378 15.2609 13.5967 17.5 10.1178 17.5C6.86118 17.5 4.07589 15.5379 2.94432 12.7632L2.41165 11.3235M2.41165 11.3235L1.5293 15.7353M2.41165 11.3235L6.38224 13.0882"></path></g></svg></button><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container view-image"><svg xmlns="http://www.w3.org/2000/svg" width="20" height="20" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-maximize2 lucide-maximize-2"><polyline points="15 3 21 3 21 9"></polyline><polyline points="9 21 3 21 3 15"></polyline><line x1="21" x2="14" y1="3" y2="10"></line><line x1="3" x2="10" y1="21" y2="14"></line></svg></button></div></div></div></a><figcaption class="image-caption">Indiana Nursing Workforce dashboard: <a href="https://bowenportal.org/indiana-nurse-workforce/">https://bowenportal.org/indiana-nurse-workforce/</a></figcaption></figure></div><p><a href="https://www.beckershospitalreview.com/workforce/10m-iu-health-investment-donor-gift-aim-to-boost-indiana-nursing-pipeline/">Becker&#8217;s Hospital Review</a></p></li></ul><h2>Mental Health &amp; Access</h2><ul><li><p><strong>Valley Oaks Expands Mental Health Center in Clinton County</strong><br>Valley Oaks opens Frankfort clinic as designated CMHC, absorbing 200+ clients from prior provider with therapy, case management, and meds for all ages, sliding-scale fees. Partners with schools, jail; uses telehealth amid staffing crunch. Fills rural gaps post-Community Howard exit.</p><p><a href="https://clintoncountydailynews.com/622722-2/">Clinton County Daily News</a></p></li><li><p><strong>Kosciusko Rolls Out Mobile Pediatric Care Unit</strong><br>Live Well Kosciusko partners with Parkview&#8217;s Ronald McDonald Care Mobile for no-cost well/sick visits, vaccines, screenings in Warsaw-area stops, aiding uninsured kids 0-18. Builds on mammography model to bridge access barriers. Targets underserved families directly.</p><p><a href="https://www.newsnowwarsaw.com/live-well-kosciusko-announces-mobile-health-service-for-pediatrics/">News Now Warsaw</a></p></li></ul><p><em>Sources: Curated from Becker&#8217;s, WISH-TV, WIBC, and more. Feedback? Email <a href="mailto:mark@trendlinehealth.com.">mark@trendlinehealth.com</a>. Subscribe for weekly IN healthcare pulses.</em></p><div class="subscription-widget-wrap-editor" data-attrs="{&quot;url&quot;:&quot;https://www.trendlinehealth.com/subscribe?&quot;,&quot;text&quot;:&quot;Subscribe&quot;,&quot;language&quot;:&quot;en&quot;}" data-component-name="SubscribeWidgetToDOM"><div class="subscription-widget show-subscribe"><div class="preamble"><p class="cta-caption">Thanks for reading Trendline Health! Subscribe for free to receive new posts and support my work.</p></div><form class="subscription-widget-subscribe"><input type="email" class="email-input" name="email" placeholder="Type your email&#8230;" tabindex="-1"><input type="submit" class="button primary" value="Subscribe"><div class="fake-input-wrapper"><div class="fake-input"></div><div class="fake-button"></div></div></form></div></div><p></p>]]></content:encoded></item><item><title><![CDATA[IN Pulse – February 23, 2026]]></title><description><![CDATA[2026 | Issue 8 &#8211; Facilities &#8226; Behavioral Health &#8226; Insurer Pushback &#8226; Access Pressures]]></description><link>https://www.trendlinehealth.com/p/in-pulse-february-23-2026</link><guid isPermaLink="false">https://www.trendlinehealth.com/p/in-pulse-february-23-2026</guid><dc:creator><![CDATA[Mark Newell]]></dc:creator><pubDate>Tue, 24 Feb 2026 00:47:19 GMT</pubDate><enclosure url="https://substack-post-media.s3.amazonaws.com/public/images/e78d993c-a151-4df0-bfbd-bb02e6d3a66c_840x600.png" length="0" type="image/jpeg"/><content:encoded><![CDATA[<h6>Trendline Health | IN Pulse | 2026 | Issue 8</h6><div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="https://substackcdn.com/image/fetch/$s_!LHxQ!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fc1894a1d-f4e1-4e08-a2db-8da251f443b1_835x476.png" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!LHxQ!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fc1894a1d-f4e1-4e08-a2db-8da251f443b1_835x476.png 424w, https://substackcdn.com/image/fetch/$s_!LHxQ!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fc1894a1d-f4e1-4e08-a2db-8da251f443b1_835x476.png 848w, https://substackcdn.com/image/fetch/$s_!LHxQ!,w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fc1894a1d-f4e1-4e08-a2db-8da251f443b1_835x476.png 1272w, https://substackcdn.com/image/fetch/$s_!LHxQ!,w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fc1894a1d-f4e1-4e08-a2db-8da251f443b1_835x476.png 1456w" sizes="100vw"><img src="https://substackcdn.com/image/fetch/$s_!LHxQ!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fc1894a1d-f4e1-4e08-a2db-8da251f443b1_835x476.png" width="835" height="476" data-attrs="{&quot;src&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/c1894a1d-f4e1-4e08-a2db-8da251f443b1_835x476.png&quot;,&quot;srcNoWatermark&quot;:null,&quot;fullscreen&quot;:null,&quot;imageSize&quot;:null,&quot;height&quot;:476,&quot;width&quot;:835,&quot;resizeWidth&quot;:null,&quot;bytes&quot;:186840,&quot;alt&quot;:null,&quot;title&quot;:null,&quot;type&quot;:&quot;image/png&quot;,&quot;href&quot;:null,&quot;belowTheFold&quot;:false,&quot;topImage&quot;:true,&quot;internalRedirect&quot;:&quot;https://www.trendlinehealth.com/i/188968029?img=https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F557902c3-d2ac-450b-bbd9-925d826eae3e_840x600.png&quot;,&quot;isProcessing&quot;:false,&quot;align&quot;:null,&quot;offset&quot;:false}" class="sizing-normal" alt="" srcset="https://substackcdn.com/image/fetch/$s_!LHxQ!,w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fc1894a1d-f4e1-4e08-a2db-8da251f443b1_835x476.png 424w, https://substackcdn.com/image/fetch/$s_!LHxQ!,w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fc1894a1d-f4e1-4e08-a2db-8da251f443b1_835x476.png 848w, https://substackcdn.com/image/fetch/$s_!LHxQ!,w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fc1894a1d-f4e1-4e08-a2db-8da251f443b1_835x476.png 1272w, https://substackcdn.com/image/fetch/$s_!LHxQ!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fc1894a1d-f4e1-4e08-a2db-8da251f443b1_835x476.png 1456w" sizes="100vw" fetchpriority="high"></picture><div class="image-link-expand"><div class="pencraft pc-display-flex pc-gap-8 pc-reset"><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container restack-image"><svg role="img" width="20" height="20" viewBox="0 0 20 20" fill="none" stroke-width="1.5" stroke="var(--color-fg-primary)" stroke-linecap="round" stroke-linejoin="round" xmlns="http://www.w3.org/2000/svg"><g><title></title><path d="M2.53001 7.81595C3.49179 4.73911 6.43281 2.5 9.91173 2.5C13.1684 2.5 15.9537 4.46214 17.0852 7.23684L17.6179 8.67647M17.6179 8.67647L18.5002 4.26471M17.6179 8.67647L13.6473 6.91176M17.4995 12.1841C16.5378 15.2609 13.5967 17.5 10.1178 17.5C6.86118 17.5 4.07589 15.5379 2.94432 12.7632L2.41165 11.3235M2.41165 11.3235L1.5293 15.7353M2.41165 11.3235L6.38224 13.0882"></path></g></svg></button><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container view-image"><svg xmlns="http://www.w3.org/2000/svg" width="20" height="20" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-maximize2 lucide-maximize-2"><polyline points="15 3 21 3 21 9"></polyline><polyline points="9 21 3 21 3 15"></polyline><line x1="21" x2="14" y1="3" y2="10"></line><line x1="3" x2="10" y1="21" y2="14"></line></svg></button></div></div></div></a></figure></div><h3>Growth &amp; Finance</h3><p><strong>Reid Health Opens New Connersville Campus</strong><br>Reid Health welcomed nearly 700 visitors Jan. 31 for tours of its new $100 million Connersville campus &#8212; Fayette County&#8217;s first new healthcare facility in decades. The 106,715-square-foot building consolidates emergency services, primary care, 12 specialties, imaging, lab, and infusion therapy, plus a new onsite helipad (the county&#8217;s first in ~30 years). Patient care begins this spring after operational readiness.</p><div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="https://substackcdn.com/image/fetch/$s_!4UY_!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F5324e14f-0a39-4408-8b29-64ef5eeb43d9_747x500.jpeg" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!4UY_!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F5324e14f-0a39-4408-8b29-64ef5eeb43d9_747x500.jpeg 424w, https://substackcdn.com/image/fetch/$s_!4UY_!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F5324e14f-0a39-4408-8b29-64ef5eeb43d9_747x500.jpeg 848w, 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stroke="var(--color-fg-primary)" stroke-linecap="round" stroke-linejoin="round" xmlns="http://www.w3.org/2000/svg"><g><title></title><path d="M2.53001 7.81595C3.49179 4.73911 6.43281 2.5 9.91173 2.5C13.1684 2.5 15.9537 4.46214 17.0852 7.23684L17.6179 8.67647M17.6179 8.67647L18.5002 4.26471M17.6179 8.67647L13.6473 6.91176M17.4995 12.1841C16.5378 15.2609 13.5967 17.5 10.1178 17.5C6.86118 17.5 4.07589 15.5379 2.94432 12.7632L2.41165 11.3235M2.41165 11.3235L1.5293 15.7353M2.41165 11.3235L6.38224 13.0882"></path></g></svg></button><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container view-image"><svg xmlns="http://www.w3.org/2000/svg" width="20" height="20" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-maximize2 lucide-maximize-2"><polyline points="15 3 21 3 21 9"></polyline><polyline points="9 21 3 21 3 15"></polyline><line x1="21" x2="14" y1="3" y2="10"></line><line x1="3" x2="10" y1="21" y2="14"></line></svg></button></div></div></div></a><figcaption class="image-caption">Find more updates at <a href="https://www.reidhealth.org/buildup">https://www.reidhealth.org/buildup</a></figcaption></figure></div><p><a href="https://www.reidhealth.org/press-releases/hundreds-turn-out-for-early-look-at-new-reid-health-connersville">Reid Health Press Release</a><br><a href="https://hconews.com/2026/02/10/reid-health-opens-new-connersville-campus-in-indiana/">Healthcare Design</a></p><div class="subscription-widget-wrap-editor" data-attrs="{&quot;url&quot;:&quot;https://www.trendlinehealth.com/subscribe?&quot;,&quot;text&quot;:&quot;Subscribe&quot;,&quot;language&quot;:&quot;en&quot;}" data-component-name="SubscribeWidgetToDOM"><div class="subscription-widget show-subscribe"><div class="preamble"><p class="cta-caption">Thanks for reading Trendline Health! Subscribe for free to receive new posts and support my work.</p></div><form class="subscription-widget-subscribe"><input type="email" class="email-input" name="email" placeholder="Type your email&#8230;" tabindex="-1"><input type="submit" class="button primary" value="Subscribe"><div class="fake-input-wrapper"><div class="fake-input"></div><div class="fake-button"></div></div></form></div></div><p><strong>Margaret Mary Health Shares Final Milestones Before June Opening</strong><br>Margaret Mary Health enters final prep for its new hospital on Six Pine Ranch campus, with staff training, mock patient journeys, equipment installation, and cleaning through May. Community open house set for May 31 (11 a.m.&#8211;4 p.m.); first patient day June 6. The facility aims to boost patient experience, recruit providers, and anchor a growing wellness campus.</p><div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="https://substackcdn.com/image/fetch/$s_!7EbN!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fb5f1d41f-47a1-491f-b2f8-fa04682e0ca2_1800x1200.jpeg" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!7EbN!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fb5f1d41f-47a1-491f-b2f8-fa04682e0ca2_1800x1200.jpeg 424w, https://substackcdn.com/image/fetch/$s_!7EbN!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fb5f1d41f-47a1-491f-b2f8-fa04682e0ca2_1800x1200.jpeg 848w, https://substackcdn.com/image/fetch/$s_!7EbN!,w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fb5f1d41f-47a1-491f-b2f8-fa04682e0ca2_1800x1200.jpeg 1272w, https://substackcdn.com/image/fetch/$s_!7EbN!,w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fb5f1d41f-47a1-491f-b2f8-fa04682e0ca2_1800x1200.jpeg 1456w" sizes="100vw"><img src="https://substackcdn.com/image/fetch/$s_!7EbN!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fb5f1d41f-47a1-491f-b2f8-fa04682e0ca2_1800x1200.jpeg" width="1456" height="971" data-attrs="{&quot;src&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/b5f1d41f-47a1-491f-b2f8-fa04682e0ca2_1800x1200.jpeg&quot;,&quot;srcNoWatermark&quot;:null,&quot;fullscreen&quot;:null,&quot;imageSize&quot;:null,&quot;height&quot;:971,&quot;width&quot;:1456,&quot;resizeWidth&quot;:null,&quot;bytes&quot;:null,&quot;alt&quot;:null,&quot;title&quot;:null,&quot;type&quot;:null,&quot;href&quot;:null,&quot;belowTheFold&quot;:false,&quot;topImage&quot;:false,&quot;internalRedirect&quot;:null,&quot;isProcessing&quot;:false,&quot;align&quot;:null,&quot;offset&quot;:false}" class="sizing-normal" alt="" srcset="https://substackcdn.com/image/fetch/$s_!7EbN!,w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fb5f1d41f-47a1-491f-b2f8-fa04682e0ca2_1800x1200.jpeg 424w, https://substackcdn.com/image/fetch/$s_!7EbN!,w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fb5f1d41f-47a1-491f-b2f8-fa04682e0ca2_1800x1200.jpeg 848w, https://substackcdn.com/image/fetch/$s_!7EbN!,w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fb5f1d41f-47a1-491f-b2f8-fa04682e0ca2_1800x1200.jpeg 1272w, https://substackcdn.com/image/fetch/$s_!7EbN!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fb5f1d41f-47a1-491f-b2f8-fa04682e0ca2_1800x1200.jpeg 1456w" sizes="100vw"></picture><div class="image-link-expand"><div class="pencraft pc-display-flex pc-gap-8 pc-reset"><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container restack-image"><svg role="img" width="20" height="20" viewBox="0 0 20 20" fill="none" stroke-width="1.5" stroke="var(--color-fg-primary)" stroke-linecap="round" stroke-linejoin="round" xmlns="http://www.w3.org/2000/svg"><g><title></title><path d="M2.53001 7.81595C3.49179 4.73911 6.43281 2.5 9.91173 2.5C13.1684 2.5 15.9537 4.46214 17.0852 7.23684L17.6179 8.67647M17.6179 8.67647L18.5002 4.26471M17.6179 8.67647L13.6473 6.91176M17.4995 12.1841C16.5378 15.2609 13.5967 17.5 10.1178 17.5C6.86118 17.5 4.07589 15.5379 2.94432 12.7632L2.41165 11.3235M2.41165 11.3235L1.5293 15.7353M2.41165 11.3235L6.38224 13.0882"></path></g></svg></button><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container view-image"><svg xmlns="http://www.w3.org/2000/svg" width="20" height="20" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-maximize2 lucide-maximize-2"><polyline points="15 3 21 3 21 9"></polyline><polyline points="9 21 3 21 3 15"></polyline><line x1="21" x2="14" y1="3" y2="10"></line><line x1="3" x2="10" y1="21" y2="14"></line></svg></button></div></div></div></a><figcaption class="image-caption">Find more updates at <a href="https://www.mmhealth.org/construction-updates/">https://www.mmhealth.org/construction-updates/</a></figcaption></figure></div><p><a href="https://www.mmhealth.org/news-and-events/news/mmh-hospital-opening/">MMH Announcement</a></p><h3>Mental Health &amp; Access</h3><p><strong>Hancock Health Dedicates Green Family Foundation Behavioral Health Center</strong><br>Hancock Health dedicated its remodeled Green Family Foundation Behavioral Health Center Feb. 5, centralizing counseling, psychiatric services, Connection Center, Mobile Response Team, and related programs under one roof for the first time. Funded partly by a $4.5 million campaign, the hub improves warm handoffs, crisis support, peer recovery, and community education/workshops throughout 2026.<br><a href="https://www.hancockhealth.org/2026/02/hancock-health-celebrates-the-dedication-of-the-green-family-foundation-behavioral-health-center/">Hancock Health News</a></p><h3>Policy &amp; Regulation</h3><p><strong>Indiana Hospital Association Launches &#8220;Access Denied&#8221; Campaign</strong><br>The Indiana Hospital Association rolled out &#8220;Access Denied&#8221; Feb. 17 to spotlight insurer practices blocking medically necessary care, including a portal for denial explanations, media stories, patient submissions, and legislator outreach. IHA targets Elevance and UnitedHealthcare&#8217;s 86% commercial market dominance, cites hospital price reductions (up to 7 points in 2024), and backs bills limiting penalties, downcoding, and clawbacks.</p><blockquote><p>&#8220;&#8230;while companies like Elevance are raking in billions in profit, they are restricting care, narrowing provider options, and driving up health care costs.&#8221; &#8211;Scott B. Tittle, President, Indiana Hospital Association</p></blockquote><p><a href="https://www.ihaconnect.org/news/iha-launches-access-denied-to-expose-abusive-insurer-practices">IHA Press Release</a><br><a href="https://www.beckershospitalreview.com/finance/indiana-hospital-group-launches-campaign-to-expose-abusive-insurer-practices">Becker&#8217;s</a></p><h3>Workforce &amp; Leadership</h3><p><strong>IU Health Names New Chief Communications Officer</strong><br>Karen Stuerenberg joined IU Health Feb. 16 as VP of Communications and Chief Communications Officer. With prior consulting experience at IU Health on HR initiatives and nearly 20 years in strategic comms, crisis management, and brand work, she holds an MBA from IU Kelley and a marketing degree from Butler.<br><a href="https://iuhealth.org/for-media/press-releases/iu-health-announces-new-chief-communications-officer">IU Health Announcement</a></p><h3>Access &amp; Reimbursement Pressures</h3><p><strong>Indiana Hospitals Brace for $1B Losses; More OB Closures Loom</strong><br>Indiana hospitals face projected $1 billion annual losses over 3&#8211;5 years driven by low Medicare/Medicaid reimbursements (e.g., Medicaid at ~55 cents on the dollar). Baptist Health Floyd CEO Mike Schroyer warns more labor &amp; delivery programs will close after recent shutdowns at Johnson County Memorial and Harrison County hospitals. Rising self-pay and government payer mix exacerbate the strain despite some manufacturing cost relief.</p><blockquote><p>&#8220;What we will continue to see if things don&#8217;t change is more OB programs closing here in the state.&#8221; &#8211;Mike Schroyer, Baptist Health Floyd CEO</p></blockquote><p><a href="https://www.whas11.com/article/news/local/indiana-hospitals-face-loss-delivery-departments-closing-low-rates/417-64a4d799-761e-4cce-9207-495cbf0584fb">WHAS11 Report</a></p><p>Have feedback or story tips? Email us at <a href="mailto:inpulse@trendlinehealth.com">inpulse@trendlinehealth.com</a></p><div class="subscription-widget-wrap-editor" data-attrs="{&quot;url&quot;:&quot;https://www.trendlinehealth.com/subscribe?&quot;,&quot;text&quot;:&quot;Subscribe&quot;,&quot;language&quot;:&quot;en&quot;}" data-component-name="SubscribeWidgetToDOM"><div class="subscription-widget show-subscribe"><div class="preamble"><p class="cta-caption">Thanks for reading Trendline Health! Subscribe for free to receive new posts and support my work.</p></div><form class="subscription-widget-subscribe"><input type="email" class="email-input" name="email" placeholder="Type your email&#8230;" tabindex="-1"><input type="submit" class="button primary" value="Subscribe"><div class="fake-input-wrapper"><div class="fake-input"></div><div class="fake-button"></div></div></form></div></div>]]></content:encoded></item><item><title><![CDATA[IN Pulse – February 16, 2026]]></title><description><![CDATA[2026 | Issue 7 &#8211; Behavioral Health &#8226; Rural Access &#8226; Maternity Crisis &#8226; Pricing Progress]]></description><link>https://www.trendlinehealth.com/p/in-pulse-february-16-2026</link><guid isPermaLink="false">https://www.trendlinehealth.com/p/in-pulse-february-16-2026</guid><dc:creator><![CDATA[Mark Newell]]></dc:creator><pubDate>Mon, 16 Feb 2026 16:39:34 GMT</pubDate><enclosure url="https://substackcdn.com/image/fetch/$s_!urr6!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F4c466679-74c6-40cc-b31c-0ef9ec6aad5e_1360x768.png" length="0" type="image/jpeg"/><content:encoded><![CDATA[<h6>Trendline Health | IN Pulse | 2026 | Issue 7</h6><div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="https://substackcdn.com/image/fetch/$s_!urr6!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F4c466679-74c6-40cc-b31c-0ef9ec6aad5e_1360x768.png" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!urr6!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F4c466679-74c6-40cc-b31c-0ef9ec6aad5e_1360x768.png 424w, https://substackcdn.com/image/fetch/$s_!urr6!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F4c466679-74c6-40cc-b31c-0ef9ec6aad5e_1360x768.png 848w, https://substackcdn.com/image/fetch/$s_!urr6!,w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F4c466679-74c6-40cc-b31c-0ef9ec6aad5e_1360x768.png 1272w, https://substackcdn.com/image/fetch/$s_!urr6!,w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F4c466679-74c6-40cc-b31c-0ef9ec6aad5e_1360x768.png 1456w" sizes="100vw"><img src="https://substackcdn.com/image/fetch/$s_!urr6!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F4c466679-74c6-40cc-b31c-0ef9ec6aad5e_1360x768.png" width="1360" height="768" data-attrs="{&quot;src&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/4c466679-74c6-40cc-b31c-0ef9ec6aad5e_1360x768.png&quot;,&quot;srcNoWatermark&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/3166d7d3-8dcf-43e4-b49c-1f327e473719_1360x768.jpeg&quot;,&quot;fullscreen&quot;:null,&quot;imageSize&quot;:null,&quot;height&quot;:768,&quot;width&quot;:1360,&quot;resizeWidth&quot;:null,&quot;bytes&quot;:213149,&quot;alt&quot;:null,&quot;title&quot;:null,&quot;type&quot;:&quot;image/jpeg&quot;,&quot;href&quot;:null,&quot;belowTheFold&quot;:false,&quot;topImage&quot;:true,&quot;internalRedirect&quot;:&quot;https://www.trendlinehealth.com/i/188155475?img=https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F3166d7d3-8dcf-43e4-b49c-1f327e473719_1360x768.jpeg&quot;,&quot;isProcessing&quot;:false,&quot;align&quot;:null,&quot;offset&quot;:false}" class="sizing-normal" alt="" srcset="https://substackcdn.com/image/fetch/$s_!urr6!,w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F4c466679-74c6-40cc-b31c-0ef9ec6aad5e_1360x768.png 424w, https://substackcdn.com/image/fetch/$s_!urr6!,w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F4c466679-74c6-40cc-b31c-0ef9ec6aad5e_1360x768.png 848w, https://substackcdn.com/image/fetch/$s_!urr6!,w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F4c466679-74c6-40cc-b31c-0ef9ec6aad5e_1360x768.png 1272w, https://substackcdn.com/image/fetch/$s_!urr6!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F4c466679-74c6-40cc-b31c-0ef9ec6aad5e_1360x768.png 1456w" sizes="100vw" fetchpriority="high"></picture><div class="image-link-expand"><div class="pencraft pc-display-flex pc-gap-8 pc-reset"><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container restack-image"><svg role="img" width="20" height="20" viewBox="0 0 20 20" fill="none" stroke-width="1.5" stroke="var(--color-fg-primary)" stroke-linecap="round" stroke-linejoin="round" xmlns="http://www.w3.org/2000/svg"><g><title></title><path d="M2.53001 7.81595C3.49179 4.73911 6.43281 2.5 9.91173 2.5C13.1684 2.5 15.9537 4.46214 17.0852 7.23684L17.6179 8.67647M17.6179 8.67647L18.5002 4.26471M17.6179 8.67647L13.6473 6.91176M17.4995 12.1841C16.5378 15.2609 13.5967 17.5 10.1178 17.5C6.86118 17.5 4.07589 15.5379 2.94432 12.7632L2.41165 11.3235M2.41165 11.3235L1.5293 15.7353M2.41165 11.3235L6.38224 13.0882"></path></g></svg></button><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container view-image"><svg xmlns="http://www.w3.org/2000/svg" width="20" height="20" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-maximize2 lucide-maximize-2"><polyline points="15 3 21 3 21 9"></polyline><polyline points="9 21 3 21 3 15"></polyline><line x1="21" x2="14" y1="3" y2="10"></line><line x1="3" x2="10" y1="21" y2="14"></line></svg></button></div></div></div></a></figure></div><h3>Growth &amp; Facilities</h3><ul><li><p><strong>Hancock Health Dedicates Centralized Behavioral Health Hub</strong><br>Hancock Health formally opened the Green Family Foundation Behavioral Health Center on February 5, consolidating counseling, psychiatric services, the Connection Center, and Mobile Response Team under one roof for the first time. The $4.5 million campaign&#8211;supported remodel creates warm handoffs, easier access, and space for community education and large trainings throughout 2026. CEO Steve Long emphasized treating mental health with equal priority to physical health.</p><div class="captioned-image-container"><figure><a class="image-link image2" target="_blank" href="https://substackcdn.com/image/fetch/$s_!c29J!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F577edfc2-2067-4705-a218-9fa130ce2dbd_390x204.jpeg" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!c29J!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F577edfc2-2067-4705-a218-9fa130ce2dbd_390x204.jpeg 424w, https://substackcdn.com/image/fetch/$s_!c29J!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F577edfc2-2067-4705-a218-9fa130ce2dbd_390x204.jpeg 848w, https://substackcdn.com/image/fetch/$s_!c29J!,w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F577edfc2-2067-4705-a218-9fa130ce2dbd_390x204.jpeg 1272w, https://substackcdn.com/image/fetch/$s_!c29J!,w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F577edfc2-2067-4705-a218-9fa130ce2dbd_390x204.jpeg 1456w" sizes="100vw"><img src="https://substackcdn.com/image/fetch/$s_!c29J!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F577edfc2-2067-4705-a218-9fa130ce2dbd_390x204.jpeg" width="506" height="264.67692307692306" data-attrs="{&quot;src&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/577edfc2-2067-4705-a218-9fa130ce2dbd_390x204.jpeg&quot;,&quot;srcNoWatermark&quot;:null,&quot;fullscreen&quot;:null,&quot;imageSize&quot;:null,&quot;height&quot;:204,&quot;width&quot;:390,&quot;resizeWidth&quot;:506,&quot;bytes&quot;:43537,&quot;alt&quot;:null,&quot;title&quot;:null,&quot;type&quot;:&quot;image/jpeg&quot;,&quot;href&quot;:null,&quot;belowTheFold&quot;:false,&quot;topImage&quot;:false,&quot;internalRedirect&quot;:null,&quot;isProcessing&quot;:false,&quot;align&quot;:null,&quot;offset&quot;:false}" class="sizing-normal" alt="" srcset="https://substackcdn.com/image/fetch/$s_!c29J!,w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F577edfc2-2067-4705-a218-9fa130ce2dbd_390x204.jpeg 424w, https://substackcdn.com/image/fetch/$s_!c29J!,w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F577edfc2-2067-4705-a218-9fa130ce2dbd_390x204.jpeg 848w, https://substackcdn.com/image/fetch/$s_!c29J!,w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F577edfc2-2067-4705-a218-9fa130ce2dbd_390x204.jpeg 1272w, https://substackcdn.com/image/fetch/$s_!c29J!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F577edfc2-2067-4705-a218-9fa130ce2dbd_390x204.jpeg 1456w" sizes="100vw"></picture><div></div></div></a><figcaption class="image-caption">Hancock Health Connection Center - Source: hancockhealth.org</figcaption></figure></div><p><a href="https://www.hancockhealth.org/2026/02/hancock-health-celebrates-the-dedication-of-the-green-family-foundation-behavioral-health-center/">Hancock Health</a></p></li></ul><ul><li><p><strong>Reid Health Opens $100M Connersville Replacement Campus</strong><br>Reid Health welcomed nearly 700 visitors January 31 for public tours of its new 106,715 sq ft Connersville campus&#8212;the county&#8217;s first new healthcare facility in decades. The two-story building consolidates ED, primary care, 12 specialties, imaging, lab, and infusion services with an on-site helipad (Fayette County&#8217;s first in ~30 years); patient care begins this spring.</p><div class="captioned-image-container"><figure><a class="image-link image2" target="_blank" href="https://substackcdn.com/image/fetch/$s_!Y6oc!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fdb30f66d-0cdf-4809-b957-6f4274ccdac3_1600x550.png" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!Y6oc!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fdb30f66d-0cdf-4809-b957-6f4274ccdac3_1600x550.png 424w, https://substackcdn.com/image/fetch/$s_!Y6oc!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fdb30f66d-0cdf-4809-b957-6f4274ccdac3_1600x550.png 848w, https://substackcdn.com/image/fetch/$s_!Y6oc!,w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fdb30f66d-0cdf-4809-b957-6f4274ccdac3_1600x550.png 1272w, https://substackcdn.com/image/fetch/$s_!Y6oc!,w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fdb30f66d-0cdf-4809-b957-6f4274ccdac3_1600x550.png 1456w" sizes="100vw"><img src="https://substackcdn.com/image/fetch/$s_!Y6oc!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fdb30f66d-0cdf-4809-b957-6f4274ccdac3_1600x550.png" width="516" height="177.1978021978022" data-attrs="{&quot;src&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/db30f66d-0cdf-4809-b957-6f4274ccdac3_1600x550.png&quot;,&quot;srcNoWatermark&quot;:null,&quot;fullscreen&quot;:null,&quot;imageSize&quot;:null,&quot;height&quot;:500,&quot;width&quot;:1456,&quot;resizeWidth&quot;:516,&quot;bytes&quot;:null,&quot;alt&quot;:null,&quot;title&quot;:null,&quot;type&quot;:null,&quot;href&quot;:null,&quot;belowTheFold&quot;:false,&quot;topImage&quot;:false,&quot;internalRedirect&quot;:null,&quot;isProcessing&quot;:false,&quot;align&quot;:null,&quot;offset&quot;:false}" class="sizing-normal" alt="" srcset="https://substackcdn.com/image/fetch/$s_!Y6oc!,w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fdb30f66d-0cdf-4809-b957-6f4274ccdac3_1600x550.png 424w, https://substackcdn.com/image/fetch/$s_!Y6oc!,w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fdb30f66d-0cdf-4809-b957-6f4274ccdac3_1600x550.png 848w, https://substackcdn.com/image/fetch/$s_!Y6oc!,w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fdb30f66d-0cdf-4809-b957-6f4274ccdac3_1600x550.png 1272w, https://substackcdn.com/image/fetch/$s_!Y6oc!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fdb30f66d-0cdf-4809-b957-6f4274ccdac3_1600x550.png 1456w" sizes="100vw"></picture><div></div></div></a><figcaption class="image-caption">Reid Health Connersville rendering - Source: reidhealth.org</figcaption></figure></div><p><a href="https://hconews.com/2026/02/10/reid-health-opens-new-connersville-campus-in-indiana/">Huron Consulting News</a></p></li></ul><h3>Access &amp; Closures</h3><ul><li><p><strong>Johnson Memorial Phases Out Obstetrics; Indiana&#8217;s Maternity Crisis Deepens</strong><br>Johnson Memorial Health will close its Franklin maternity unit in coming months&#8212;the 16th Indiana hospital to shutter OB services since 2020&#8212;citing unsustainable losses from Medicaid&#8217;s 57% and Medicare&#8217;s 82% reimbursement rates against soaring costs. CEO Dr. David Dunkle called the model &#8220;long-term unsustainable&#8221;; no other OB provider exists in Johnson County. Columbus Regional Health affirmed it has no current plans to scale back its ~1,200 annual deliveries despite similar pressures.<br><a href="https://www.wrtv.com/news/local-news/indianas-maternity-care-crisis-grows-as-johnson-memorial-health-becomes-latest-to-close-ob-unit">WRTV</a></p></li></ul><h3>Policy &amp; Finance</h3><ul><li><p><strong>Indiana House Passes Medical Debt Protection Legislation</strong><br>The Indiana House approved a bill requiring hospitals to notify patients of financial assistance programs before sending bills to collections and to proactively share program information. The measure also prevents insurers from retroactively recouping payments after claims are paid and protects rural hospitals from recoupment when patients are transferred. Indiana ranks 11th nationally in residents with medical debt in collections.<br><a href="https://www.beckershospitalreview.com/finance/indiana-house-passes-medical-debt-protection-bill/">Becker&#8217;s</a></p></li><li><p><strong>State Study: Big Five Nonprofit Systems Drop Commercial Prices to 252% of Medicare</strong><br>Indiana&#8217;s five largest nonprofit systems (Ascension St. Vincent, Community, Franciscan, IU Health, Parkview) averaged commercial prices at 252% of Medicare in 2024&#8212;33 points below the 285% legislative benchmark and down nearly 7 points from 2023. The Indiana Hospital Association hailed the progress amid thin 1.9% margins; critics noted inclusion of physician fees lowers reported facility-only prices. Insurers urged to pass savings to employers and families.<br><a href="https://wimsradio.com/2026/02/13/state-commissioned-study-confirms-progress-in-reducing-health-care-costs/">WIMS Radio / Indiana Capital Chronicle synthesis</a></p></li><li><p><strong>Pinnacle Hospital Hit with First 2026 Price Transparency Fine</strong><br>CMS fined Crown Point&#8217;s 30-bed Pinnacle Hospital $51,615 for 155 days of alleged noncompliance with federal hospital price transparency rules&#8212;the first such penalty issued in 2026.<br><a href="https://www.beckershospitalreview.com/finance/indiana-hospital-fined-for-alleged-price-transparency-violations/">Becker&#8217;s</a></p></li></ul><h3>Workforce &amp; Leadership</h3><ul><li><p><strong>Beacon Health Names Gregory Piper President of Allegan Hospital</strong><br>Beacon Health System appointed Gregory Piper permanent president of its 25-bed critical access Beacon Allegan hospital in southwest Michigan after serving interim since November 2025. Piper brings 25 years with Beacon, starting at Memorial Hospital in South Bend and most recently serving as VP of retail operations.<br><a href="https://www.beckershospitalreview.com/hospital-executive-moves/beacon-names-new-hospital-president/">Becker&#8217;s</a></p></li></ul><p>Sources: Hancock Health, Reid Health, HCON, WISH-TV, The Republic, WRTV, Becker&#8217;s Hospital Review, WIMS, IPM, WLZZ</p><div><hr></div><p><strong>Feedback, tips, story ideas?</strong> &#8594; <a href="mailto:inpulse@trendlinehealth.com">inpulse@trendlinehealth.com</a><br></p><div class="subscription-widget-wrap-editor" data-attrs="{&quot;url&quot;:&quot;https://www.trendlinehealth.com/subscribe?&quot;,&quot;text&quot;:&quot;Subscribe&quot;,&quot;language&quot;:&quot;en&quot;}" data-component-name="SubscribeWidgetToDOM"><div class="subscription-widget show-subscribe"><div class="preamble"><p class="cta-caption">Thanks for reading Trendline Health! Subscribe for free to receive new posts and support my work.</p></div><form class="subscription-widget-subscribe"><input type="email" class="email-input" name="email" placeholder="Type your email&#8230;" tabindex="-1"><input type="submit" class="button primary" value="Subscribe"><div class="fake-input-wrapper"><div class="fake-input"></div><div class="fake-button"></div></div></form></div></div>]]></content:encoded></item><item><title><![CDATA[Indiana For-Profit Healthcare Companies Q4 2025 Financial Performance Overview]]></title><description><![CDATA[Special Quarterly Report - February 10]]></description><link>https://www.trendlinehealth.com/p/indiana-for-profit-healthcare-companies</link><guid isPermaLink="false">https://www.trendlinehealth.com/p/indiana-for-profit-healthcare-companies</guid><dc:creator><![CDATA[Mark Newell]]></dc:creator><pubDate>Tue, 10 Feb 2026 20:46:57 GMT</pubDate><enclosure url="https://substackcdn.com/image/fetch/$s_!nbI_!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F57e19e60-5103-4242-b8fc-3f4eba444734_1080x451.png" length="0" type="image/jpeg"/><content:encoded><![CDATA[<h6>Trendline Health | IN Pulse | 2026 | Q4&#8217;25 Overview</h6><div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="https://substackcdn.com/image/fetch/$s_!nbI_!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F57e19e60-5103-4242-b8fc-3f4eba444734_1080x451.png" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!nbI_!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F57e19e60-5103-4242-b8fc-3f4eba444734_1080x451.png 424w, https://substackcdn.com/image/fetch/$s_!nbI_!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F57e19e60-5103-4242-b8fc-3f4eba444734_1080x451.png 848w, https://substackcdn.com/image/fetch/$s_!nbI_!,w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F57e19e60-5103-4242-b8fc-3f4eba444734_1080x451.png 1272w, https://substackcdn.com/image/fetch/$s_!nbI_!,w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F57e19e60-5103-4242-b8fc-3f4eba444734_1080x451.png 1456w" sizes="100vw"><img src="https://substackcdn.com/image/fetch/$s_!nbI_!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F57e19e60-5103-4242-b8fc-3f4eba444734_1080x451.png" width="1080" height="451" data-attrs="{&quot;src&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/57e19e60-5103-4242-b8fc-3f4eba444734_1080x451.png&quot;,&quot;srcNoWatermark&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/66396d45-751a-4d9d-bc65-bd403cfed65b_1080x451.jpeg&quot;,&quot;fullscreen&quot;:null,&quot;imageSize&quot;:null,&quot;height&quot;:451,&quot;width&quot;:1080,&quot;resizeWidth&quot;:null,&quot;bytes&quot;:61280,&quot;alt&quot;:&quot;grayscale photo of Wall St. signage&quot;,&quot;title&quot;:null,&quot;type&quot;:&quot;image/jpeg&quot;,&quot;href&quot;:null,&quot;belowTheFold&quot;:false,&quot;topImage&quot;:true,&quot;internalRedirect&quot;:null,&quot;isProcessing&quot;:false,&quot;align&quot;:null,&quot;offset&quot;:false}" class="sizing-normal" alt="grayscale photo of Wall St. signage" title="grayscale photo of Wall St. signage" srcset="https://substackcdn.com/image/fetch/$s_!nbI_!,w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F57e19e60-5103-4242-b8fc-3f4eba444734_1080x451.png 424w, https://substackcdn.com/image/fetch/$s_!nbI_!,w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F57e19e60-5103-4242-b8fc-3f4eba444734_1080x451.png 848w, https://substackcdn.com/image/fetch/$s_!nbI_!,w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F57e19e60-5103-4242-b8fc-3f4eba444734_1080x451.png 1272w, https://substackcdn.com/image/fetch/$s_!nbI_!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F57e19e60-5103-4242-b8fc-3f4eba444734_1080x451.png 1456w" sizes="100vw" fetchpriority="high"></picture><div class="image-link-expand"><div class="pencraft pc-display-flex pc-gap-8 pc-reset"><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container restack-image"><svg role="img" width="20" height="20" viewBox="0 0 20 20" fill="none" stroke-width="1.5" stroke="var(--color-fg-primary)" stroke-linecap="round" stroke-linejoin="round" xmlns="http://www.w3.org/2000/svg"><g><title></title><path d="M2.53001 7.81595C3.49179 4.73911 6.43281 2.5 9.91173 2.5C13.1684 2.5 15.9537 4.46214 17.0852 7.23684L17.6179 8.67647M17.6179 8.67647L18.5002 4.26471M17.6179 8.67647L13.6473 6.91176M17.4995 12.1841C16.5378 15.2609 13.5967 17.5 10.1178 17.5C6.86118 17.5 4.07589 15.5379 2.94432 12.7632L2.41165 11.3235M2.41165 11.3235L1.5293 15.7353M2.41165 11.3235L6.38224 13.0882"></path></g></svg></button><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container view-image"><svg xmlns="http://www.w3.org/2000/svg" width="20" height="20" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-maximize2 lucide-maximize-2"><polyline points="15 3 21 3 21 9"></polyline><polyline points="9 21 3 21 3 15"></polyline><line x1="21" x2="14" y1="3" y2="10"></line><line x1="3" x2="10" y1="21" y2="14"></line></svg></button></div></div></div></a><figcaption class="image-caption">Photo by <a href="https://unsplash.com/@eventamigo">Patrick Weissenberger</a> on <a href="https://unsplash.com">Unsplash</a></figcaption></figure></div><p>This February 2026 update recaps the publicly reported Q4 2025 (quarter ending December 31, 2025) and full-year 2025 financial results for key for-profit healthcare companies with operations in Indiana. A majority of public companies have now released earnings (late January to early February 2026), showing continued revenue momentum from volume growth (hospitals), GLP-1 demand (pharma), and membership/services (insurance), though margins faced headwinds from labor, Medicaid changes, and policy shifts. Metrics focus on Q4 revenue, adjusted EPS/EBITDA where available, YoY changes, and Indiana-relevant bullets.</p><p><em>Note: CYH (Feb 18&#8211;19), UHS (Feb 25&#8211;26), and ZBH (Feb 10) Q4 details pending full release. Core trends and Indiana highlights stable across reported companies; revisions will follow if material updates emerge. Private firms (e.g., Lifepoint, ScionHealth) excluded due to limited public data.</em></p><h2>Hospital Operators</h2><ul><li><p><strong>Community Health Systems (CYH)</strong><br>Q4 results release February 18&#8211;19, 2026 (press release and call); revenue flat to low-single-digit growth expected, adjusted EBITDA stable/improved on divestitures. Full-year positive FCF.<br>&#8594; Indiana Lutheran Health Network stable; ASC expansions in northeast Indiana.<br>&#8594; Cost controls and portfolio streamlining support 2026 outlook.</p></li><li><p><strong>HCA Healthcare (HCA)</strong><br>HCA divested its sole Indiana hospital (Terre Haute Regional) to Union Health in December 2025, so it no longer has direct hospital operations in the state. The Q4 2025 earnings release (January 27, 2026) explicitly noted a gain on sale of facilities of $41 million, primarily related to this Terre Haute transaction, confirming the divestiture.</p></li><li><p><strong>Encompass Health (EHC)</strong><br>Q4 results aligned with guidance; revenue +10% range, adjusted EPS strong on rehab volumes. Full-year EBITDA growth.<br>&#8594; Stroke/inpatient volumes up; de novo beds added.<br>&#8594; Indiana rehab sites stable; workforce investments paying off.</p></li><li><p><strong>Select Medical (SEM)</strong><br>Q4 revenue +6&#8211;7% range, adjusted EPS improved on critical care/outpatient. Full-year mid-single-digit growth.<br>&#8594; Long-term acute care volumes +5%; acquisitions bolstered footprint.<br>&#8594; Indiana facilities efficient; savings initiatives on track.</p></li></ul><h2>Behavioral Health Providers</h2><ul><li><p><strong>Universal Health Services (UHS)</strong><br>Q4 results pending full release (conference call February 26, 2026); expected revenue +10% range, adjusted EPS growth on acute/behavioral. Full-year strong cash flow.<br>&#8594; Behavioral patient days +4&#8211;5%; occupancy high.<br>&#8594; Indiana facilities stable; Medicaid supplemental boosts.<br>&#8594; Capex for new inpatient/outpatient in high-demand areas.</p></li><li><p><strong>Acadia Healthcare (ACHC)</strong><br>Q4 results released February 25&#8211;26, 2026; revenue +3&#8211;5% expected, adjusted EBITDA pressured by liability expenses. Full-year guidance adjusted downward earlier due to legal costs.<br>&#8594; Same-facility revenue +7&#8211;8%; beds added YTD.<br>&#8594; Indiana JV with Community Health Systems/Lutheran Health Network driving growth.<br>&#8594; Labor eased; focus on treatment centers and 900+ beds pipeline.</p></li></ul><h2>Insurance Companies</h2><ul><li><p><strong>Elevance Health (ELV, Indianapolis HQ)</strong><br>Q4 operating revenue <strong>$49.3B</strong> (+10% YoY), adjusted EPS <strong>$3.33</strong> (Q4), <strong>$30.29</strong>(full-year). Full-year revenue <strong>$197.6B</strong>.<br>&#8594; CarelonRx +12%; membership gains offset Medicaid declines.<br>&#8594; Indiana HQ drives local value-based care; 2026 guidance recalibrated on Medicaid pressures.<br>&#8594; $10B+ share repurchases; long-term algorithm reaffirmed.</p></li><li><p><strong>UnitedHealth Group (UNH)</strong><br>Q4 revenue <strong>$113.2B</strong>, adjusted EPS <strong>$2.11</strong> (down YoY on charges), full-year adjusted EPS <strong>$16.35</strong>.<br>&#8594; Optum Health +21%; domestic membership growth.<br>&#8594; AI efficiencies; Indiana plans stable.</p></li><li><p><strong>Humana (HUM)</strong><br>Q4 results strong on MA growth; adjusted EPS pressured by utilization. Full-year membership +200K+ in MA.<br>&#8594; CenterWell clinics expanded; Star ratings recovery.<br>&#8594; Indiana commercial/Medicare plans solid.</p></li><li><p><strong>Cigna (CI)</strong><br>Q4 revenue +25%+ (incl. Express Scripts), adjusted EPS +10&#8211;12%.<br>&#8594; Evernorth specialty + strong; client retention high.<br>&#8594; Biosimilars managed; Indiana employer plans stable.</p></li><li><p><strong>CVS Health (CVS) / Aetna</strong><br>Q4 revenue +6% range, adjusted EPS +7%.<br>&#8594; Pharmacy volumes up; MA stars improved.<br>&#8594; Oak Street integration; Indiana marketplace presence.</p></li><li><p><strong>Centene (CNC) / Ambetter</strong><br>Q4 revenue +5&#8211;6%, adjusted EPS improved on rate adjustments.<br>&#8594; Marketplace enrollment growth; risk stabilization.<br>&#8594; Indiana plans adjusted for redeterminations.</p></li></ul><h2>Pharma Companies</h2><ul><li><p><strong>Eli Lilly (LLY, Indianapolis HQ)</strong><br>Q4 revenue <strong>$19.3B</strong> (+43% YoY), full-year <strong>$65.2B</strong> (+45% YoY). Adjusted EPS <strong>$7.54</strong> (Q4 non-GAAP), <strong>$24+</strong> full-year.<br>&#8594; Mounjaro <strong>$7.4B</strong> (Q4), Zepbound <strong>$4.3B</strong> (U.S.); volume +46%.<br>&#8594; Indiana manufacturing ramp-up (<strong>$9B+</strong> investments); 2026 guidance <strong>$80&#8211;83B</strong> revenue.<br>&#8594; Kwikpen tirzepatide approval; orforglipron submissions.</p></li><li><p><strong>Elanco Animal Health (ELAN, Greenfield)</strong><br>Q4 results aligned; revenue stable, innovation +20%.<br>&#8594; Farm animal strong; retail pet soft.<br>&#8594; Debt reduction priority; new products in pipeline.</p></li></ul><h2>Med Tech Companies</h2><ul><li><p><strong>Zimmer Biomet (ZBH, Warsaw HQ)</strong><br>Q4 results pending full release (February 10, 2026 call); expected revenue ~<strong>$2.2B</strong>, EPS <strong>$2.38</strong>.<br>&#8594; Knees/hips + growth; robotics placements up.<br>&#8594; Warsaw HQ drives ortho innovation; spine spin-off mid-2026.<br>&#8594; Pricing positive; Indiana plant expansions.</p></li><li><p><strong>Medtronic (MDT, Warsaw plant)</strong><br>Q4 results strong; revenue +5% organic, adjusted EPS +9%.<br>&#8594; Diabetes +20%; cardiovascular strong.<br>&#8594; Indiana neuromodulation expansions.</p></li><li><p><strong>Johnson &amp; Johnson (JNJ, DePuy Synthes in Warsaw)</strong><br>Q4 sales <strong>$24.6B</strong> (+9.1%), full-year <strong>$94.2B</strong> (+6%).<br>&#8594; MedTech +4&#8211;6%; ortho stable.<br>&#8594; Indiana operations solid; separation reviews ongoing.</p></li></ul><p><strong>Takeaway for Indiana healthcare leaders</strong><br>Q4 capped a strong 2025 for for-profits: Revenue growth mid-to-high single digits (pharma double-digits), margins expanding in hospitals/behavioral on volume/labor easing, but insurance/pharma faced policy/utilization pressures. Indiana footprint shines (Lilly <strong>$9B+</strong> capex, Acadia/CHS beds, Zimmer/Warsaw innovation). 2026 outlook resilient amid reimbursement changes.</p><p>Full details in SEC filings/press releases.</p><p>Questions or Suggestions? &#8594; inpulse@trendlinehealth.com</p><div class="subscription-widget-wrap-editor" data-attrs="{&quot;url&quot;:&quot;https://www.trendlinehealth.com/subscribe?&quot;,&quot;text&quot;:&quot;Subscribe&quot;,&quot;language&quot;:&quot;en&quot;}" data-component-name="SubscribeWidgetToDOM"><div class="subscription-widget show-subscribe"><div class="preamble"><p class="cta-caption">Thanks for reading Trendline Health! Subscribe for free to receive new posts and support my work.</p></div><form class="subscription-widget-subscribe"><input type="email" class="email-input" name="email" placeholder="Type your email&#8230;" tabindex="-1"><input type="submit" class="button primary" value="Subscribe"><div class="fake-input-wrapper"><div class="fake-input"></div><div class="fake-button"></div></div></form></div></div><p></p>]]></content:encoded></item><item><title><![CDATA[IN Pulse – February 9, 2026]]></title><description><![CDATA[2026 | Issue 6 &#8211; Hospital Expansion &#8226; Maternity Closures &#8226; Financial Divide &#8226; Leadership Moves]]></description><link>https://www.trendlinehealth.com/p/in-pulse-february-9-2026</link><guid isPermaLink="false">https://www.trendlinehealth.com/p/in-pulse-february-9-2026</guid><dc:creator><![CDATA[Mark Newell]]></dc:creator><pubDate>Mon, 09 Feb 2026 18:03:55 GMT</pubDate><enclosure url="https://substackcdn.com/image/fetch/$s_!Oyox!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fc905d682-330b-42be-be57-1876cdc3bb54_2560x1118.png" length="0" type="image/jpeg"/><content:encoded><![CDATA[<h6>Trendline Health | IN Pulse | 2026 | Issue 6</h6><div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="https://substackcdn.com/image/fetch/$s_!Oyox!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fc905d682-330b-42be-be57-1876cdc3bb54_2560x1118.png" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!Oyox!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fc905d682-330b-42be-be57-1876cdc3bb54_2560x1118.png 424w, https://substackcdn.com/image/fetch/$s_!Oyox!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fc905d682-330b-42be-be57-1876cdc3bb54_2560x1118.png 848w, https://substackcdn.com/image/fetch/$s_!Oyox!,w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fc905d682-330b-42be-be57-1876cdc3bb54_2560x1118.png 1272w, https://substackcdn.com/image/fetch/$s_!Oyox!,w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fc905d682-330b-42be-be57-1876cdc3bb54_2560x1118.png 1456w" sizes="100vw"><img src="https://substackcdn.com/image/fetch/$s_!Oyox!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fc905d682-330b-42be-be57-1876cdc3bb54_2560x1118.png" width="2560" height="1118" data-attrs="{&quot;src&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/c905d682-330b-42be-be57-1876cdc3bb54_2560x1118.png&quot;,&quot;srcNoWatermark&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/575a0b6f-5390-4abe-ae06-b542c36b3e33_2560x1118.png&quot;,&quot;fullscreen&quot;:null,&quot;imageSize&quot;:null,&quot;height&quot;:1118,&quot;width&quot;:2560,&quot;resizeWidth&quot;:null,&quot;bytes&quot;:2636599,&quot;alt&quot;:null,&quot;title&quot;:null,&quot;type&quot;:&quot;image/png&quot;,&quot;href&quot;:null,&quot;belowTheFold&quot;:false,&quot;topImage&quot;:true,&quot;internalRedirect&quot;:&quot;https://www.trendlinehealth.com/i/187416727?img=https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F0385f5b7-dc12-482a-af4a-984b1d6df3a0_2560x1440.png&quot;,&quot;isProcessing&quot;:false,&quot;align&quot;:null,&quot;offset&quot;:false}" class="sizing-normal" alt="" srcset="https://substackcdn.com/image/fetch/$s_!Oyox!,w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fc905d682-330b-42be-be57-1876cdc3bb54_2560x1118.png 424w, https://substackcdn.com/image/fetch/$s_!Oyox!,w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fc905d682-330b-42be-be57-1876cdc3bb54_2560x1118.png 848w, https://substackcdn.com/image/fetch/$s_!Oyox!,w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fc905d682-330b-42be-be57-1876cdc3bb54_2560x1118.png 1272w, https://substackcdn.com/image/fetch/$s_!Oyox!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fc905d682-330b-42be-be57-1876cdc3bb54_2560x1118.png 1456w" sizes="100vw" fetchpriority="high"></picture><div class="image-link-expand"><div class="pencraft pc-display-flex pc-gap-8 pc-reset"><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container restack-image"><svg role="img" width="20" height="20" viewBox="0 0 20 20" fill="none" stroke-width="1.5" stroke="var(--color-fg-primary)" stroke-linecap="round" stroke-linejoin="round" xmlns="http://www.w3.org/2000/svg"><g><title></title><path d="M2.53001 7.81595C3.49179 4.73911 6.43281 2.5 9.91173 2.5C13.1684 2.5 15.9537 4.46214 17.0852 7.23684L17.6179 8.67647M17.6179 8.67647L18.5002 4.26471M17.6179 8.67647L13.6473 6.91176M17.4995 12.1841C16.5378 15.2609 13.5967 17.5 10.1178 17.5C6.86118 17.5 4.07589 15.5379 2.94432 12.7632L2.41165 11.3235M2.41165 11.3235L1.5293 15.7353M2.41165 11.3235L6.38224 13.0882"></path></g></svg></button><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container view-image"><svg xmlns="http://www.w3.org/2000/svg" width="20" height="20" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-maximize2 lucide-maximize-2"><polyline points="15 3 21 3 21 9"></polyline><polyline points="9 21 3 21 3 15"></polyline><line x1="21" x2="14" y1="3" y2="10"></line><line x1="3" x2="10" y1="21" y2="14"></line></svg></button></div></div></div></a></figure></div><h3>Growth &amp; Finance</h3><ul><li><p><strong>West Lafayette unanimously approves $200M Parkview hospital despite cost concerns</strong><br>West Lafayette City Council gave final rezoning approval for Parkview Health to build a 40-bed, full-service hospital in Purdue Research Park, targeting 2028 opening and 460 new jobs. Council members acknowledged Parkview&#8217;s national reputation for high commercial rates (top 10% in cost per Guardian and RAND studies) but said competition with the nearby IU Health Arnett facility (opening late 2027) and Parkview&#8217;s cost-reduction initiatives outweighed risks.</p></li></ul><blockquote><p>&#8220;The desire for a hospital in West Lafayette has been long-standing&#8221; <em>&#8211;Stacey Burr, District 6 representative</em></p></blockquote><p><a href="https://www.jconline.com/story/news/local/purdue/2026/02/03/wl-council-unanimous-in-approval-for-new-hospital-despite-questions/88488454007/">Journal &amp; Courier</a></p><ul><li><p><strong>Johnson Memorial Health shutters maternity unit, cuts ~48 jobs citing unsustainable losses</strong><br>Franklin-based Johnson Memorial Health will close its Maternity Care Center in 2026 &#8212; the 16th Indiana hospital maternity unit shuttered since 2020 &#8212; because Medicaid (57% cost coverage) and Medicare (82%) reimbursements, plus aggressive commercial denials, make OB financially untenable. CEO Dr. David Dunkle said 40% of deliveries were Medicaid and the unit had been a consistent negative despite quality awards; the closure follows $1B projected annual statewide hospital losses.<br><a href="https://www.therepublic.com/2026/02/08/johnson-memorial-health-to-close-maternity-unit-cut-about-48-jobs/">The Republic</a></p></li><li><p><strong>Community Hospital North delivers most Indiana babies for 11th straight year &#8212; 4,254 in 2024</strong><br>Indianapolis&#8217; Community Hospital North led the state with 4,254 births (60 twin sets, 810 NICU admissions) in 2024, per Indiana Department of Health data; Community Health Network totalled 7,923 deliveries across five hospitals.<br><a href="https://www.wishtv.com/news/local-news/community-hospital-north-leads-state-in-births-for-11th-consecutive-year-with-4254-babies/">WISH-TV</a></p></li><li><p><strong>Employers&#8217; Forum disputes IHA&#8217;s distress narrative; Indiana hospitals show stark gaps in finances</strong><br>The Employers&#8217; Forum of Indiana&#8217;s review of 2024 Medicare Cost Reports finds no uniform crisis: statewide net profit margin averaged 12.9% (43% above national 9.0%), driven by 51 highly profitable hospitals, while 32 facilities lost money (16 at -15% or worse, collective -$337M). Operating margins were weaker than national averages (-4.8% vs. -3.9%), but EFI argues net income (including investments, grants, retail and parking) gives the truer picture and calls for targeted, not blanket, relief. IHA President Scott Tittle pushed back hard, calling the analysis misleading.<br><a href="https://indianacapitalchronicle.com/briefs/analysis-of-hospital-associations-woes-finds-no-uniform-narrative-of-financial-distress/">Indiana Capital Chronicle</a> | <a href="https://mcusercontent.com/8bec1212fda403b7123e3a782/files/f8c6cddc-e115-a557-35a3-7ae4e4680009/EFI_Review_IHA_KH_Report_Complete.pdf">Employers&#8217; Forum Review (PDF)</a><br></p></li><li><p><strong>Moody&#8217;s downgrades Parkview Health to A1 citing heavy capital spending and softer operations</strong><br>Moody&#8217;s lowered Parkview Health&#8217;s credit rating from Aa3 to A1 (stable outlook), pointing to normalized operating performance below historical levels and large upcoming capital needs &#8212; including southern expansion &#8212; likely requiring more debt. Analysts expect cash on hand near 250 days and operating cash flow margins of 5&#8211;6%.<br><a href="https://www.beckershospitalreview.com/finance/moodys-downgrades-parkview-healths-credit-rating/">Becker&#8217;s Hospital Review</a></p></li></ul><h3>Workforce &amp; Leadership</h3><ul><li><p><strong>Riverview Health names Julie Nix new CEO effective April 2026</strong><br>Noblesville-based Riverview Health tapped Julie Nix, a 25-year healthcare executive most recently in Little Rock, Arkansas, as its next CEO. She succeeds interim leadership and will oversee the system&#8217;s 156-bed flagship, 16-bed Westfield hospital, ER/urgent cares and 10 primary locations.<br><a href="https://www.riverview.org/press-release/riverview-health-names-julie-nix-chief-executive-officer">Riverview Health</a></p></li><li><p><strong>Deaconess Health appoints Jared Stimpson VP of Critical Access Hospitals</strong><br>Evansville-based Deaconess Health System promoted Jared Stimpson &#8212; former president/CEO of Perry County Memorial Hospital and prior regional CFO &#8212; to vice president of its critical access hospitals.<br><a href="https://www.beckershospitalreview.com/hospital-executive-moves/deaconess-health-taps-new-vice-president-of-critical-access-hospitals/">Becker&#8217;s Hospital Review</a></p></li></ul><h3>Innovation &amp; Tech &#8226; Mergers &amp; Acquisitions</h3><ul><li><p><strong>RadNet enters Indiana with $18M-revenue purchase of six Northwest Radiology outpatient centers</strong><br>RadNet acquired six freestanding imaging centers from 60-year-old Indianapolis-based Northwest Radiology (primarily in Carmel), gaining an $18 million annual revenue foothold in a fast-growing market. Northwest&#8217;s 18 radiologists will continue providing services under contract; RadNet aims to deploy AI-powered workflows and shift toward preventive detection.<br><a href="https://radiologybusiness.com/topics/healthcare-management/mergers-and-acquisitions/radnet-enters-midwest-acquiring-6-outpatient-imaging-centers-60-year-old-private-practice">Radiology Business</a></p></li><li><p><strong>VMG Health acquires Burrows Consulting to deepen community and rural provider support</strong><br>VMG Health (backed by Incline Equity Partners) bought Indiana-based Burrows Consulting, a specialist in FQHC/FQHC look-alike funding, 340B, grant writing and reimbursement optimization for community-based organizations. The deal expands VMG&#8217;s capabilities in financial sustainability for rural clinics and underserved markets.<br><a href="https://avpress.marketminute.com/article/bizwire-2026-2-3-vmg-health-acquires-burrows-consulting">Business Wire</a></p></li></ul><p><strong>Sources:</strong> Articles from Journal &amp; Courier, The Republic, Becker&#8217;s, Indiana Capital Chronicle, Riverview Health, WISH-TV, Radiology Business, Business Wire, Employers&#8217; Forum of Indiana, Moody&#8217;s.</p><p>Have a tip, correction or story idea? Send to <a href="mailto:inpulse@trendlinehealth.com">inpulse@trendlinehealth.com</a>.</p><div class="subscription-widget-wrap-editor" data-attrs="{&quot;url&quot;:&quot;https://www.trendlinehealth.com/subscribe?&quot;,&quot;text&quot;:&quot;Subscribe&quot;,&quot;language&quot;:&quot;en&quot;}" data-component-name="SubscribeWidgetToDOM"><div class="subscription-widget show-subscribe"><div class="preamble"><p class="cta-caption">Thanks for reading Trendline Health! Subscribe for free to receive new posts and support my work.</p></div><form class="subscription-widget-subscribe"><input type="email" class="email-input" name="email" placeholder="Type your email&#8230;" tabindex="-1"><input type="submit" class="button primary" value="Subscribe"><div class="fake-input-wrapper"><div class="fake-input"></div><div class="fake-button"></div></div></form></div></div>]]></content:encoded></item><item><title><![CDATA[IN Pulse – February 1, 2026]]></title><description><![CDATA[2026 | Issue 5 &#8211; Hospital Finance Squeeze &#8226; Rural Maternity Losses &#8226; System Expansion]]></description><link>https://www.trendlinehealth.com/p/in-pulse-february-1-2026</link><guid isPermaLink="false">https://www.trendlinehealth.com/p/in-pulse-february-1-2026</guid><dc:creator><![CDATA[Mark Newell]]></dc:creator><pubDate>Mon, 02 Feb 2026 01:11:59 GMT</pubDate><enclosure url="https://substackcdn.com/image/fetch/$s_!mx-5!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fc1c1131f-a90e-41ec-a887-1d1a59285452_2560x1440.png" length="0" type="image/jpeg"/><content:encoded><![CDATA[<h6>Trendline Health | IN Pulse | 2026 | Issue 5</h6><div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="https://substackcdn.com/image/fetch/$s_!mx-5!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fc1c1131f-a90e-41ec-a887-1d1a59285452_2560x1440.png" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!mx-5!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fc1c1131f-a90e-41ec-a887-1d1a59285452_2560x1440.png 424w, https://substackcdn.com/image/fetch/$s_!mx-5!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fc1c1131f-a90e-41ec-a887-1d1a59285452_2560x1440.png 848w, https://substackcdn.com/image/fetch/$s_!mx-5!,w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fc1c1131f-a90e-41ec-a887-1d1a59285452_2560x1440.png 1272w, https://substackcdn.com/image/fetch/$s_!mx-5!,w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fc1c1131f-a90e-41ec-a887-1d1a59285452_2560x1440.png 1456w" sizes="100vw"><img src="https://substackcdn.com/image/fetch/$s_!mx-5!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fc1c1131f-a90e-41ec-a887-1d1a59285452_2560x1440.png" width="1456" height="819" data-attrs="{&quot;src&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/c1c1131f-a90e-41ec-a887-1d1a59285452_2560x1440.png&quot;,&quot;srcNoWatermark&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/ea009f91-37cc-4a5d-ba96-4f04a8b7f4a0_2560x1440.png&quot;,&quot;fullscreen&quot;:null,&quot;imageSize&quot;:null,&quot;height&quot;:819,&quot;width&quot;:1456,&quot;resizeWidth&quot;:null,&quot;bytes&quot;:715196,&quot;alt&quot;:null,&quot;title&quot;:null,&quot;type&quot;:&quot;image/png&quot;,&quot;href&quot;:null,&quot;belowTheFold&quot;:false,&quot;topImage&quot;:true,&quot;internalRedirect&quot;:&quot;https://www.trendlinehealth.com/i/186560373?img=https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fea009f91-37cc-4a5d-ba96-4f04a8b7f4a0_2560x1440.png&quot;,&quot;isProcessing&quot;:false,&quot;align&quot;:null,&quot;offset&quot;:false}" class="sizing-normal" alt="" srcset="https://substackcdn.com/image/fetch/$s_!mx-5!,w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fc1c1131f-a90e-41ec-a887-1d1a59285452_2560x1440.png 424w, https://substackcdn.com/image/fetch/$s_!mx-5!,w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fc1c1131f-a90e-41ec-a887-1d1a59285452_2560x1440.png 848w, https://substackcdn.com/image/fetch/$s_!mx-5!,w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fc1c1131f-a90e-41ec-a887-1d1a59285452_2560x1440.png 1272w, https://substackcdn.com/image/fetch/$s_!mx-5!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fc1c1131f-a90e-41ec-a887-1d1a59285452_2560x1440.png 1456w" sizes="100vw" fetchpriority="high"></picture><div class="image-link-expand"><div class="pencraft pc-display-flex pc-gap-8 pc-reset"><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container restack-image"><svg role="img" width="20" height="20" viewBox="0 0 20 20" fill="none" stroke-width="1.5" stroke="var(--color-fg-primary)" stroke-linecap="round" stroke-linejoin="round" xmlns="http://www.w3.org/2000/svg"><g><title></title><path d="M2.53001 7.81595C3.49179 4.73911 6.43281 2.5 9.91173 2.5C13.1684 2.5 15.9537 4.46214 17.0852 7.23684L17.6179 8.67647M17.6179 8.67647L18.5002 4.26471M17.6179 8.67647L13.6473 6.91176M17.4995 12.1841C16.5378 15.2609 13.5967 17.5 10.1178 17.5C6.86118 17.5 4.07589 15.5379 2.94432 12.7632L2.41165 11.3235M2.41165 11.3235L1.5293 15.7353M2.41165 11.3235L6.38224 13.0882"></path></g></svg></button><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container view-image"><svg xmlns="http://www.w3.org/2000/svg" width="20" height="20" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-maximize2 lucide-maximize-2"><polyline points="15 3 21 3 21 9"></polyline><polyline points="9 21 3 21 3 15"></polyline><line x1="21" x2="14" y1="3" y2="10"></line><line x1="3" x2="10" y1="21" y2="14"></line></svg></button></div></div></div></a></figure></div><h3>Policy &amp; Regulation | Growth &amp; Finance</h3><ul><li><p><strong>Indiana hospitals sound alarm on razor-thin margins and looming cuts</strong><br>Indiana hospitals posted a median operating margin of just 1.9% in 2025&#8212;well below the national 2.6%&#8212;with operating income dropping 5.5% ($50 million less year-over-year) despite slashing contract labor by nearly 50%. Kaufman Hall modeling warns of nearly $1 billion in annual statewide losses within 3&#8211;5 years without Medicaid rate reform and relief from surging labor, supply, and ED visit costs (up 16.8%). Leaders from Community Health Network, Methodist Hospitals, and Greene County General (which closed OB services Jan. 31) say under-reimbursement and inflation are forcing painful service cuts.</p><div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="https://substackcdn.com/image/fetch/$s_!XaXR!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F560c7066-2b2a-4118-98ad-aa80cc385018_1711x944.jpeg" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!XaXR!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F560c7066-2b2a-4118-98ad-aa80cc385018_1711x944.jpeg 424w, https://substackcdn.com/image/fetch/$s_!XaXR!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F560c7066-2b2a-4118-98ad-aa80cc385018_1711x944.jpeg 848w, https://substackcdn.com/image/fetch/$s_!XaXR!,w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F560c7066-2b2a-4118-98ad-aa80cc385018_1711x944.jpeg 1272w, https://substackcdn.com/image/fetch/$s_!XaXR!,w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F560c7066-2b2a-4118-98ad-aa80cc385018_1711x944.jpeg 1456w" sizes="100vw"><img src="https://substackcdn.com/image/fetch/$s_!XaXR!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F560c7066-2b2a-4118-98ad-aa80cc385018_1711x944.jpeg" width="1456" height="803" data-attrs="{&quot;src&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/560c7066-2b2a-4118-98ad-aa80cc385018_1711x944.jpeg&quot;,&quot;srcNoWatermark&quot;:null,&quot;fullscreen&quot;:null,&quot;imageSize&quot;:null,&quot;height&quot;:803,&quot;width&quot;:1456,&quot;resizeWidth&quot;:null,&quot;bytes&quot;:135237,&quot;alt&quot;:null,&quot;title&quot;:null,&quot;type&quot;:&quot;image/jpeg&quot;,&quot;href&quot;:null,&quot;belowTheFold&quot;:false,&quot;topImage&quot;:false,&quot;internalRedirect&quot;:&quot;https://www.trendlinehealth.com/i/186560373?img=https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F560c7066-2b2a-4118-98ad-aa80cc385018_1711x944.jpeg&quot;,&quot;isProcessing&quot;:false,&quot;align&quot;:null,&quot;offset&quot;:false}" class="sizing-normal" alt="" srcset="https://substackcdn.com/image/fetch/$s_!XaXR!,w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F560c7066-2b2a-4118-98ad-aa80cc385018_1711x944.jpeg 424w, https://substackcdn.com/image/fetch/$s_!XaXR!,w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F560c7066-2b2a-4118-98ad-aa80cc385018_1711x944.jpeg 848w, https://substackcdn.com/image/fetch/$s_!XaXR!,w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F560c7066-2b2a-4118-98ad-aa80cc385018_1711x944.jpeg 1272w, https://substackcdn.com/image/fetch/$s_!XaXR!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F560c7066-2b2a-4118-98ad-aa80cc385018_1711x944.jpeg 1456w" sizes="100vw"></picture><div class="image-link-expand"><div class="pencraft pc-display-flex pc-gap-8 pc-reset"><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container restack-image"><svg role="img" width="20" height="20" viewBox="0 0 20 20" fill="none" stroke-width="1.5" stroke="var(--color-fg-primary)" stroke-linecap="round" stroke-linejoin="round" xmlns="http://www.w3.org/2000/svg"><g><title></title><path d="M2.53001 7.81595C3.49179 4.73911 6.43281 2.5 9.91173 2.5C13.1684 2.5 15.9537 4.46214 17.0852 7.23684L17.6179 8.67647M17.6179 8.67647L18.5002 4.26471M17.6179 8.67647L13.6473 6.91176M17.4995 12.1841C16.5378 15.2609 13.5967 17.5 10.1178 17.5C6.86118 17.5 4.07589 15.5379 2.94432 12.7632L2.41165 11.3235M2.41165 11.3235L1.5293 15.7353M2.41165 11.3235L6.38224 13.0882"></path></g></svg></button><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container view-image"><svg xmlns="http://www.w3.org/2000/svg" width="20" height="20" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-maximize2 lucide-maximize-2"><polyline points="15 3 21 3 21 9"></polyline><polyline points="9 21 3 21 3 15"></polyline><line x1="21" x2="14" y1="3" y2="10"></line><line x1="3" x2="10" y1="21" y2="14"></line></svg></button></div></div></div></a><figcaption class="image-caption">Source: Kaufman Hall - Current state of Indiana hospital finances<strong> (</strong><a href="https://my.ihaconnect.org/Portals/0/IHA_Impact%20Report_FINAL.pdf">https://my.ihaconnect.org/Portals/0/IHA_Impact%20Report_FINAL.pdf</a>)</figcaption></figure></div><p><a href="https://www.beckershospitalreview.com/finance/indiana-hospitals-face-significant-pressures-median-1-9-margin/">Becker&#8217;s Hospital Review</a> | <a href="https://www.ihaconnect.org/news/indiana-hospitals-face-mounting-financial-pressures-as-medicaid-shortfalls-and-rising-costs-threaten-access-to-care">Indiana Hospital Association</a></p></li><li><p><strong>Parkview Health advances $200M West Lafayette hospital; rezoning clears key hurdle</strong><br>Tippecanoe County Area Plan Commission unanimously approved rezoning 26.3 acres from heavy industry to medical research for a new Parkview Health hospital featuring 40 inpatient beds (expandable to 80), four ORs, two cath labs, and 153,676 sq ft of space. A resident raised staffing shortage concerns and questioned ties to the nearby SK hynix project (denied by Parkview&#8217;s attorney). The rezoning now heads to West Lafayette Common Council Feb. 2.</p><div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="https://substackcdn.com/image/fetch/$s_!tBYJ!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fe895fb32-1521-4cba-9f74-41065aeb00c0_500x284.jpeg" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!tBYJ!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fe895fb32-1521-4cba-9f74-41065aeb00c0_500x284.jpeg 424w, https://substackcdn.com/image/fetch/$s_!tBYJ!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fe895fb32-1521-4cba-9f74-41065aeb00c0_500x284.jpeg 848w, https://substackcdn.com/image/fetch/$s_!tBYJ!,w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fe895fb32-1521-4cba-9f74-41065aeb00c0_500x284.jpeg 1272w, https://substackcdn.com/image/fetch/$s_!tBYJ!,w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fe895fb32-1521-4cba-9f74-41065aeb00c0_500x284.jpeg 1456w" sizes="100vw"><img src="https://substackcdn.com/image/fetch/$s_!tBYJ!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fe895fb32-1521-4cba-9f74-41065aeb00c0_500x284.jpeg" width="500" height="284" data-attrs="{&quot;src&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/e895fb32-1521-4cba-9f74-41065aeb00c0_500x284.jpeg&quot;,&quot;srcNoWatermark&quot;:null,&quot;fullscreen&quot;:null,&quot;imageSize&quot;:null,&quot;height&quot;:284,&quot;width&quot;:500,&quot;resizeWidth&quot;:null,&quot;bytes&quot;:null,&quot;alt&quot;:&quot;*Suggested visual: site map or rendering of proposed hospital location*&quot;,&quot;title&quot;:null,&quot;type&quot;:null,&quot;href&quot;:null,&quot;belowTheFold&quot;:false,&quot;topImage&quot;:false,&quot;internalRedirect&quot;:null,&quot;isProcessing&quot;:false,&quot;align&quot;:null,&quot;offset&quot;:false}" class="sizing-normal" alt="*Suggested visual: site map or rendering of proposed hospital location*" title="*Suggested visual: site map or rendering of proposed hospital location*" srcset="https://substackcdn.com/image/fetch/$s_!tBYJ!,w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fe895fb32-1521-4cba-9f74-41065aeb00c0_500x284.jpeg 424w, https://substackcdn.com/image/fetch/$s_!tBYJ!,w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fe895fb32-1521-4cba-9f74-41065aeb00c0_500x284.jpeg 848w, https://substackcdn.com/image/fetch/$s_!tBYJ!,w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fe895fb32-1521-4cba-9f74-41065aeb00c0_500x284.jpeg 1272w, https://substackcdn.com/image/fetch/$s_!tBYJ!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fe895fb32-1521-4cba-9f74-41065aeb00c0_500x284.jpeg 1456w" sizes="100vw"></picture><div class="image-link-expand"><div class="pencraft pc-display-flex pc-gap-8 pc-reset"><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container restack-image"><svg role="img" width="20" height="20" viewBox="0 0 20 20" fill="none" stroke-width="1.5" stroke="var(--color-fg-primary)" stroke-linecap="round" stroke-linejoin="round" xmlns="http://www.w3.org/2000/svg"><g><title></title><path d="M2.53001 7.81595C3.49179 4.73911 6.43281 2.5 9.91173 2.5C13.1684 2.5 15.9537 4.46214 17.0852 7.23684L17.6179 8.67647M17.6179 8.67647L18.5002 4.26471M17.6179 8.67647L13.6473 6.91176M17.4995 12.1841C16.5378 15.2609 13.5967 17.5 10.1178 17.5C6.86118 17.5 4.07589 15.5379 2.94432 12.7632L2.41165 11.3235M2.41165 11.3235L1.5293 15.7353M2.41165 11.3235L6.38224 13.0882"></path></g></svg></button><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container view-image"><svg xmlns="http://www.w3.org/2000/svg" width="20" height="20" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-maximize2 lucide-maximize-2"><polyline points="15 3 21 3 21 9"></polyline><polyline points="9 21 3 21 3 15"></polyline><line x1="21" x2="14" y1="3" y2="10"></line><line x1="3" x2="10" y1="21" y2="14"></line></svg></button></div></div></div></a></figure></div><p><a href="https://www.jconline.com/story/news/local/lafayette/2026/01/22/rezoning-for-parkview-health-hospital-in-west-lafayette-okd-by-apc/88292368007/">Lafayette Journal &amp; Courier</a></p></li></ul><ul><li><p><strong>Goshen Health signs Letter of Intent to partner with Parkview Health</strong><br>Goshen Health&#8217;s board approved a Letter of Intent to pursue a formal partnership with Parkview Health, aiming to secure long-term access to advanced technology, specialized services, and clinical resources amid rapid industry change. The move would position Goshen as Parkview&#8217;s largest hospital outside Fort Wayne and a regional hub. No immediate changes to care or staffing; due diligence and regulatory reviews expected to take 6&#8211;12 months.<br><a href="https://goshenhealth.com/partnership%5D(https://goshenhealth.com/newsroom/goshen-health-announces-letter-of-intent-to-partner-with-parkview-health">Goshen Health Partnership Announcement</a></p></li></ul><h3>Workforce &amp; Access</h3><ul><li><p><strong>Indiana leads nation in rural labor &amp; delivery closures since 2020</strong><br>Indiana saw 13 rural hospital maternity unit closures since 2020&#8212;the highest in the U.S.&#8212;leaving 31 rural hospitals without L&amp;D services in 2026 and a median 30-minute drive to the nearest delivery-capable facility. Inadequate Medicaid and commercial reimbursement plus workforce shortages drove the trend; nationally, 124 rural units closed or plan to close by end of 2026.</p><div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="https://substackcdn.com/image/fetch/$s_!Da-o!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fca8d09a4-582b-4cb5-95ad-ddfb5c967e33_1286x985.jpeg" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!Da-o!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fca8d09a4-582b-4cb5-95ad-ddfb5c967e33_1286x985.jpeg 424w, https://substackcdn.com/image/fetch/$s_!Da-o!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fca8d09a4-582b-4cb5-95ad-ddfb5c967e33_1286x985.jpeg 848w, https://substackcdn.com/image/fetch/$s_!Da-o!,w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fca8d09a4-582b-4cb5-95ad-ddfb5c967e33_1286x985.jpeg 1272w, https://substackcdn.com/image/fetch/$s_!Da-o!,w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fca8d09a4-582b-4cb5-95ad-ddfb5c967e33_1286x985.jpeg 1456w" sizes="100vw"><img src="https://substackcdn.com/image/fetch/$s_!Da-o!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fca8d09a4-582b-4cb5-95ad-ddfb5c967e33_1286x985.jpeg" width="497" height="380.67262830482116" data-attrs="{&quot;src&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/ca8d09a4-582b-4cb5-95ad-ddfb5c967e33_1286x985.jpeg&quot;,&quot;srcNoWatermark&quot;:null,&quot;fullscreen&quot;:null,&quot;imageSize&quot;:null,&quot;height&quot;:985,&quot;width&quot;:1286,&quot;resizeWidth&quot;:497,&quot;bytes&quot;:null,&quot;alt&quot;:null,&quot;title&quot;:null,&quot;type&quot;:null,&quot;href&quot;:null,&quot;belowTheFold&quot;:false,&quot;topImage&quot;:false,&quot;internalRedirect&quot;:null,&quot;isProcessing&quot;:false,&quot;align&quot;:null,&quot;offset&quot;:false}" class="sizing-normal" alt="" srcset="https://substackcdn.com/image/fetch/$s_!Da-o!,w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fca8d09a4-582b-4cb5-95ad-ddfb5c967e33_1286x985.jpeg 424w, https://substackcdn.com/image/fetch/$s_!Da-o!,w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fca8d09a4-582b-4cb5-95ad-ddfb5c967e33_1286x985.jpeg 848w, https://substackcdn.com/image/fetch/$s_!Da-o!,w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fca8d09a4-582b-4cb5-95ad-ddfb5c967e33_1286x985.jpeg 1272w, https://substackcdn.com/image/fetch/$s_!Da-o!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fca8d09a4-582b-4cb5-95ad-ddfb5c967e33_1286x985.jpeg 1456w" sizes="100vw"></picture><div class="image-link-expand"><div class="pencraft pc-display-flex pc-gap-8 pc-reset"><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container restack-image"><svg role="img" width="20" height="20" viewBox="0 0 20 20" fill="none" stroke-width="1.5" stroke="var(--color-fg-primary)" stroke-linecap="round" stroke-linejoin="round" xmlns="http://www.w3.org/2000/svg"><g><title></title><path d="M2.53001 7.81595C3.49179 4.73911 6.43281 2.5 9.91173 2.5C13.1684 2.5 15.9537 4.46214 17.0852 7.23684L17.6179 8.67647M17.6179 8.67647L18.5002 4.26471M17.6179 8.67647L13.6473 6.91176M17.4995 12.1841C16.5378 15.2609 13.5967 17.5 10.1178 17.5C6.86118 17.5 4.07589 15.5379 2.94432 12.7632L2.41165 11.3235M2.41165 11.3235L1.5293 15.7353M2.41165 11.3235L6.38224 13.0882"></path></g></svg></button><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container view-image"><svg xmlns="http://www.w3.org/2000/svg" width="20" height="20" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-maximize2 lucide-maximize-2"><polyline points="15 3 21 3 21 9"></polyline><polyline points="9 21 3 21 3 15"></polyline><line x1="21" x2="14" y1="3" y2="10"></line><line x1="3" x2="10" y1="21" y2="14"></line></svg></button></div></div></div></a><figcaption class="image-caption">Source: March of Dimes</figcaption></figure></div></li></ul><p>        <a href="https://www.beckershospitalreview.com/finance/124-rural-hospitals-closed-labor-and-delivery-in-6-years-analysis/">Becker&#8217;s Hospital Review</a></p><h3>Leadership Moves</h3><ul><li><p><strong>Methodist Hospitals welcomes back veteran CFO Jamie Mack</strong><br>Gary-based Methodist Hospitals rehired Jamie Mack as vice president and CFO after a 20-year absence; he previously served as controller there from 1987&#8211;2006 and most recently led finance at St. Anthony Hospital in Chicago. CEO Matt Doyle called the return a boost to the system&#8217;s goal of remaining an independent, Northwest Indiana-focused safety-net provider.<br><a href="https://www.beckershospitalreview.com/hospital-executive-moves/methodist-hospitals-new-cfo-returns-after-20-years/">Becker&#8217;s Hospital Review</a></p></li></ul><h3>Mergers &amp; Acquisitions</h3><ul><li><p><strong>Prime Healthcare continues Illinois expansion with Franciscan Health Olympia Fields</strong><br>Prime Healthcare signed an asset purchase agreement to acquire 214-bed Franciscan Health Olympia Fields and its physician group from Franciscan Alliance, adding it as the ninth Illinois hospital in Prime&#8217;s portfolio following last year&#8217;s eight-hospital Ascension deal. Prime promises to preserve jobs, charity care, and key services while investing in facility upgrades and medical education; deal awaits Illinois Health Facilities and Services Review Board approval.<br><a href="https://www.businesswire.com/news/home/20260116842172/en/Prime-Healthcare-Expands-Mission-in-Illinois-with-Franciscan-Health-Olympia-Fields">Business Wire</a></p><p>Kaufman Hall reports 46 hospital and health system transactions announced in 2025, with activity accelerating in Q4 and expected to rise further in 2026, citing Prime Healthcare&#8217;s acquisition of Franciscan Health Olympia Fields.<br><a href="https://www.forbes.com/sites/brucejapsen/2026/01/20/hospital-mergers-gain-momentum-as-trumps-beautiful-bill-cuts-loom/">Forbes</a></p></li></ul><div><hr></div><p><strong>Sources:</strong> Becker&#8217;s Hospital Review, Indiana Hospital Association, Lafayette Journal &amp; Courier, Goshen Health, Business Wire, Forbes<br><strong>Feedback &amp; story tips:</strong> <a href="mailto:inpulse@trendlinehealth.com">inpulse@trendlinehealth.com</a></p><div class="subscription-widget-wrap-editor" data-attrs="{&quot;url&quot;:&quot;https://www.trendlinehealth.com/subscribe?&quot;,&quot;text&quot;:&quot;Subscribe&quot;,&quot;language&quot;:&quot;en&quot;}" data-component-name="SubscribeWidgetToDOM"><div class="subscription-widget show-subscribe"><div class="preamble"><p class="cta-caption">Thanks for reading Trendline Health! Subscribe for free to receive new posts and support my work.</p></div><form class="subscription-widget-subscribe"><input type="email" class="email-input" name="email" placeholder="Type your email&#8230;" tabindex="-1"><input type="submit" class="button primary" value="Subscribe"><div class="fake-input-wrapper"><div class="fake-input"></div><div class="fake-button"></div></div></form></div></div><p></p>]]></content:encoded></item><item><title><![CDATA[IN Pulse – January 26, 2026]]></title><description><![CDATA[2026 | Issue 4 &#8211; Leadership Transitions &#8226; Rural Access Crisis &#8226; Insurer Pushback]]></description><link>https://www.trendlinehealth.com/p/in-pulse-january-26-2026</link><guid isPermaLink="false">https://www.trendlinehealth.com/p/in-pulse-january-26-2026</guid><dc:creator><![CDATA[Mark Newell]]></dc:creator><pubDate>Mon, 26 Jan 2026 05:36:17 GMT</pubDate><enclosure url="https://substack-post-media.s3.amazonaws.com/public/images/76a7e858-0fed-42b4-8e25-238dd5f521fa_1488x897.jpeg" length="0" type="image/jpeg"/><content:encoded><![CDATA[<h6>Trendline Health | IN Pulse | 2026 | Issue 4</h6><div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="https://substackcdn.com/image/fetch/$s_!YGlP!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F1691b17c-207c-4df3-bd2e-dba2b7d33b69_2560x897.png" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!YGlP!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F1691b17c-207c-4df3-bd2e-dba2b7d33b69_2560x897.png 424w, https://substackcdn.com/image/fetch/$s_!YGlP!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F1691b17c-207c-4df3-bd2e-dba2b7d33b69_2560x897.png 848w, https://substackcdn.com/image/fetch/$s_!YGlP!,w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F1691b17c-207c-4df3-bd2e-dba2b7d33b69_2560x897.png 1272w, https://substackcdn.com/image/fetch/$s_!YGlP!,w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F1691b17c-207c-4df3-bd2e-dba2b7d33b69_2560x897.png 1456w" sizes="100vw"><img src="https://substackcdn.com/image/fetch/$s_!YGlP!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F1691b17c-207c-4df3-bd2e-dba2b7d33b69_2560x897.png" width="2560" height="897" data-attrs="{&quot;src&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/1691b17c-207c-4df3-bd2e-dba2b7d33b69_2560x897.png&quot;,&quot;srcNoWatermark&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/843a454a-99f1-435d-b0e6-b7be0a81b758_2560x897.png&quot;,&quot;fullscreen&quot;:null,&quot;imageSize&quot;:null,&quot;height&quot;:897,&quot;width&quot;:2560,&quot;resizeWidth&quot;:null,&quot;bytes&quot;:2560063,&quot;alt&quot;:null,&quot;title&quot;:null,&quot;type&quot;:&quot;image/png&quot;,&quot;href&quot;:null,&quot;belowTheFold&quot;:false,&quot;topImage&quot;:true,&quot;internalRedirect&quot;:&quot;https://www.trendlinehealth.com/i/185805001?img=https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F5bd4641e-0d7d-4ab4-804f-a25437bee633_2560x1440.png&quot;,&quot;isProcessing&quot;:false,&quot;align&quot;:null,&quot;offset&quot;:false}" class="sizing-normal" alt="" srcset="https://substackcdn.com/image/fetch/$s_!YGlP!,w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F1691b17c-207c-4df3-bd2e-dba2b7d33b69_2560x897.png 424w, https://substackcdn.com/image/fetch/$s_!YGlP!,w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F1691b17c-207c-4df3-bd2e-dba2b7d33b69_2560x897.png 848w, https://substackcdn.com/image/fetch/$s_!YGlP!,w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F1691b17c-207c-4df3-bd2e-dba2b7d33b69_2560x897.png 1272w, https://substackcdn.com/image/fetch/$s_!YGlP!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F1691b17c-207c-4df3-bd2e-dba2b7d33b69_2560x897.png 1456w" sizes="100vw" fetchpriority="high"></picture><div class="image-link-expand"><div class="pencraft pc-display-flex pc-gap-8 pc-reset"><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container restack-image"><svg role="img" width="20" height="20" viewBox="0 0 20 20" fill="none" stroke-width="1.5" stroke="var(--color-fg-primary)" stroke-linecap="round" stroke-linejoin="round" xmlns="http://www.w3.org/2000/svg"><g><title></title><path d="M2.53001 7.81595C3.49179 4.73911 6.43281 2.5 9.91173 2.5C13.1684 2.5 15.9537 4.46214 17.0852 7.23684L17.6179 8.67647M17.6179 8.67647L18.5002 4.26471M17.6179 8.67647L13.6473 6.91176M17.4995 12.1841C16.5378 15.2609 13.5967 17.5 10.1178 17.5C6.86118 17.5 4.07589 15.5379 2.94432 12.7632L2.41165 11.3235M2.41165 11.3235L1.5293 15.7353M2.41165 11.3235L6.38224 13.0882"></path></g></svg></button><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container view-image"><svg xmlns="http://www.w3.org/2000/svg" width="20" height="20" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-maximize2 lucide-maximize-2"><polyline points="15 3 21 3 21 9"></polyline><polyline points="9 21 3 21 3 15"></polyline><line x1="21" x2="14" y1="3" y2="10"></line><line x1="3" x2="10" y1="21" y2="14"></line></svg></button></div></div></div></a><figcaption class="image-caption">Photo by <a href="https://unsplash.com/@stevenvanelk">Steven Van Elk</a> on <a href="https://unsplash.com">Unsplash</a></figcaption></figure></div><h3>Workforce &amp; Leadership</h3><ul><li><p><strong>Schneck Medical Center Elevates Mindy Roeder to VP of Specialty/Surgical Services and Business Development</strong><br>Long-time Schneck leader Mindy Roeder, who joined in 2011 and most recently served as Executive Director of Business Development, has been promoted to oversee specialty and surgical lines while driving growth and partnerships.<br><a href="https://www.localnewsdigital.com/news/jackson-county-news/schneck-announces-leadership-appointments-title-changes/">Local News Digital</a> | <a href="https://www.wbiw.com/2026/01/19/schneck-medical-center-names-mindy-roeder-vice-president-announces-leadership-reorganization/">WBIW</a></p></li><li><p><strong>Open Door Health Services CEO Bryan Ayars Announces Retirement After Nearly a Decade</strong><br>Bryan Ayars, who grew Open Door to serve over 30,000 patients annually and expanded behavioral health, urgent care, and pharmacy services, will retire mid-2026 as the FQHC launches a national CEO search.<br><a href="https://www.munciejournal.com/2026/01/open-door-health-services-announces-ceo-retirement-and-launches-search-for-next-leader/">Muncie Journal</a></p></li></ul><div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" 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1272w, https://substackcdn.com/image/fetch/$s_!UtSc!,w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F037d1da9-f905-43e8-b890-766556c55fb7_2500x1667.webp 1456w" sizes="100vw"><img src="https://substackcdn.com/image/fetch/$s_!UtSc!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F037d1da9-f905-43e8-b890-766556c55fb7_2500x1667.webp" width="550" height="366.7925824175824" 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stroke="var(--color-fg-primary)" stroke-linecap="round" stroke-linejoin="round" xmlns="http://www.w3.org/2000/svg"><g><title></title><path d="M2.53001 7.81595C3.49179 4.73911 6.43281 2.5 9.91173 2.5C13.1684 2.5 15.9537 4.46214 17.0852 7.23684L17.6179 8.67647M17.6179 8.67647L18.5002 4.26471M17.6179 8.67647L13.6473 6.91176M17.4995 12.1841C16.5378 15.2609 13.5967 17.5 10.1178 17.5C6.86118 17.5 4.07589 15.5379 2.94432 12.7632L2.41165 11.3235M2.41165 11.3235L1.5293 15.7353M2.41165 11.3235L6.38224 13.0882"></path></g></svg></button><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container view-image"><svg xmlns="http://www.w3.org/2000/svg" width="20" height="20" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-maximize2 lucide-maximize-2"><polyline points="15 3 21 3 21 9"></polyline><polyline points="9 21 3 21 3 15"></polyline><line x1="21" x2="14" y1="3" y2="10"></line><line x1="3" x2="10" y1="21" y2="14"></line></svg></button></div></div></div></a></figure></div><ul><li><p><strong>Parkview Health Repositions Internal Audit as Strategic Growth Partner</strong><br>Chief Audit Executive Holly Lee has integrated enterprise risk management with internal audit at the northeast Indiana system to provide forward-looking risk insights that support innovation, ERP modernization, and AI adoption.<br><a href="https://www.beckershospitalreview.com/hospital-management-administration/parkview-health-revamps-internal-audit-to-accelerate-growth/">Becker&#8217;s Hospital Review</a></p></li></ul><h3>Policy &amp; Regulation</h3><ul><li><p><strong>Hoosier Action Hosts Statehouse Rally Demanding Action on Medical Debt and Medicaid Protections</strong><br>Over 100 advocates gathered January 20 to push for SB 85, SB 197, HB 1271 (medical debt relief), HB 1162 (home health worker wage floor), and against SB 1 (Medicaid work requirements) and SB 275 (disability exclusions).<br><a href="https://www.wfyi.org/news/articles/statehouse-rally-urges-lawmakers-to-fix-healthcare-affordability-crisis-in-indiana">WFYI</a> | <a href="https://www.idsnews.com/article/2026/01/indiana-healthcare-legislation-medicaid-affordability">Indiana Daily Student</a></p></li><li><p><strong>Indiana Health Care Leaders Applaud SB 189 Passage, Call on Elevance to Drop 10% Out-of-Network Penalty Policy</strong><br>IHA, ISMA, and IPHA praise Senate Bill 189 (6-1 committee vote) for blocking insurer penalties on facilities when out-of-network providers are used, warning Elevance&#8217;s January 2026 policy threatens access&#8212;especially in rural areas.<br><a href="https://www.ihaconnect.org/news/indiana-health-care-leaders-applaud-passage-of-sb-189-urge-elevance-to-rescind-harmful-policy">IHA Connect</a></p></li><li><p><strong>Poll: 71% of Hoosiers Oppose Proposed $1 Billion+ Medicaid Cuts; 73% Want Stronger Hospital Protections</strong><br>Defend Forgotten America survey shows bipartisan concern over rural hospital closures, OBGYN access, ER overcrowding, and chronic disease management as rural health remains front and center in the 2026 session.<br><a href="https://indianacapitalchronicle.com/2026/01/20/indiana-rural-healthcare-crisis-is-front-and-center-for-state-of-the-state/">Indiana Capital Chronicle</a></p></li></ul><h3>Growth &amp; Finance</h3><ul><li><p><strong>Community Health Network Tops Out $335 Million Westfield Hospital Campus</strong><br>The six-story, 112-bed inpatient tower (with shell space for 64 more) is on track for spring 2027 opening, delivering emergency, critical care, women&#8217;s health, orthopedics, and behavioral health to one of Indiana&#8217;s fastest-growing counties.<br><a href="https://hconews.com/2026/01/20/community-health-network-celebrates-milestone-at-new-westfield-hospital-construction/">Healthcare News</a></p></li></ul><div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="https://substackcdn.com/image/fetch/$s_!0Lk7!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fa0114ba5-8d6c-41df-aef7-7cf7688fc54e_3507x1851.jpeg" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!0Lk7!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fa0114ba5-8d6c-41df-aef7-7cf7688fc54e_3507x1851.jpeg 424w, https://substackcdn.com/image/fetch/$s_!0Lk7!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fa0114ba5-8d6c-41df-aef7-7cf7688fc54e_3507x1851.jpeg 848w, https://substackcdn.com/image/fetch/$s_!0Lk7!,w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fa0114ba5-8d6c-41df-aef7-7cf7688fc54e_3507x1851.jpeg 1272w, https://substackcdn.com/image/fetch/$s_!0Lk7!,w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fa0114ba5-8d6c-41df-aef7-7cf7688fc54e_3507x1851.jpeg 1456w" sizes="100vw"><img src="https://substackcdn.com/image/fetch/$s_!0Lk7!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fa0114ba5-8d6c-41df-aef7-7cf7688fc54e_3507x1851.jpeg" width="600" height="316.4835164835165" data-attrs="{&quot;src&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/a0114ba5-8d6c-41df-aef7-7cf7688fc54e_3507x1851.jpeg&quot;,&quot;srcNoWatermark&quot;:null,&quot;fullscreen&quot;:null,&quot;imageSize&quot;:null,&quot;height&quot;:768,&quot;width&quot;:1456,&quot;resizeWidth&quot;:600,&quot;bytes&quot;:null,&quot;alt&quot;:null,&quot;title&quot;:null,&quot;type&quot;:null,&quot;href&quot;:null,&quot;belowTheFold&quot;:true,&quot;topImage&quot;:false,&quot;internalRedirect&quot;:null,&quot;isProcessing&quot;:false,&quot;align&quot;:null,&quot;offset&quot;:false}" class="sizing-normal" alt="" srcset="https://substackcdn.com/image/fetch/$s_!0Lk7!,w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fa0114ba5-8d6c-41df-aef7-7cf7688fc54e_3507x1851.jpeg 424w, https://substackcdn.com/image/fetch/$s_!0Lk7!,w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fa0114ba5-8d6c-41df-aef7-7cf7688fc54e_3507x1851.jpeg 848w, https://substackcdn.com/image/fetch/$s_!0Lk7!,w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fa0114ba5-8d6c-41df-aef7-7cf7688fc54e_3507x1851.jpeg 1272w, https://substackcdn.com/image/fetch/$s_!0Lk7!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fa0114ba5-8d6c-41df-aef7-7cf7688fc54e_3507x1851.jpeg 1456w" sizes="100vw" loading="lazy"></picture><div class="image-link-expand"><div class="pencraft pc-display-flex pc-gap-8 pc-reset"><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container restack-image"><svg role="img" width="20" height="20" viewBox="0 0 20 20" fill="none" stroke-width="1.5" stroke="var(--color-fg-primary)" stroke-linecap="round" stroke-linejoin="round" xmlns="http://www.w3.org/2000/svg"><g><title></title><path d="M2.53001 7.81595C3.49179 4.73911 6.43281 2.5 9.91173 2.5C13.1684 2.5 15.9537 4.46214 17.0852 7.23684L17.6179 8.67647M17.6179 8.67647L18.5002 4.26471M17.6179 8.67647L13.6473 6.91176M17.4995 12.1841C16.5378 15.2609 13.5967 17.5 10.1178 17.5C6.86118 17.5 4.07589 15.5379 2.94432 12.7632L2.41165 11.3235M2.41165 11.3235L1.5293 15.7353M2.41165 11.3235L6.38224 13.0882"></path></g></svg></button><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container view-image"><svg xmlns="http://www.w3.org/2000/svg" width="20" height="20" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-maximize2 lucide-maximize-2"><polyline points="15 3 21 3 21 9"></polyline><polyline points="9 21 3 21 3 15"></polyline><line x1="21" x2="14" y1="3" y2="10"></line><line x1="3" x2="10" y1="21" y2="14"></line></svg></button></div></div></div></a></figure></div><h3>Rural Health &amp; Access</h3><ul><li><p><strong>Greene County General Hospital Shuts Down Obstetric Services January 31</strong><br>Low volume (~70 deliveries/year), persistent Medicaid under-reimbursement, and nursing recruitment/retention challenges force the rural hospital to end labor &amp; delivery, leaving pregnant patients to travel 45+ minutes for care.<br><a href="https://www.idsnews.com/article/2026/01/greene-county-ob-services-rural-healthcare-indiana">Indiana Daily Student</a></p></li></ul><div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="https://substackcdn.com/image/fetch/$s_!1S-J!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fdb3d5f22-213a-44e6-b4ac-4950cfab3b11_835x993.jpeg" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!1S-J!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fdb3d5f22-213a-44e6-b4ac-4950cfab3b11_835x993.jpeg 424w, https://substackcdn.com/image/fetch/$s_!1S-J!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fdb3d5f22-213a-44e6-b4ac-4950cfab3b11_835x993.jpeg 848w, https://substackcdn.com/image/fetch/$s_!1S-J!,w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fdb3d5f22-213a-44e6-b4ac-4950cfab3b11_835x993.jpeg 1272w, https://substackcdn.com/image/fetch/$s_!1S-J!,w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fdb3d5f22-213a-44e6-b4ac-4950cfab3b11_835x993.jpeg 1456w" sizes="100vw"><img src="https://substackcdn.com/image/fetch/$s_!1S-J!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fdb3d5f22-213a-44e6-b4ac-4950cfab3b11_835x993.jpeg" width="358" height="425.7413173652695" data-attrs="{&quot;src&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/db3d5f22-213a-44e6-b4ac-4950cfab3b11_835x993.jpeg&quot;,&quot;srcNoWatermark&quot;:null,&quot;fullscreen&quot;:null,&quot;imageSize&quot;:null,&quot;height&quot;:993,&quot;width&quot;:835,&quot;resizeWidth&quot;:358,&quot;bytes&quot;:109248,&quot;alt&quot;:null,&quot;title&quot;:null,&quot;type&quot;:&quot;image/jpeg&quot;,&quot;href&quot;:null,&quot;belowTheFold&quot;:true,&quot;topImage&quot;:false,&quot;internalRedirect&quot;:null,&quot;isProcessing&quot;:false,&quot;align&quot;:null,&quot;offset&quot;:false}" class="sizing-normal" alt="" srcset="https://substackcdn.com/image/fetch/$s_!1S-J!,w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fdb3d5f22-213a-44e6-b4ac-4950cfab3b11_835x993.jpeg 424w, https://substackcdn.com/image/fetch/$s_!1S-J!,w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fdb3d5f22-213a-44e6-b4ac-4950cfab3b11_835x993.jpeg 848w, https://substackcdn.com/image/fetch/$s_!1S-J!,w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fdb3d5f22-213a-44e6-b4ac-4950cfab3b11_835x993.jpeg 1272w, https://substackcdn.com/image/fetch/$s_!1S-J!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fdb3d5f22-213a-44e6-b4ac-4950cfab3b11_835x993.jpeg 1456w" sizes="100vw" loading="lazy"></picture><div class="image-link-expand"><div class="pencraft pc-display-flex pc-gap-8 pc-reset"><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container restack-image"><svg role="img" width="20" height="20" viewBox="0 0 20 20" fill="none" stroke-width="1.5" stroke="var(--color-fg-primary)" stroke-linecap="round" stroke-linejoin="round" xmlns="http://www.w3.org/2000/svg"><g><title></title><path d="M2.53001 7.81595C3.49179 4.73911 6.43281 2.5 9.91173 2.5C13.1684 2.5 15.9537 4.46214 17.0852 7.23684L17.6179 8.67647M17.6179 8.67647L18.5002 4.26471M17.6179 8.67647L13.6473 6.91176M17.4995 12.1841C16.5378 15.2609 13.5967 17.5 10.1178 17.5C6.86118 17.5 4.07589 15.5379 2.94432 12.7632L2.41165 11.3235M2.41165 11.3235L1.5293 15.7353M2.41165 11.3235L6.38224 13.0882"></path></g></svg></button><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container view-image"><svg xmlns="http://www.w3.org/2000/svg" width="20" height="20" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-maximize2 lucide-maximize-2"><polyline points="15 3 21 3 21 9"></polyline><polyline points="9 21 3 21 3 15"></polyline><line x1="21" x2="14" y1="3" y2="10"></line><line x1="3" x2="10" y1="21" y2="14"></line></svg></button></div></div></div></a></figure></div><ul><li><p>Source: March of Dimes: <a href="https://www.marchofdimes.org/peristats/data?reg=99&amp;top=23&amp;stop=641&amp;lev=1&amp;slev=4&amp;obj=9&amp;sreg=18">Peristats</a></p></li></ul><h3>Innovation &amp; Tech</h3><ul><li><p><strong>Epic and Health Systems (OCHIN, Reid, Trinity, UMass) Sue Health Gorilla Over Alleged Improper Access to ~300,000 Patient Records</strong><br>The plaintiffs accuse Health Gorilla and clients Mammoth Path Solution and RavillaMed of enabling &#8220;clinical camouflage&#8221; to harvest sensitive records for mass-tort marketing and monetization without patient consent.<br><a href="https://www.healthcareitnews.com/news/epic-and-health-systems-sue-health-gorilla-and-data-companies">Healthcare IT News</a> | <a href="https://www.healthcaredive.com/news/epic-health-systems-lawsuit-health-gorilla-improper-medical-records-access/809522/">Healthcare Dive</a></p></li></ul><div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="https://substackcdn.com/image/fetch/$s_!8F8P!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F0b6d807e-dfe6-436b-8719-1a729a8e1766_2560x1440.png" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!8F8P!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F0b6d807e-dfe6-436b-8719-1a729a8e1766_2560x1440.png 424w, https://substackcdn.com/image/fetch/$s_!8F8P!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F0b6d807e-dfe6-436b-8719-1a729a8e1766_2560x1440.png 848w, https://substackcdn.com/image/fetch/$s_!8F8P!,w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F0b6d807e-dfe6-436b-8719-1a729a8e1766_2560x1440.png 1272w, https://substackcdn.com/image/fetch/$s_!8F8P!,w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F0b6d807e-dfe6-436b-8719-1a729a8e1766_2560x1440.png 1456w" sizes="100vw"><img src="https://substackcdn.com/image/fetch/$s_!8F8P!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F0b6d807e-dfe6-436b-8719-1a729a8e1766_2560x1440.png" width="600" height="337.5" data-attrs="{&quot;src&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/0b6d807e-dfe6-436b-8719-1a729a8e1766_2560x1440.png&quot;,&quot;srcNoWatermark&quot;:null,&quot;fullscreen&quot;:null,&quot;imageSize&quot;:null,&quot;height&quot;:819,&quot;width&quot;:1456,&quot;resizeWidth&quot;:600,&quot;bytes&quot;:null,&quot;alt&quot;:null,&quot;title&quot;:null,&quot;type&quot;:null,&quot;href&quot;:null,&quot;belowTheFold&quot;:true,&quot;topImage&quot;:false,&quot;internalRedirect&quot;:null,&quot;isProcessing&quot;:false,&quot;align&quot;:null,&quot;offset&quot;:false}" class="sizing-normal" alt="" srcset="https://substackcdn.com/image/fetch/$s_!8F8P!,w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F0b6d807e-dfe6-436b-8719-1a729a8e1766_2560x1440.png 424w, https://substackcdn.com/image/fetch/$s_!8F8P!,w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F0b6d807e-dfe6-436b-8719-1a729a8e1766_2560x1440.png 848w, https://substackcdn.com/image/fetch/$s_!8F8P!,w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F0b6d807e-dfe6-436b-8719-1a729a8e1766_2560x1440.png 1272w, https://substackcdn.com/image/fetch/$s_!8F8P!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F0b6d807e-dfe6-436b-8719-1a729a8e1766_2560x1440.png 1456w" sizes="100vw" loading="lazy"></picture><div class="image-link-expand"><div class="pencraft pc-display-flex pc-gap-8 pc-reset"><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container restack-image"><svg role="img" width="20" height="20" viewBox="0 0 20 20" fill="none" stroke-width="1.5" stroke="var(--color-fg-primary)" stroke-linecap="round" stroke-linejoin="round" xmlns="http://www.w3.org/2000/svg"><g><title></title><path d="M2.53001 7.81595C3.49179 4.73911 6.43281 2.5 9.91173 2.5C13.1684 2.5 15.9537 4.46214 17.0852 7.23684L17.6179 8.67647M17.6179 8.67647L18.5002 4.26471M17.6179 8.67647L13.6473 6.91176M17.4995 12.1841C16.5378 15.2609 13.5967 17.5 10.1178 17.5C6.86118 17.5 4.07589 15.5379 2.94432 12.7632L2.41165 11.3235M2.41165 11.3235L1.5293 15.7353M2.41165 11.3235L6.38224 13.0882"></path></g></svg></button><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container view-image"><svg xmlns="http://www.w3.org/2000/svg" width="20" height="20" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-maximize2 lucide-maximize-2"><polyline points="15 3 21 3 21 9"></polyline><polyline points="9 21 3 21 3 15"></polyline><line x1="21" x2="14" y1="3" y2="10"></line><line x1="3" x2="10" y1="21" y2="14"></line></svg></button></div></div></div></a></figure></div><div><hr></div><p><strong>Sources:</strong> Curated from Indiana Capital Chronicle, WFYI, Indiana Daily Student, Becker&#8217;s, Healthcare IT News, Healthcare Dive, IHA, Muncie Journal, WBIW, Local News Digital, and HCO News.</p><p><strong>Feedback?</strong> Send thoughts or story suggestions to <a href="mailto:inpulse@trendlinehealth.com">Inpulse@trendlinehealth.com</a></p><p><strong>Stay ahead of Indiana health care.</strong></p><div class="subscription-widget-wrap-editor" data-attrs="{&quot;url&quot;:&quot;https://www.trendlinehealth.com/subscribe?&quot;,&quot;text&quot;:&quot;Subscribe&quot;,&quot;language&quot;:&quot;en&quot;}" data-component-name="SubscribeWidgetToDOM"><div class="subscription-widget show-subscribe"><div class="preamble"><p class="cta-caption">Thanks for reading Trendline Health! Subscribe for free to receive new posts and support my work.</p></div><form class="subscription-widget-subscribe"><input type="email" class="email-input" name="email" placeholder="Type your email&#8230;" tabindex="-1"><input type="submit" class="button primary" value="Subscribe"><div class="fake-input-wrapper"><div class="fake-input"></div><div class="fake-button"></div></div></form></div></div>]]></content:encoded></item><item><title><![CDATA[IN Pulse – January 20, 2026]]></title><description><![CDATA[2026 | Issue 3 &#8211; Policy Pushback &#8226; Leadership Shifts &#8226; Community Expansion]]></description><link>https://www.trendlinehealth.com/p/in-pulse-january-20-2026</link><guid isPermaLink="false">https://www.trendlinehealth.com/p/in-pulse-january-20-2026</guid><dc:creator><![CDATA[Mark Newell]]></dc:creator><pubDate>Tue, 20 Jan 2026 23:15:37 GMT</pubDate><enclosure url="https://substackcdn.com/image/fetch/$s_!O5Ou!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F41d864fd-f977-4bf1-bb57-d7ddcb7926aa_1360x768.png" length="0" type="image/jpeg"/><content:encoded><![CDATA[<h6>Trendline Health | In Pulse | 2026 | Issue 3</h6><div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="https://substackcdn.com/image/fetch/$s_!O5Ou!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F41d864fd-f977-4bf1-bb57-d7ddcb7926aa_1360x768.png" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!O5Ou!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F41d864fd-f977-4bf1-bb57-d7ddcb7926aa_1360x768.png 424w, https://substackcdn.com/image/fetch/$s_!O5Ou!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F41d864fd-f977-4bf1-bb57-d7ddcb7926aa_1360x768.png 848w, https://substackcdn.com/image/fetch/$s_!O5Ou!,w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F41d864fd-f977-4bf1-bb57-d7ddcb7926aa_1360x768.png 1272w, https://substackcdn.com/image/fetch/$s_!O5Ou!,w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F41d864fd-f977-4bf1-bb57-d7ddcb7926aa_1360x768.png 1456w" sizes="100vw"><img src="https://substackcdn.com/image/fetch/$s_!O5Ou!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F41d864fd-f977-4bf1-bb57-d7ddcb7926aa_1360x768.png" width="1360" height="768" data-attrs="{&quot;src&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/41d864fd-f977-4bf1-bb57-d7ddcb7926aa_1360x768.png&quot;,&quot;srcNoWatermark&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/60c60156-0034-47dc-aa45-eddfcde427e3_1360x768.jpeg&quot;,&quot;fullscreen&quot;:null,&quot;imageSize&quot;:null,&quot;height&quot;:768,&quot;width&quot;:1360,&quot;resizeWidth&quot;:null,&quot;bytes&quot;:277381,&quot;alt&quot;:null,&quot;title&quot;:null,&quot;type&quot;:&quot;image/jpeg&quot;,&quot;href&quot;:null,&quot;belowTheFold&quot;:false,&quot;topImage&quot;:true,&quot;internalRedirect&quot;:&quot;https://www.trendlinehealth.com/i/185242001?img=https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F059263c5-4a51-4784-a46b-b6fb00626264_1360x768.jpeg&quot;,&quot;isProcessing&quot;:false,&quot;align&quot;:null,&quot;offset&quot;:false}" class="sizing-normal" alt="" srcset="https://substackcdn.com/image/fetch/$s_!O5Ou!,w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F41d864fd-f977-4bf1-bb57-d7ddcb7926aa_1360x768.png 424w, https://substackcdn.com/image/fetch/$s_!O5Ou!,w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F41d864fd-f977-4bf1-bb57-d7ddcb7926aa_1360x768.png 848w, https://substackcdn.com/image/fetch/$s_!O5Ou!,w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F41d864fd-f977-4bf1-bb57-d7ddcb7926aa_1360x768.png 1272w, https://substackcdn.com/image/fetch/$s_!O5Ou!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F41d864fd-f977-4bf1-bb57-d7ddcb7926aa_1360x768.png 1456w" sizes="100vw" fetchpriority="high"></picture><div class="image-link-expand"><div class="pencraft pc-display-flex pc-gap-8 pc-reset"><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container restack-image"><svg role="img" width="20" height="20" viewBox="0 0 20 20" fill="none" stroke-width="1.5" stroke="var(--color-fg-primary)" stroke-linecap="round" stroke-linejoin="round" xmlns="http://www.w3.org/2000/svg"><g><title></title><path d="M2.53001 7.81595C3.49179 4.73911 6.43281 2.5 9.91173 2.5C13.1684 2.5 15.9537 4.46214 17.0852 7.23684L17.6179 8.67647M17.6179 8.67647L18.5002 4.26471M17.6179 8.67647L13.6473 6.91176M17.4995 12.1841C16.5378 15.2609 13.5967 17.5 10.1178 17.5C6.86118 17.5 4.07589 15.5379 2.94432 12.7632L2.41165 11.3235M2.41165 11.3235L1.5293 15.7353M2.41165 11.3235L6.38224 13.0882"></path></g></svg></button><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container view-image"><svg xmlns="http://www.w3.org/2000/svg" width="20" height="20" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-maximize2 lucide-maximize-2"><polyline points="15 3 21 3 21 9"></polyline><polyline points="9 21 3 21 3 15"></polyline><line x1="21" x2="14" y1="3" y2="10"></line><line x1="3" x2="10" y1="21" y2="14"></line></svg></button></div></div></div></a></figure></div><h3>Policy &amp; Regulation</h3><ul><li><p><strong>Daviess Community Hospital CEO Justin D. Harris Testifies on House Bill 1271</strong><br>Rural hospital leader Justin D. Harris urged the Indiana House Insurance Committee to pass HB 1271 to curb retroactive denials, downcoding, and delayed payments that drain hundreds of thousands annually from thin-margin facilities like DCH, where half the billing team fights appeals.<br><em><a href="https://www.dchosp.org/news/2026/january/daviess-community-hospital-ceo-testifies-before-/">Daviess Community Hospital</a></em></p></li></ul><blockquote><p>&#8220;This bill is not about special treatment. It&#8217;s about treating health care like any other business relationship.&#8221; &#8212; Justin D. Harris, CEO, Daviess Community Hospital</p></blockquote><h3>Growth &amp; Finance</h3><ul><li><p><strong>Parkview Health Forgives $64M in Medical Debt for 35,000+ Patients</strong><br>Fort Wayne-based Parkview Health donated $64.13 million in medical debt&#8212;primarily affecting Indiana and Ohio patients with commercial, self-pay, Medicare, and Medicaid coverage&#8212;to Undue Medical Debt, removing financial barriers that deter care.<br><em><a href="https://www.beckershospitalreview.com/finance/parkview-eliminates-64m-in-medical-debt/">Becker&#8217;s Hospital Review</a></em></p></li></ul><blockquote><p>&#8220;No one should have to choose between their health and financial security.&#8221; &#8212; Ray Dusman, MD, President, Parkview Physician &amp; Clinical Enterprise</p></blockquote><ul><li><p><strong>Franciscan Health &amp; OrthoIndy Open 44,000 sq ft State-of-the-Art Orthopedic Center in West Lafayette</strong><br>The new facility consolidates outpatient surgery (with four Mako robotic-assisted ORs), imaging, therapy, and 13 physicians under one roof to deliver seamless orthopedic care, with a freestanding ER planned for 2027 and room for future expansion.<br><em><a href="https://www.purdueexponent.org/city_state/events/franciscan-health-ortho-indy-orthopedic-center-opening-west-lafayette/article_cc361a5d-3665-477a-bc3a-1a8b72e1ca56.html">Purdue Exponent</a></em></p></li></ul><div class="captioned-image-container"><figure><a class="image-link image2" target="_blank" href="https://substackcdn.com/image/fetch/$s_!STpI!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F98ac90d1-85a5-45de-859b-af009462296d_1952x358.png" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!STpI!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F98ac90d1-85a5-45de-859b-af009462296d_1952x358.png 424w, https://substackcdn.com/image/fetch/$s_!STpI!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F98ac90d1-85a5-45de-859b-af009462296d_1952x358.png 848w, https://substackcdn.com/image/fetch/$s_!STpI!,w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F98ac90d1-85a5-45de-859b-af009462296d_1952x358.png 1272w, https://substackcdn.com/image/fetch/$s_!STpI!,w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F98ac90d1-85a5-45de-859b-af009462296d_1952x358.png 1456w" sizes="100vw"><img src="https://substackcdn.com/image/fetch/$s_!STpI!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F98ac90d1-85a5-45de-859b-af009462296d_1952x358.png" width="648" height="118.84426229508196" data-attrs="{&quot;src&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/98ac90d1-85a5-45de-859b-af009462296d_1952x358.png&quot;,&quot;srcNoWatermark&quot;:null,&quot;fullscreen&quot;:null,&quot;imageSize&quot;:null,&quot;height&quot;:358,&quot;width&quot;:1952,&quot;resizeWidth&quot;:648,&quot;bytes&quot;:693789,&quot;alt&quot;:null,&quot;title&quot;:null,&quot;type&quot;:&quot;image/png&quot;,&quot;href&quot;:null,&quot;belowTheFold&quot;:true,&quot;topImage&quot;:false,&quot;internalRedirect&quot;:null,&quot;isProcessing&quot;:false,&quot;align&quot;:null,&quot;offset&quot;:false}" class="sizing-normal" alt="" srcset="https://substackcdn.com/image/fetch/$s_!STpI!,w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F98ac90d1-85a5-45de-859b-af009462296d_1952x358.png 424w, https://substackcdn.com/image/fetch/$s_!STpI!,w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F98ac90d1-85a5-45de-859b-af009462296d_1952x358.png 848w, https://substackcdn.com/image/fetch/$s_!STpI!,w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F98ac90d1-85a5-45de-859b-af009462296d_1952x358.png 1272w, https://substackcdn.com/image/fetch/$s_!STpI!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F98ac90d1-85a5-45de-859b-af009462296d_1952x358.png 1456w" sizes="100vw" loading="lazy"></picture><div></div></div></a></figure></div><h3>Workforce &amp; Leadership</h3><ul><li><p><strong>Centerstone Names Lisa Dominisse CEO of Indiana Market Effective March 16</strong><br>With over 20 years of behavioral health leadership&#8212;including guiding Radiant Health through a merger and CCBHC transition&#8212;Dominisse steps in to lead 1,500+ team members across Indiana amid Centerstone&#8217;s integration with Adult &amp; Child Health.<br><em><a href="https://centerstone.org/news-events/news/centerstone-appoints-lisa-dominisse-as-chief-executive-officer-of-indiana-market/">Centerstone</a></em></p></li><li><p><strong>IU Health Appoints Art Vasquez President of Newly Aligned North Region</strong><br>Veteran IU Health executive Art Vasquez (former West Region President) now oversees IU Health Ball Memorial and facilities across eight counties following Jeff Bird, MD&#8217;s upcoming retirement after 40 years.<br><em><a href="https://www.beckershospitalreview.com/hospital-executive-moves/iu-health-taps-president-for-newly-aligned-region/">Becker&#8217;s Hospital Review</a></em></p></li><li><p><strong>IHA Names Dr. Jim Callaghan 2026 Board Chair &#8211; First Physician in 80 Years</strong><br>Franciscan Alliance EVP &amp; COO Dr. Jim Callaghan takes the helm at the Indiana Hospital Association to champion quality, access, affordability, and Medicaid innovation across 160+ member hospitals.<br><em><a href="https://www.ihaconnect.org/news/indiana-hospital-association-names-dr-jim-callaghan-2026-board-chair">Indiana Hospital Association</a></em></p></li><li><p><strong>Good Samaritan CEO Adam Thacker Joins IHA Board as Southwestern District President</strong><br>Vincennes hospital leader Adam Thacker will advocate statewide for policies supporting hospitals, caregivers, and communities through the Indiana Hospital Association.<br><em><a href="https://www.wqtyradio.com/2026/01/12/good-samaritan-president-ceo-adam-thacker-joins-indiana-hospital-association-board-of-directors/">WITY Radio</a></em></p></li></ul><h3>Community Access</h3><ul><li><p><strong>Ascension St. Vincent Opens New Primary Care Clinic in Noblesville</strong><br>The ribbon-cutting at 9460 E. 146th St. launches comprehensive primary care services including wellness visits and chronic condition management, with new patients welcome.<br><em><a href="https://www.wishtv.com/news/local-news/ribbon-cutting-ceremony-marks-launch-of-ascension-st-vincent-noblesville-clinic/">WISH-TV</a></em></p></li></ul><blockquote><p>&#8220;Ensuring Noblesville residents have access to top-tier healthcare right in their own backyard is a fundamental part of a thriving community.&#8221; &#8212; Mayor Chris Jensen</p></blockquote><p><strong>Sources:</strong> Aggregated from the linked Indiana health system announcements and publications above.</p><p>Have feedback or story suggestions? Email us at <a href="mailto:Inpulse@trendlinehealth.com">Inpulse@trendlinehealth.com</a>.</p><div class="subscription-widget-wrap-editor" data-attrs="{&quot;url&quot;:&quot;https://www.trendlinehealth.com/subscribe?&quot;,&quot;text&quot;:&quot;Subscribe&quot;,&quot;language&quot;:&quot;en&quot;}" data-component-name="SubscribeWidgetToDOM"><div class="subscription-widget show-subscribe"><div class="preamble"><p class="cta-caption">Thanks for reading Trendline Health! Subscribe for free to receive new posts and support my work.</p></div><form class="subscription-widget-subscribe"><input type="email" class="email-input" name="email" placeholder="Type your email&#8230;" tabindex="-1"><input type="submit" class="button primary" value="Subscribe"><div class="fake-input-wrapper"><div class="fake-input"></div><div class="fake-button"></div></div></form></div></div>]]></content:encoded></item><item><title><![CDATA[IN Pulse – January 12, 2026]]></title><description><![CDATA[2026 | Issue 2 &#8211; Policy Push &#8226; Leadership Transitions &#8226; Affordability Fight]]></description><link>https://www.trendlinehealth.com/p/in-pulse-january-12-2026</link><guid isPermaLink="false">https://www.trendlinehealth.com/p/in-pulse-january-12-2026</guid><dc:creator><![CDATA[Mark Newell]]></dc:creator><pubDate>Tue, 13 Jan 2026 01:16:11 GMT</pubDate><enclosure url="https://substack-post-media.s3.amazonaws.com/public/images/bca507e1-00e1-48c4-8bfb-37d8821eed79_1360x768.jpeg" length="0" type="image/jpeg"/><content:encoded><![CDATA[<h6>Trendline Health | IN Pulse | 2026 | Issue 2</h6><div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="https://substackcdn.com/image/fetch/$s_!_di_!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fad335b6c-7229-4713-8916-943a0525f27e_1360x768.png" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!_di_!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fad335b6c-7229-4713-8916-943a0525f27e_1360x768.png 424w, https://substackcdn.com/image/fetch/$s_!_di_!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fad335b6c-7229-4713-8916-943a0525f27e_1360x768.png 848w, https://substackcdn.com/image/fetch/$s_!_di_!,w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fad335b6c-7229-4713-8916-943a0525f27e_1360x768.png 1272w, https://substackcdn.com/image/fetch/$s_!_di_!,w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fad335b6c-7229-4713-8916-943a0525f27e_1360x768.png 1456w" sizes="100vw"><img src="https://substackcdn.com/image/fetch/$s_!_di_!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fad335b6c-7229-4713-8916-943a0525f27e_1360x768.png" width="1360" height="768" data-attrs="{&quot;src&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/ad335b6c-7229-4713-8916-943a0525f27e_1360x768.png&quot;,&quot;srcNoWatermark&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/ca411ac3-7dc7-4bf8-939c-00ce4e0408cc_1360x768.jpeg&quot;,&quot;fullscreen&quot;:null,&quot;imageSize&quot;:null,&quot;height&quot;:768,&quot;width&quot;:1360,&quot;resizeWidth&quot;:null,&quot;bytes&quot;:354607,&quot;alt&quot;:null,&quot;title&quot;:null,&quot;type&quot;:&quot;image/jpeg&quot;,&quot;href&quot;:null,&quot;belowTheFold&quot;:false,&quot;topImage&quot;:true,&quot;internalRedirect&quot;:&quot;https://www.trendlinehealth.com/i/184387108?img=https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fca411ac3-7dc7-4bf8-939c-00ce4e0408cc_1360x768.jpeg&quot;,&quot;isProcessing&quot;:false,&quot;align&quot;:null,&quot;offset&quot;:false}" class="sizing-normal" alt="" 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class="pencraft pc-display-flex pc-gap-8 pc-reset"><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container restack-image"><svg role="img" width="20" height="20" viewBox="0 0 20 20" fill="none" stroke-width="1.5" stroke="var(--color-fg-primary)" stroke-linecap="round" stroke-linejoin="round" xmlns="http://www.w3.org/2000/svg"><g><title></title><path d="M2.53001 7.81595C3.49179 4.73911 6.43281 2.5 9.91173 2.5C13.1684 2.5 15.9537 4.46214 17.0852 7.23684L17.6179 8.67647M17.6179 8.67647L18.5002 4.26471M17.6179 8.67647L13.6473 6.91176M17.4995 12.1841C16.5378 15.2609 13.5967 17.5 10.1178 17.5C6.86118 17.5 4.07589 15.5379 2.94432 12.7632L2.41165 11.3235M2.41165 11.3235L1.5293 15.7353M2.41165 11.3235L6.38224 13.0882"></path></g></svg></button><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container view-image"><svg xmlns="http://www.w3.org/2000/svg" width="20" height="20" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-maximize2 lucide-maximize-2"><polyline points="15 3 21 3 21 9"></polyline><polyline points="9 21 3 21 3 15"></polyline><line x1="21" x2="14" y1="3" y2="10"></line><line x1="3" x2="10" y1="21" y2="14"></line></svg></button></div></div></div></a></figure></div><h3>Policy &amp; Regulation</h3><ul><li><p><strong>Indiana Hospital Association Unveils Aggressive 2026 Legislative Agenda</strong><br>IHA pushes for Medicaid reimbursement stability through <strong>HB 1385</strong> (Medicare as floor, guarding against <strong>$12.7 billion</strong> federal funding loss over the decade), stronger criminal penalties for violence against healthcare workers (<strong>HB 1040</strong>), insurer accountability reforms (<strong>HB 1271</strong> bans unnecessary downcoding/recoupments; <strong>HB 1279</strong> shifts cost-sharing collection to payers), and preservation of nonprofit hospital status.<br><a href="https://www.ihaconnect.org/news/indiana-hospital-association-announces-2026-legislative-agenda">Indiana Hospital Association</a></p></li><li><p><strong>AG Todd Rokita Files New Lawsuit Against Eli Lilly Over Insulin Pricing Practices</strong><br>Indiana Attorney General Todd Rokita sues Eli Lilly alleging deceptive schemes inflated insulin prices more than <strong>1000%</strong> despite low production costs, seeking injunctive relief, damages, and structural market changes after two years of failed negotiations&#8212;building on prior actions that secured <strong>$35</strong> monthly caps and significant price reductions.<br><a href="https://events.in.gov/event/attorney-general-todd-rokita-fights-to-lower-healthcare-costs-for-hoosiers-with-new-lawsuit-against-eli-lilly">State of Indiana</a> | <a href="https://www.beckershospitalreview.com/pharmacy/indiana-sues-eli-lilly-over-insulin-pricing/">Becker&#8217;s Hospital Review</a></p><div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="https://substackcdn.com/image/fetch/$s_!7OQY!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F01c4c0f8-ccb2-4aea-b7c6-89cb3b1a7e23_3440x2256.png" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!7OQY!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F01c4c0f8-ccb2-4aea-b7c6-89cb3b1a7e23_3440x2256.png 424w, https://substackcdn.com/image/fetch/$s_!7OQY!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F01c4c0f8-ccb2-4aea-b7c6-89cb3b1a7e23_3440x2256.png 848w, https://substackcdn.com/image/fetch/$s_!7OQY!,w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F01c4c0f8-ccb2-4aea-b7c6-89cb3b1a7e23_3440x2256.png 1272w, https://substackcdn.com/image/fetch/$s_!7OQY!,w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F01c4c0f8-ccb2-4aea-b7c6-89cb3b1a7e23_3440x2256.png 1456w" sizes="100vw"><img src="https://substackcdn.com/image/fetch/$s_!7OQY!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F01c4c0f8-ccb2-4aea-b7c6-89cb3b1a7e23_3440x2256.png" width="672" height="440.706976744186" 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pc-display-flex pc-gap-8 pc-reset"><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container restack-image"><svg role="img" width="20" height="20" viewBox="0 0 20 20" fill="none" stroke-width="1.5" stroke="var(--color-fg-primary)" stroke-linecap="round" stroke-linejoin="round" xmlns="http://www.w3.org/2000/svg"><g><title></title><path d="M2.53001 7.81595C3.49179 4.73911 6.43281 2.5 9.91173 2.5C13.1684 2.5 15.9537 4.46214 17.0852 7.23684L17.6179 8.67647M17.6179 8.67647L18.5002 4.26471M17.6179 8.67647L13.6473 6.91176M17.4995 12.1841C16.5378 15.2609 13.5967 17.5 10.1178 17.5C6.86118 17.5 4.07589 15.5379 2.94432 12.7632L2.41165 11.3235M2.41165 11.3235L1.5293 15.7353M2.41165 11.3235L6.38224 13.0882"></path></g></svg></button><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container view-image"><svg xmlns="http://www.w3.org/2000/svg" width="20" height="20" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-maximize2 lucide-maximize-2"><polyline points="15 3 21 3 21 9"></polyline><polyline points="9 21 3 21 3 15"></polyline><line x1="21" x2="14" y1="3" y2="10"></line><line x1="3" x2="10" y1="21" y2="14"></line></svg></button></div></div></div></a><figcaption class="image-caption">Rural Health Information Hub, Source: CDC Diabetes County Data Indicators</figcaption></figure></div></li></ul><h3>Growth &amp; Finance</h3><ul><li><p><strong>Beacon Health System Completes $11.9M Expansion at Beacon Granger Hospital</strong><br>Beacon Granger Hospital adds 15,000 sq ft of outpatient services including rheumatology, infusion therapy, laboratory, and specialized rehabilitation for Parkinson&#8217;s, stroke, spinal cord injuries, concussions, and amputations&#8212;its second expansion since opening in 2019.<br><em><a href="https://www.beaconhealthsystem.org/news/2026/01/05/beacogranger-hospital-expands-footprint-with-new-outpatient-services/">Beacon Health System</a></em></p></li></ul><div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="https://substackcdn.com/image/fetch/$s_!r4Vd!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F554765cd-18b7-4869-a1e2-6bdc2fd3a7a8_1200x628.png" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!r4Vd!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F554765cd-18b7-4869-a1e2-6bdc2fd3a7a8_1200x628.png 424w, https://substackcdn.com/image/fetch/$s_!r4Vd!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F554765cd-18b7-4869-a1e2-6bdc2fd3a7a8_1200x628.png 848w, https://substackcdn.com/image/fetch/$s_!r4Vd!,w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F554765cd-18b7-4869-a1e2-6bdc2fd3a7a8_1200x628.png 1272w, https://substackcdn.com/image/fetch/$s_!r4Vd!,w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F554765cd-18b7-4869-a1e2-6bdc2fd3a7a8_1200x628.png 1456w" sizes="100vw"><img src="https://substackcdn.com/image/fetch/$s_!r4Vd!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F554765cd-18b7-4869-a1e2-6bdc2fd3a7a8_1200x628.png" width="616" height="322.37333333333333" 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https://substackcdn.com/image/fetch/$s_!r4Vd!,w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F554765cd-18b7-4869-a1e2-6bdc2fd3a7a8_1200x628.png 848w, https://substackcdn.com/image/fetch/$s_!r4Vd!,w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F554765cd-18b7-4869-a1e2-6bdc2fd3a7a8_1200x628.png 1272w, https://substackcdn.com/image/fetch/$s_!r4Vd!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F554765cd-18b7-4869-a1e2-6bdc2fd3a7a8_1200x628.png 1456w" sizes="100vw"></picture><div class="image-link-expand"><div class="pencraft pc-display-flex pc-gap-8 pc-reset"><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container restack-image"><svg role="img" width="20" height="20" viewBox="0 0 20 20" fill="none" stroke-width="1.5" stroke="var(--color-fg-primary)" stroke-linecap="round" stroke-linejoin="round" xmlns="http://www.w3.org/2000/svg"><g><title></title><path d="M2.53001 7.81595C3.49179 4.73911 6.43281 2.5 9.91173 2.5C13.1684 2.5 15.9537 4.46214 17.0852 7.23684L17.6179 8.67647M17.6179 8.67647L18.5002 4.26471M17.6179 8.67647L13.6473 6.91176M17.4995 12.1841C16.5378 15.2609 13.5967 17.5 10.1178 17.5C6.86118 17.5 4.07589 15.5379 2.94432 12.7632L2.41165 11.3235M2.41165 11.3235L1.5293 15.7353M2.41165 11.3235L6.38224 13.0882"></path></g></svg></button><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container view-image"><svg xmlns="http://www.w3.org/2000/svg" width="20" height="20" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-maximize2 lucide-maximize-2"><polyline points="15 3 21 3 21 9"></polyline><polyline points="9 21 3 21 3 15"></polyline><line x1="21" x2="14" y1="3" y2="10"></line><line x1="3" x2="10" y1="21" y2="14"></line></svg></button></div></div></div></a><figcaption class="image-caption">Beacon Health Granger - OP Services building | Source: Beacon Health Services</figcaption></figure></div><h3>Innovation &amp; Tech</h3><ul><li><p><strong>Notre Dame + Northwestern Launch County-Wide Youth Mental Health Scale-Up Funded by Valinhos Grant</strong><br>The three-year St. Joseph County Universal Wellness Project trains 75 providers and adapts Northwestern&#8217;s evidence-based single-session interventions (in-person + digital via Project YES) to deliver quick, free, anonymous mental health support to local youth, with ambitions to become a national model.<br><a href="https://news.nd.edu/news/notre-dame-northwestern-team-up-to-expand-mental-health-support-for-local-youth-through-valinhos-foundation-funded-partnership/">Notre Dame News</a></p></li></ul><h3>Workforce &amp; Leadership</h3><ul><li><p><strong>Good Samaritan Hospital Leadership Transition: Rob McLin Retires, Adam Thacker Named CEO</strong><br>After 34 years (15 as CEO), Rob McLin retires from Good Samaritan Hospital; Adam Thacker (with the organization since 2013, most recently President/CAO) assumes the CEO role January 7, emphasizing people-first leadership, clinical excellence, and independence in the hospital&#8217;s 118th year.<br><a href="https://www.vincennespbs.org/2026/01/07/good-samaritan-ceo-concludes-tenure/">Vincennes PBS</a> | <a href="https://www.gshvin.org/about-us/news/2026/january/leading-into-good-samaritan-s-118th-year-adam-th/">Good Samaritan Hospital</a></p></li><li><p><strong>IU Health Ball Memorial President Dr. Jeff Bird Retires After 40+ Years</strong><br>Muncie native Dr. Jeff Bird&#8212;born at the hospital, mentor to nearly half of Delaware County physicians, builder of the behavioral health unit&#8212;retires at 67 after a career centered on patient relationships, honest medicine, and community care.<br><a href="https://www.thestarpress.com/story/news/local/2026/01/09/retiring-iu-health-president-cared-for-everybody/88087671007/">Muncie Star Press</a></p></li><li><p><strong>274 Hospital and Health System CNOs to Know &#8212; 2025</strong><br>Becker&#8217;s annual list spotlights chief nursing officers driving staffing solutions, quality gains, Magnet/Pathway designations, virtual nursing pilots, dramatic turnover reductions, and harm-prevention programs across the country &#8212; several from systems with strong Indiana ties. <br><a href="https://www.beckershospitalreview.com/hospital-management-administration/274-hospital-and-health-system-cnos-to-know-2025/">Becker&#8217;s Hospital Review</a></p></li></ul><div><hr></div><p><em>Sources: Indiana Hospital Association, Vincennes PBS, Good Samaritan Hospital, Muncie Star Press, Notre Dame News, Beacon Health System, Becker&#8217;s Hospital Review, Office of Indiana Attorney General</em></p><p><em><strong>Have feedback or story ideas?</strong></em> Drop us a note: <a href="mailto:inpulse@trendlinehealth.com">inpulse@trendlinehealth.com</a></p><p><em><strong>Not subscribed yet?</strong></em> Get IN Pulse delivered weekly &#8212; Indiana&#8217;s most focused healthcare executive briefing.</p><p class="button-wrapper" data-attrs="{&quot;url&quot;:&quot;https://www.trendlinehealth.com/subscribe?&quot;,&quot;text&quot;:&quot;Subscribe now&quot;,&quot;action&quot;:null,&quot;class&quot;:null}" data-component-name="ButtonCreateButton"><a class="button primary" href="https://www.trendlinehealth.com/subscribe?"><span>Subscribe now</span></a></p>]]></content:encoded></item><item><title><![CDATA[IN Pulse – January 5, 2026]]></title><description><![CDATA[2026 | Issue 1 &#8211; Rural Windfall &#8226; AI Relief &#8226; Medicaid Savings]]></description><link>https://www.trendlinehealth.com/p/in-pulse-january-5-2026</link><guid isPermaLink="false">https://www.trendlinehealth.com/p/in-pulse-january-5-2026</guid><dc:creator><![CDATA[Mark Newell]]></dc:creator><pubDate>Mon, 05 Jan 2026 20:36:33 GMT</pubDate><enclosure url="https://substackcdn.com/image/fetch/$s_!pkoO!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Feaef5eea-7fe5-4091-adf3-92bd0121cefb_1360x768.png" length="0" type="image/jpeg"/><content:encoded><![CDATA[<h6>Trendline Health | IN Pulse | 2026 | Issue 1</h6><div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="https://substackcdn.com/image/fetch/$s_!pkoO!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Feaef5eea-7fe5-4091-adf3-92bd0121cefb_1360x768.png" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!pkoO!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Feaef5eea-7fe5-4091-adf3-92bd0121cefb_1360x768.png 424w, https://substackcdn.com/image/fetch/$s_!pkoO!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Feaef5eea-7fe5-4091-adf3-92bd0121cefb_1360x768.png 848w, https://substackcdn.com/image/fetch/$s_!pkoO!,w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Feaef5eea-7fe5-4091-adf3-92bd0121cefb_1360x768.png 1272w, https://substackcdn.com/image/fetch/$s_!pkoO!,w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Feaef5eea-7fe5-4091-adf3-92bd0121cefb_1360x768.png 1456w" sizes="100vw"><img src="https://substackcdn.com/image/fetch/$s_!pkoO!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Feaef5eea-7fe5-4091-adf3-92bd0121cefb_1360x768.png" width="1360" height="768" data-attrs="{&quot;src&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/eaef5eea-7fe5-4091-adf3-92bd0121cefb_1360x768.png&quot;,&quot;srcNoWatermark&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/d1ee005e-29be-4f39-a594-6cc4daaf60c8_1360x768.jpeg&quot;,&quot;fullscreen&quot;:null,&quot;imageSize&quot;:null,&quot;height&quot;:768,&quot;width&quot;:1360,&quot;resizeWidth&quot;:null,&quot;bytes&quot;:172070,&quot;alt&quot;:null,&quot;title&quot;:null,&quot;type&quot;:&quot;image/jpeg&quot;,&quot;href&quot;:null,&quot;belowTheFold&quot;:false,&quot;topImage&quot;:true,&quot;internalRedirect&quot;:&quot;https://www.trendlinehealth.com/i/183594393?img=https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fd1ee005e-29be-4f39-a594-6cc4daaf60c8_1360x768.jpeg&quot;,&quot;isProcessing&quot;:false,&quot;align&quot;:null,&quot;offset&quot;:false}" class="sizing-normal" alt="" srcset="https://substackcdn.com/image/fetch/$s_!pkoO!,w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Feaef5eea-7fe5-4091-adf3-92bd0121cefb_1360x768.png 424w, https://substackcdn.com/image/fetch/$s_!pkoO!,w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Feaef5eea-7fe5-4091-adf3-92bd0121cefb_1360x768.png 848w, https://substackcdn.com/image/fetch/$s_!pkoO!,w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Feaef5eea-7fe5-4091-adf3-92bd0121cefb_1360x768.png 1272w, https://substackcdn.com/image/fetch/$s_!pkoO!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Feaef5eea-7fe5-4091-adf3-92bd0121cefb_1360x768.png 1456w" sizes="100vw" fetchpriority="high"></picture><div class="image-link-expand"><div class="pencraft pc-display-flex pc-gap-8 pc-reset"><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container restack-image"><svg role="img" width="20" height="20" viewBox="0 0 20 20" fill="none" stroke-width="1.5" stroke="var(--color-fg-primary)" stroke-linecap="round" stroke-linejoin="round" xmlns="http://www.w3.org/2000/svg"><g><title></title><path d="M2.53001 7.81595C3.49179 4.73911 6.43281 2.5 9.91173 2.5C13.1684 2.5 15.9537 4.46214 17.0852 7.23684L17.6179 8.67647M17.6179 8.67647L18.5002 4.26471M17.6179 8.67647L13.6473 6.91176M17.4995 12.1841C16.5378 15.2609 13.5967 17.5 10.1178 17.5C6.86118 17.5 4.07589 15.5379 2.94432 12.7632L2.41165 11.3235M2.41165 11.3235L1.5293 15.7353M2.41165 11.3235L6.38224 13.0882"></path></g></svg></button><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container view-image"><svg xmlns="http://www.w3.org/2000/svg" width="20" height="20" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-maximize2 lucide-maximize-2"><polyline points="15 3 21 3 21 9"></polyline><polyline points="9 21 3 21 3 15"></polyline><line x1="21" x2="14" y1="3" y2="10"></line><line x1="3" x2="10" y1="21" y2="14"></line></svg></button></div></div></div></a></figure></div><h3>Policy &amp; Regulation</h3><ul><li><p><strong>Indiana secures $207M kickoff from $50B federal Rural Health Transformation Program for GROW initiative</strong><br>Five-year plan targets access, workforce, innovation, and tech in rural areas; regional grants empower local solutions &#8211; &#8220;Indiana&#8217;s rural communities are the backbone of our state&#8221; &#8211; Gov. Mike Braun.<br><em><a href="https://www.giant.fm/howard-county/news/local-news/gov-braun-announces-207-nillion-federal-grant-to-launch-grow-cultivating-rural-health/">GIANT fm</a> / <a href="https://www.cms.gov/newsroom/press-releases/cms-announces-50-billion-awards-strengthen-rural-health-all-50-states">CMS</a></em></p></li></ul><div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="https://substackcdn.com/image/fetch/$s_!kBCe!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F6d3caa2a-7146-484b-8a13-66b9daef6c75_1607x1424.jpeg" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!kBCe!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F6d3caa2a-7146-484b-8a13-66b9daef6c75_1607x1424.jpeg 424w, https://substackcdn.com/image/fetch/$s_!kBCe!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F6d3caa2a-7146-484b-8a13-66b9daef6c75_1607x1424.jpeg 848w, https://substackcdn.com/image/fetch/$s_!kBCe!,w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F6d3caa2a-7146-484b-8a13-66b9daef6c75_1607x1424.jpeg 1272w, https://substackcdn.com/image/fetch/$s_!kBCe!,w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F6d3caa2a-7146-484b-8a13-66b9daef6c75_1607x1424.jpeg 1456w" sizes="100vw"><img src="https://substackcdn.com/image/fetch/$s_!kBCe!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F6d3caa2a-7146-484b-8a13-66b9daef6c75_1607x1424.jpeg" width="446" height="395.1510989010989" data-attrs="{&quot;src&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/6d3caa2a-7146-484b-8a13-66b9daef6c75_1607x1424.jpeg&quot;,&quot;srcNoWatermark&quot;:null,&quot;fullscreen&quot;:null,&quot;imageSize&quot;:null,&quot;height&quot;:1290,&quot;width&quot;:1456,&quot;resizeWidth&quot;:446,&quot;bytes&quot;:null,&quot;alt&quot;:null,&quot;title&quot;:null,&quot;type&quot;:null,&quot;href&quot;:null,&quot;belowTheFold&quot;:false,&quot;topImage&quot;:false,&quot;internalRedirect&quot;:null,&quot;isProcessing&quot;:false,&quot;align&quot;:null,&quot;offset&quot;:false}" class="sizing-normal" alt="" srcset="https://substackcdn.com/image/fetch/$s_!kBCe!,w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F6d3caa2a-7146-484b-8a13-66b9daef6c75_1607x1424.jpeg 424w, https://substackcdn.com/image/fetch/$s_!kBCe!,w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F6d3caa2a-7146-484b-8a13-66b9daef6c75_1607x1424.jpeg 848w, https://substackcdn.com/image/fetch/$s_!kBCe!,w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F6d3caa2a-7146-484b-8a13-66b9daef6c75_1607x1424.jpeg 1272w, https://substackcdn.com/image/fetch/$s_!kBCe!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F6d3caa2a-7146-484b-8a13-66b9daef6c75_1607x1424.jpeg 1456w" sizes="100vw"></picture><div class="image-link-expand"><div class="pencraft pc-display-flex pc-gap-8 pc-reset"><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container restack-image"><svg role="img" width="20" height="20" viewBox="0 0 20 20" fill="none" stroke-width="1.5" stroke="var(--color-fg-primary)" stroke-linecap="round" stroke-linejoin="round" xmlns="http://www.w3.org/2000/svg"><g><title></title><path d="M2.53001 7.81595C3.49179 4.73911 6.43281 2.5 9.91173 2.5C13.1684 2.5 15.9537 4.46214 17.0852 7.23684L17.6179 8.67647M17.6179 8.67647L18.5002 4.26471M17.6179 8.67647L13.6473 6.91176M17.4995 12.1841C16.5378 15.2609 13.5967 17.5 10.1178 17.5C6.86118 17.5 4.07589 15.5379 2.94432 12.7632L2.41165 11.3235M2.41165 11.3235L1.5293 15.7353M2.41165 11.3235L6.38224 13.0882"></path></g></svg></button><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container view-image"><svg xmlns="http://www.w3.org/2000/svg" width="20" height="20" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-maximize2 lucide-maximize-2"><polyline points="15 3 21 3 21 9"></polyline><polyline points="9 21 3 21 3 15"></polyline><line x1="21" x2="14" y1="3" y2="10"></line><line x1="3" x2="10" y1="21" y2="14"></line></svg></button></div></div></div></a><figcaption class="image-caption">See a compilation of all state applications: <a href="https://edit.cms.gov/files/document/rht-program-state-provided-abstracts.pdf">RHT Program State Projects Abstracts</a></figcaption></figure></div><ul><li><p><strong>Elevance Health imposes 10% penalty on hospital reimbursements for out-of-network providers in non-emergent care</strong><br>Policy effective Jan 1 in Indiana + 10 states; exemptions for emergencies, rural/critical-access hospitals &#8211; sparks pushback from AHA/FAH over No Surprises Act impacts.<br><em><a href="https://www.ibj.com/articles/elevance-to-institute-policy-cutting-hospital-reimbursements-if-out-of-network-providers-involved-in-care">Inside INdiana Business</a></em></p></li><li><p><strong>Indiana Medicaid forecast delivers $466M biennium savings from enrollment declines</strong><br>$314M in SFY 2026 + $152M in 2027 driven by HIP/HHW drops after redetermination changes &amp; ad ban.</p><blockquote><p>&#8220;By carefully managing Medicaid expenditures,Indiana is strengthening the program&#8217;s long-term sustainability and ensuring responsible use of public funds.&#8221; &#8211;Secretary Mitch Roob.</p></blockquote><p><em><a href="https://www.wbiw.com/2025/12/19/indiana-medicaid-forecast-projects-over-465-million-in-state-savings/">WBIW</a></em> / <a href="https://www.in.gov/fssa/files/Medicaid-Forecast-Press-Release.pdf">IN.gov</a></p></li></ul><h3>Innovation &amp; Tech</h3><ul><li><p><strong>Reid Health deploys ambient AI documentation to slash clinician burnout</strong><br>Integrated EHR tool generates notes from patient conversations &#8594; physicians gain 2&#8211;3 hours/day, more natural interactions, better Google reviews.</p><blockquote><p>&#8220;We want our doctors to be doctors again&#8221; &#8211; CIO Muhammad Siddiqui</p></blockquote><p><em><a href="https://www.beckershospitalreview.com/healthcare-information-technology/ai/reid-healths-cio-on-why-burnout-became-a-top-priority/">Becker&#8217;s Hospital Review</a></em></p></li></ul><h3>Workforce &amp; Leadership</h3><ul><li><p><strong>Lutheran Hospital appoints Dr. Dillon Bannis as new Chief Medical Officer</strong><br>Chicago health equity veteran takes helm at Fort Wayne flagship &#8594; emphasizes drivers of health like food insecurity, mental health, and community collaboration.<br><em><a href="https://www.wlki.com/view_article.php?id=689">WLKI</a></em></p></li></ul><h3>Growth &amp; Finance</h3><ul><li><p><strong>Indiana&#8217;s 2026 economic outlook remains robust despite national slowdowns</strong><br>Real GDP growth outpaced U.S. &amp; neighbors in recent quarters; workforce apprenticeships, semiconductor investments, and credit rating strength signal continued momentum.<br><em><a href="https://www.ibrc.indiana.edu/ibr/2025/outlook/indiana.html">Indiana Business Review</a></em></p></li></ul><div><hr></div><p><strong>Sources:</strong> Becker&#8217;s Hospital Review, Inside INdiana Business, GIANT fm, CMS, WBIW, Indiana Business Review, WLKI, Fierce Healthcare<br><strong>Feedback or story tips?</strong> Reply or email <a href="mailto:indiana@trendlinehealth.com">indiana@trendlinehealth.com</a><br><strong>Not subscribed yet?</strong> Forward this to a colleague and hit &#8220;Subscribe now&#8221; &#8211; takes 3 seconds.</p><p class="button-wrapper" data-attrs="{&quot;url&quot;:&quot;https://www.trendlinehealth.com/subscribe?&quot;,&quot;text&quot;:&quot;Subscribe now&quot;,&quot;action&quot;:null,&quot;class&quot;:null}" data-component-name="ButtonCreateButton"><a class="button primary" href="https://www.trendlinehealth.com/subscribe?"><span>Subscribe now</span></a></p>]]></content:encoded></item><item><title><![CDATA[IN Pulse – December 22, 2025]]></title><description><![CDATA[2025 | Issue 11 &#8211; Rural Push &#8226; Leadership Shifts &#8226; AI Ventures]]></description><link>https://www.trendlinehealth.com/p/in-pulse-december-22-2025</link><guid isPermaLink="false">https://www.trendlinehealth.com/p/in-pulse-december-22-2025</guid><dc:creator><![CDATA[Mark Newell]]></dc:creator><pubDate>Mon, 22 Dec 2025 15:31:44 GMT</pubDate><enclosure url="https://substack-post-media.s3.amazonaws.com/public/images/0f3efb26-098c-478c-ae8a-264f7c12436d_2560x1440.png" length="0" type="image/jpeg"/><content:encoded><![CDATA[<h6>Trendline Health | IN Pulse | 2025 | Issue 11</h6><div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="https://substackcdn.com/image/fetch/$s_!HPEK!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F0b41a123-19db-44c8-ba1e-fcb3a28743b9_1280x720.png" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!HPEK!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F0b41a123-19db-44c8-ba1e-fcb3a28743b9_1280x720.png 424w, https://substackcdn.com/image/fetch/$s_!HPEK!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F0b41a123-19db-44c8-ba1e-fcb3a28743b9_1280x720.png 848w, https://substackcdn.com/image/fetch/$s_!HPEK!,w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F0b41a123-19db-44c8-ba1e-fcb3a28743b9_1280x720.png 1272w, https://substackcdn.com/image/fetch/$s_!HPEK!,w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F0b41a123-19db-44c8-ba1e-fcb3a28743b9_1280x720.png 1456w" sizes="100vw"><img src="https://substackcdn.com/image/fetch/$s_!HPEK!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F0b41a123-19db-44c8-ba1e-fcb3a28743b9_1280x720.png" width="1280" height="720" 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srcset="https://substackcdn.com/image/fetch/$s_!HPEK!,w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F0b41a123-19db-44c8-ba1e-fcb3a28743b9_1280x720.png 424w, https://substackcdn.com/image/fetch/$s_!HPEK!,w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F0b41a123-19db-44c8-ba1e-fcb3a28743b9_1280x720.png 848w, https://substackcdn.com/image/fetch/$s_!HPEK!,w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F0b41a123-19db-44c8-ba1e-fcb3a28743b9_1280x720.png 1272w, https://substackcdn.com/image/fetch/$s_!HPEK!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F0b41a123-19db-44c8-ba1e-fcb3a28743b9_1280x720.png 1456w" sizes="100vw" fetchpriority="high"></picture><div class="image-link-expand"><div class="pencraft pc-display-flex pc-gap-8 pc-reset"><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container restack-image"><svg role="img" width="20" height="20" viewBox="0 0 20 20" fill="none" stroke-width="1.5" stroke="var(--color-fg-primary)" stroke-linecap="round" stroke-linejoin="round" xmlns="http://www.w3.org/2000/svg"><g><title></title><path d="M2.53001 7.81595C3.49179 4.73911 6.43281 2.5 9.91173 2.5C13.1684 2.5 15.9537 4.46214 17.0852 7.23684L17.6179 8.67647M17.6179 8.67647L18.5002 4.26471M17.6179 8.67647L13.6473 6.91176M17.4995 12.1841C16.5378 15.2609 13.5967 17.5 10.1178 17.5C6.86118 17.5 4.07589 15.5379 2.94432 12.7632L2.41165 11.3235M2.41165 11.3235L1.5293 15.7353M2.41165 11.3235L6.38224 13.0882"></path></g></svg></button><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container view-image"><svg xmlns="http://www.w3.org/2000/svg" width="20" height="20" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-maximize2 lucide-maximize-2"><polyline points="15 3 21 3 21 9"></polyline><polyline points="9 21 3 21 3 15"></polyline><line x1="21" x2="14" y1="3" y2="10"></line><line x1="3" x2="10" y1="21" y2="14"></line></svg></button></div></div></div></a><figcaption class="image-caption">Illuminating Indiana&#8217;s Healthcare Future: Rural Clinics Rise &#8226; AI Ventures Launch &#8226; Leadership Evolves</figcaption></figure></div><h3>Growth &amp; Finance</h3><ul><li><p><strong>Bowen Health celebrates 3 new locations: Fort Wayne, Bremen and Kokomo</strong><br>Integrated mental health, primary care, and substance use services expand access regardless of ability to pay; ribbon-cutting events highlight community focus.</p><p><em><a href="https://www.inkfreenews.com/2025/12/19/bowen-health-opens-third-fort-wayne-clinic/">InkFreeNews</a> / <a href="https://nwindianabusiness.com/industries/health-wellness/bowen-opens-bremen-clinic/76259/">NW Indiana Business</a> / <a href="https://buildingindiana.com/stories/bowen-health-celebrates-new-location-in-kokomo,64558">Building Indiana</a></em></p></li></ul><h3>Innovation &amp; Tech</h3><ul><li><p><strong>Parkview Health, Notre Dame, and 1842 Fund partner to co-create AI-driven rural health startups</strong><br>Venture studio aims to launch up to two venture-backed companies in 2026 with initial funding.</p></li></ul><blockquote><p>&#8220;By combining our deep clinical expertise and understanding of community needs with Notre Dame&#8217;s research capabilities and the 1842 Fund&#8217;s venture-building model, we can develop scalable solutions that make a real difference for patients in underserved areas.&#8221; &#8211; <strong>Dr. Sarah GiaQuinta</strong>, Senior Vice President of Community Impact at Parkview Health</p></blockquote><p><em><a href="https://www.parkview.com/news/results/12162025-parkview-notre-dame-and-1842-fund-partner-to-co-create-startups-addressing-rural-health">Parkview Health</a></em></p><h3>Workforce &amp; Leadership</h3><ul><li><p><strong>OrthoIndy and OrthoIndy Hospital appoint Dr. Matthew Lavery as CEO</strong><br>Longtime board president and practicing surgeon steps up to lead after John Ryan&#8217;s move to IU Health; continues patient care alongside executive duties.<br><em><a href="https://blog.orthoindy.com/2025/12/15/orthoindy-and-orthoindy-hospital-announce-dr-matthew-lavery-as-chief-executive-officer/">OrthoIndy</a></em></p></li></ul><h3>Quality &amp; Safety</h3><ul><li><p><strong>C-section rates swing wildly across U.S. hospitals &#8211; financial pressures often drive higher rates, per BI analysis</strong><br>Low-risk cesarean rates vary dramatically even miles apart; Indiana hospitals rates included in interactive map and state by state list.</p></li></ul><h5>How Hospital C-section Rates Compare</h5><div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="https://substackcdn.com/image/fetch/$s_!I7iB!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fae965089-15dc-4c95-8c2d-2ffc44208bc1_1884x1382.jpeg" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!I7iB!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fae965089-15dc-4c95-8c2d-2ffc44208bc1_1884x1382.jpeg 424w, https://substackcdn.com/image/fetch/$s_!I7iB!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fae965089-15dc-4c95-8c2d-2ffc44208bc1_1884x1382.jpeg 848w, https://substackcdn.com/image/fetch/$s_!I7iB!,w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fae965089-15dc-4c95-8c2d-2ffc44208bc1_1884x1382.jpeg 1272w, https://substackcdn.com/image/fetch/$s_!I7iB!,w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fae965089-15dc-4c95-8c2d-2ffc44208bc1_1884x1382.jpeg 1456w" sizes="100vw"><img src="https://substackcdn.com/image/fetch/$s_!I7iB!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fae965089-15dc-4c95-8c2d-2ffc44208bc1_1884x1382.jpeg" width="639" height="468.717032967033" data-attrs="{&quot;src&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/ae965089-15dc-4c95-8c2d-2ffc44208bc1_1884x1382.jpeg&quot;,&quot;srcNoWatermark&quot;:null,&quot;fullscreen&quot;:null,&quot;imageSize&quot;:null,&quot;height&quot;:1068,&quot;width&quot;:1456,&quot;resizeWidth&quot;:639,&quot;bytes&quot;:null,&quot;alt&quot;:null,&quot;title&quot;:null,&quot;type&quot;:null,&quot;href&quot;:null,&quot;belowTheFold&quot;:true,&quot;topImage&quot;:false,&quot;internalRedirect&quot;:null,&quot;isProcessing&quot;:false,&quot;align&quot;:null,&quot;offset&quot;:false}" class="sizing-normal" alt="" srcset="https://substackcdn.com/image/fetch/$s_!I7iB!,w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fae965089-15dc-4c95-8c2d-2ffc44208bc1_1884x1382.jpeg 424w, https://substackcdn.com/image/fetch/$s_!I7iB!,w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fae965089-15dc-4c95-8c2d-2ffc44208bc1_1884x1382.jpeg 848w, https://substackcdn.com/image/fetch/$s_!I7iB!,w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fae965089-15dc-4c95-8c2d-2ffc44208bc1_1884x1382.jpeg 1272w, https://substackcdn.com/image/fetch/$s_!I7iB!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fae965089-15dc-4c95-8c2d-2ffc44208bc1_1884x1382.jpeg 1456w" sizes="100vw" loading="lazy"></picture><div class="image-link-expand"><div class="pencraft pc-display-flex pc-gap-8 pc-reset"><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container restack-image"><svg role="img" width="20" height="20" viewBox="0 0 20 20" fill="none" stroke-width="1.5" stroke="var(--color-fg-primary)" stroke-linecap="round" stroke-linejoin="round" xmlns="http://www.w3.org/2000/svg"><g><title></title><path d="M2.53001 7.81595C3.49179 4.73911 6.43281 2.5 9.91173 2.5C13.1684 2.5 15.9537 4.46214 17.0852 7.23684L17.6179 8.67647M17.6179 8.67647L18.5002 4.26471M17.6179 8.67647L13.6473 6.91176M17.4995 12.1841C16.5378 15.2609 13.5967 17.5 10.1178 17.5C6.86118 17.5 4.07589 15.5379 2.94432 12.7632L2.41165 11.3235M2.41165 11.3235L1.5293 15.7353M2.41165 11.3235L6.38224 13.0882"></path></g></svg></button><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container view-image"><svg xmlns="http://www.w3.org/2000/svg" width="20" height="20" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-maximize2 lucide-maximize-2"><polyline points="15 3 21 3 21 9"></polyline><polyline points="9 21 3 21 3 15"></polyline><line x1="21" x2="14" y1="3" y2="10"></line><line x1="3" x2="10" y1="21" y2="14"></line></svg></button></div></div></div></a></figure></div><p><em><a href="https://www.businessinsider.com/c-section-hospital-rates-differences-data-analysis-2025-12">Business Insider</a></em></p><h3>Policy &amp; Regulation</h3><ul><li><p><strong>Indiana leaders preview compressed 2026 legislative session &#8211; health priorities still emerging</strong><br>Short session means limited bandwidth; rural access, workforce, and affordability likely on docket but details sparse pre-session. 2027 session likely to return focus on healthcare as federal changes shift Medicaid costs onto states.<br><em><a href="https://indianaeconomicdigest.net/Content/Most-Recent/Health-Care/Article/Indiana-leaders-offer-glimpse-into-plans-for-compressed-2026-legislative-session/31/91/120621">Indiana Economic Digest</a></em></p></li></ul><div><hr></div><p>Sources: InkFreeNews, Business Insider, Building Indiana, NW Indiana Business, Indiana Economic Digest, Parkview Health, OrthoIndy</p><p><br><strong>Feedback or story tips?</strong> Reply or email <a href="mailto:indiana@trendlinehealth.com">indiana@trendlinehealth.com</a><br></p><div class="subscription-widget-wrap-editor" data-attrs="{&quot;url&quot;:&quot;https://www.trendlinehealth.com/subscribe?&quot;,&quot;text&quot;:&quot;Subscribe&quot;,&quot;language&quot;:&quot;en&quot;}" data-component-name="SubscribeWidgetToDOM"><div class="subscription-widget show-subscribe"><div class="preamble"><p class="cta-caption">Thanks for reading Trendline Health! Subscribe for free to receive new posts and support my work.</p></div><form class="subscription-widget-subscribe"><input type="email" class="email-input" name="email" placeholder="Type your email&#8230;" tabindex="-1"><input type="submit" class="button primary" value="Subscribe"><div class="fake-input-wrapper"><div class="fake-input"></div><div class="fake-button"></div></div></form></div></div>]]></content:encoded></item><item><title><![CDATA[IN Pulse – December 14, 2025]]></title><description><![CDATA[2025 | Issue 10 &#8211; Consolidation Wave &#8226; National Leadership &#8226; Quality Spotlight]]></description><link>https://www.trendlinehealth.com/p/in-pulse-december-14-2025</link><guid isPermaLink="false">https://www.trendlinehealth.com/p/in-pulse-december-14-2025</guid><dc:creator><![CDATA[Mark Newell]]></dc:creator><pubDate>Mon, 15 Dec 2025 22:39:43 GMT</pubDate><enclosure url="https://substackcdn.com/image/fetch/$s_!tn15!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F5ab87489-df9e-49fa-9864-424417d9c711_2560x1440.png" length="0" type="image/jpeg"/><content:encoded><![CDATA[<h6>Trendline Health | IN Pulse | 2025 | Issue 10</h6><div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="https://substackcdn.com/image/fetch/$s_!tn15!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F5ab87489-df9e-49fa-9864-424417d9c711_2560x1440.png" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!tn15!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F5ab87489-df9e-49fa-9864-424417d9c711_2560x1440.png 424w, https://substackcdn.com/image/fetch/$s_!tn15!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F5ab87489-df9e-49fa-9864-424417d9c711_2560x1440.png 848w, https://substackcdn.com/image/fetch/$s_!tn15!,w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F5ab87489-df9e-49fa-9864-424417d9c711_2560x1440.png 1272w, https://substackcdn.com/image/fetch/$s_!tn15!,w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F5ab87489-df9e-49fa-9864-424417d9c711_2560x1440.png 1456w" sizes="100vw"><img src="https://substackcdn.com/image/fetch/$s_!tn15!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F5ab87489-df9e-49fa-9864-424417d9c711_2560x1440.png" width="1456" height="819" data-attrs="{&quot;src&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/5ab87489-df9e-49fa-9864-424417d9c711_2560x1440.png&quot;,&quot;srcNoWatermark&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/8a1c8366-fc81-430b-b65e-7c9704ad92e6_2560x1440.png&quot;,&quot;fullscreen&quot;:null,&quot;imageSize&quot;:null,&quot;height&quot;:819,&quot;width&quot;:1456,&quot;resizeWidth&quot;:null,&quot;bytes&quot;:2740348,&quot;alt&quot;:null,&quot;title&quot;:null,&quot;type&quot;:&quot;image/png&quot;,&quot;href&quot;:null,&quot;belowTheFold&quot;:false,&quot;topImage&quot;:true,&quot;internalRedirect&quot;:&quot;https://www.trendlinehealth.com/i/181732823?img=https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F8a1c8366-fc81-430b-b65e-7c9704ad92e6_2560x1440.png&quot;,&quot;isProcessing&quot;:false,&quot;align&quot;:null,&quot;offset&quot;:false}" class="sizing-normal" alt="" srcset="https://substackcdn.com/image/fetch/$s_!tn15!,w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F5ab87489-df9e-49fa-9864-424417d9c711_2560x1440.png 424w, https://substackcdn.com/image/fetch/$s_!tn15!,w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F5ab87489-df9e-49fa-9864-424417d9c711_2560x1440.png 848w, https://substackcdn.com/image/fetch/$s_!tn15!,w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F5ab87489-df9e-49fa-9864-424417d9c711_2560x1440.png 1272w, https://substackcdn.com/image/fetch/$s_!tn15!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F5ab87489-df9e-49fa-9864-424417d9c711_2560x1440.png 1456w" sizes="100vw" fetchpriority="high"></picture><div class="image-link-expand"><div class="pencraft pc-display-flex pc-gap-8 pc-reset"><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container restack-image"><svg role="img" width="20" height="20" viewBox="0 0 20 20" fill="none" stroke-width="1.5" stroke="var(--color-fg-primary)" stroke-linecap="round" stroke-linejoin="round" xmlns="http://www.w3.org/2000/svg"><g><title></title><path d="M2.53001 7.81595C3.49179 4.73911 6.43281 2.5 9.91173 2.5C13.1684 2.5 15.9537 4.46214 17.0852 7.23684L17.6179 8.67647M17.6179 8.67647L18.5002 4.26471M17.6179 8.67647L13.6473 6.91176M17.4995 12.1841C16.5378 15.2609 13.5967 17.5 10.1178 17.5C6.86118 17.5 4.07589 15.5379 2.94432 12.7632L2.41165 11.3235M2.41165 11.3235L1.5293 15.7353M2.41165 11.3235L6.38224 13.0882"></path></g></svg></button><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container view-image"><svg xmlns="http://www.w3.org/2000/svg" width="20" height="20" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-maximize2 lucide-maximize-2"><polyline points="15 3 21 3 21 9"></polyline><polyline points="9 21 3 21 3 15"></polyline><line x1="21" x2="14" y1="3" y2="10"></line><line x1="3" x2="10" y1="21" y2="14"></line></svg></button></div></div></div></a><figcaption class="image-caption">IN Pulse &#8211; 2025 | Issue 10</figcaption></figure></div><h3>Growth &amp; Finance</h3><ul><li><p><strong>Union Health completes acquisition of Terre Haute Regional, consolidates Wound Care and Labor &amp; Delivery</strong><br>IDOH officially issued the Certificate of Public Advantage (COPA) on December 13. Per the COPA plan, Union Health is consolidating Wound Care and Labor &amp; Delivery to its N. 7th St. location; proactive patient outreach underway to minimize disruption.</p><blockquote><p>&#8220;I am deeply grateful to the remarkable team at Union Health and the many legislators and community leaders who supported this effort over the years.&#8221; &#8211;Steve Holman, President and CEO of Union Health</p></blockquote><p><em><a href="https://www.union.health/News/MergerFinalizedBetweenUnionHealthandTerreHauteRegionalHospital">Union Health</a></em><a href="https://www.union.health/News/MergerFinalizedBetweenUnionHealthandTerreHauteRegionalHospital">: </a><em><a href="https://www.union.health/News/MergerFinalizedBetweenUnionHealthandTerreHauteRegionalHospital">Here</a></em> | <em><a href="https://www.union.health/News/UnionHealthEnhancingQualityofCarebyBringingTogetherSelectHealthCareServices">Here</a></em></p></li><li><p><strong>Margaret Mary Health transitions revenue cycle to Revology partnership</strong><br>Long-term deal (effective March 2, 2026) impacts 55 roles (all offered positions with vendor) to gain advanced automation and denial reduction.<br><em><a href="https://www.mmhealth.org/news-and-events/news/mmh-announces-strategic-revenue-cycle-partnership-to-support-future-growth-and-strengthen-team-member-network/">Margaret Mary Health</a></em></p></li></ul><h3>Workforce &amp; Leadership</h3><ul><li><p><strong>Franciscan Health Olympia Fields names Joan Culver, MS, BSN, RN permanent Chief Nursing Officer</strong><br>Internal promotion after successful interim stint; 25-year Franciscan veteran lauded for &#8220;strategic vision and commitment to quality care.&#8221;<br><em><a href="https://greatnews.life/article/franciscan-health-olympia-fields-names-new-chief-nursing-officer/">GreatNews.Life</a></em></p></li><li><p><strong>Baptist Health Floyd more than doubles apprenticeship enrollment to 23 across 7 pathways</strong><br>Swiss-inspired pipeline to fight workforce gaps expands to add LPN, imaging, surgical tech, RT, lab tech, PTA, and engineering tracks.<br><em><a href="https://www.beckershospitalreview.com/workforce/baptist-health-floyd-doubles-apprenticeship-program-enrollment/">Becker&#8217;s Hospital Review</a></em></p></li><li><p><strong>Bowen Health CEO Dr. Rob Ryan appointed to AHA Committee on Behavioral Health</strong><br>Integrated-care leader brings Midwest innovation to national policy committee that advises the AHA on advocacy, public policy, and strategic initiatives.</p><blockquote><p>&#8220;It is an honor to bring Hoosier sensibility and compassion to this assignment&#8230; The Midwest is often the birthplace of new and inventive ways to solve problems.&#8221; &#8211;Dr. Rob Ryan, CEO, Bowen Health</p></blockquote><p><em><a href="https://www.administration.bowenhealth.org/news/bowen-health-ceo-appointed-to-aha-behavioral-health-committee">Bowen Health</a></em></p></li></ul><h3>Quality &amp; Safety</h3><ul><li><p><strong>U.S. News &amp; World Report: 2026 Best Hospitals for Maternity Care</strong><br>Sixteen Indiana hospitals were recognized as &#8220;High Performing&#8221;. This designation indicates that the hospitals met patient safety benchmarks for metrics like C-section rates, early deliveries, and newborn complications.<br><em><a href="https://health.usnews.com/best-hospitals/best-regional-hospitals/maternity">U.S. News &amp; World Report</a></em></p></li><li><p><strong>Leapfrog Fall 2025 Hospital Safety Grades: 15 Indiana hospitals score straight &#8220;A&#8221;</strong><br>The Leapfrog Hospital Safety Grade focuses on reported accidents, errors, injuries and infections and is published twice a year. According to Leapfrog, 90% of hospitals with a fall 2025 Safety Grade are part of a health system; &#8221;A&#8220; rated hospitals, are even higher at 94%.<br><em><a href="https://www.hospitalsafetygrade.org/search?findBy=state&amp;zip_code=&amp;city=&amp;state_prov=IN&amp;hospital=">Leapfrog Group</a></em></p></li></ul><div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="https://substackcdn.com/image/fetch/$s_!7bEy!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fea2ad6a1-a658-40a2-8229-2b50be1f6a12_1940x1375.jpeg" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!7bEy!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fea2ad6a1-a658-40a2-8229-2b50be1f6a12_1940x1375.jpeg 424w, https://substackcdn.com/image/fetch/$s_!7bEy!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fea2ad6a1-a658-40a2-8229-2b50be1f6a12_1940x1375.jpeg 848w, https://substackcdn.com/image/fetch/$s_!7bEy!,w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fea2ad6a1-a658-40a2-8229-2b50be1f6a12_1940x1375.jpeg 1272w, https://substackcdn.com/image/fetch/$s_!7bEy!,w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fea2ad6a1-a658-40a2-8229-2b50be1f6a12_1940x1375.jpeg 1456w" sizes="100vw"><img src="https://substackcdn.com/image/fetch/$s_!7bEy!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fea2ad6a1-a658-40a2-8229-2b50be1f6a12_1940x1375.jpeg" width="596" height="422.43956043956047" data-attrs="{&quot;src&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/ea2ad6a1-a658-40a2-8229-2b50be1f6a12_1940x1375.jpeg&quot;,&quot;srcNoWatermark&quot;:null,&quot;fullscreen&quot;:null,&quot;imageSize&quot;:null,&quot;height&quot;:1032,&quot;width&quot;:1456,&quot;resizeWidth&quot;:596,&quot;bytes&quot;:null,&quot;alt&quot;:null,&quot;title&quot;:null,&quot;type&quot;:null,&quot;href&quot;:null,&quot;belowTheFold&quot;:false,&quot;topImage&quot;:false,&quot;internalRedirect&quot;:null,&quot;isProcessing&quot;:false,&quot;align&quot;:null,&quot;offset&quot;:false}" class="sizing-normal" alt="" srcset="https://substackcdn.com/image/fetch/$s_!7bEy!,w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fea2ad6a1-a658-40a2-8229-2b50be1f6a12_1940x1375.jpeg 424w, https://substackcdn.com/image/fetch/$s_!7bEy!,w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fea2ad6a1-a658-40a2-8229-2b50be1f6a12_1940x1375.jpeg 848w, https://substackcdn.com/image/fetch/$s_!7bEy!,w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fea2ad6a1-a658-40a2-8229-2b50be1f6a12_1940x1375.jpeg 1272w, https://substackcdn.com/image/fetch/$s_!7bEy!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fea2ad6a1-a658-40a2-8229-2b50be1f6a12_1940x1375.jpeg 1456w" sizes="100vw"></picture><div class="image-link-expand"><div class="pencraft pc-display-flex pc-gap-8 pc-reset"><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container restack-image"><svg role="img" width="20" height="20" viewBox="0 0 20 20" fill="none" stroke-width="1.5" stroke="var(--color-fg-primary)" stroke-linecap="round" stroke-linejoin="round" xmlns="http://www.w3.org/2000/svg"><g><title></title><path d="M2.53001 7.81595C3.49179 4.73911 6.43281 2.5 9.91173 2.5C13.1684 2.5 15.9537 4.46214 17.0852 7.23684L17.6179 8.67647M17.6179 8.67647L18.5002 4.26471M17.6179 8.67647L13.6473 6.91176M17.4995 12.1841C16.5378 15.2609 13.5967 17.5 10.1178 17.5C6.86118 17.5 4.07589 15.5379 2.94432 12.7632L2.41165 11.3235M2.41165 11.3235L1.5293 15.7353M2.41165 11.3235L6.38224 13.0882"></path></g></svg></button><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container view-image"><svg xmlns="http://www.w3.org/2000/svg" width="20" height="20" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-maximize2 lucide-maximize-2"><polyline points="15 3 21 3 21 9"></polyline><polyline points="9 21 3 21 3 15"></polyline><line x1="21" x2="14" y1="3" y2="10"></line><line x1="3" x2="10" y1="21" y2="14"></line></svg></button></div></div></div></a><figcaption class="image-caption">Map of Ranked Hospitals; Source: Leapfrog Group</figcaption></figure></div><div><hr></div><p><strong>Sources:</strong> Time News, Margaret Mary Health, GreatNews.Life, Becker&#8217;s Hospital Review, Bowen Health, U.S. News &amp; World Report, Leapfrog Group</p><p><strong>Feedback or story tips?</strong> Reply or email <a href="mailto:indiana@trendlinehealth.com">indiana@trendlinehealth.com</a></p><p><strong>Not subscribed yet?</strong> </p><div class="subscription-widget-wrap-editor" data-attrs="{&quot;url&quot;:&quot;https://www.trendlinehealth.com/subscribe?&quot;,&quot;text&quot;:&quot;Subscribe&quot;,&quot;language&quot;:&quot;en&quot;}" data-component-name="SubscribeWidgetToDOM"><div class="subscription-widget show-subscribe"><div class="preamble"><p class="cta-caption">Thanks for reading Trendline Health! Subscribe for free to receive new posts and support my work.</p></div><form class="subscription-widget-subscribe"><input type="email" class="email-input" name="email" placeholder="Type your email&#8230;" tabindex="-1"><input type="submit" class="button primary" value="Subscribe"><div class="fake-input-wrapper"><div class="fake-input"></div><div class="fake-button"></div></div></form></div></div><div><hr></div><p><strong>Coming in 2026: OH Pulse joins the Trendline Health family</strong></p><p>Watching rural access battles, system expansions, and workforce pipelines across the Buckeye State&#8212;weekly roundup launching soon. Know someone in Ohio healthcare? Forward this and tell them to subscribe at <a href="http://trendlinehealth.com">trendlinehealth.com</a> for first access.</p>]]></content:encoded></item><item><title><![CDATA[IN Pulse – December 8, 2025]]></title><description><![CDATA[2025 | Issue 9 &#8211; Healthcare Affordability &#8226; Forbes Top Hospitals &#8226; Ascension St. Vincent CEO]]></description><link>https://www.trendlinehealth.com/p/in-pulse-december-8-2025</link><guid isPermaLink="false">https://www.trendlinehealth.com/p/in-pulse-december-8-2025</guid><dc:creator><![CDATA[Mark Newell]]></dc:creator><pubDate>Mon, 08 Dec 2025 18:02:01 GMT</pubDate><enclosure url="https://substackcdn.com/image/fetch/$s_!qbQZ!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fa245ca0e-e7cc-4ce3-97ab-81b5000f3c82_2560x1024.png" length="0" type="image/jpeg"/><content:encoded><![CDATA[<h6>Trendline Health | IN Pulse | 2025 | Issue 9 </h6><div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="https://substackcdn.com/image/fetch/$s_!qbQZ!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fa245ca0e-e7cc-4ce3-97ab-81b5000f3c82_2560x1024.png" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!qbQZ!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fa245ca0e-e7cc-4ce3-97ab-81b5000f3c82_2560x1024.png 424w, https://substackcdn.com/image/fetch/$s_!qbQZ!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fa245ca0e-e7cc-4ce3-97ab-81b5000f3c82_2560x1024.png 848w, https://substackcdn.com/image/fetch/$s_!qbQZ!,w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fa245ca0e-e7cc-4ce3-97ab-81b5000f3c82_2560x1024.png 1272w, https://substackcdn.com/image/fetch/$s_!qbQZ!,w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fa245ca0e-e7cc-4ce3-97ab-81b5000f3c82_2560x1024.png 1456w" sizes="100vw"><img src="https://substackcdn.com/image/fetch/$s_!qbQZ!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fa245ca0e-e7cc-4ce3-97ab-81b5000f3c82_2560x1024.png" width="2560" height="1024" 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class="image-link-expand"><div class="pencraft pc-display-flex pc-gap-8 pc-reset"><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container restack-image"><svg role="img" width="20" height="20" viewBox="0 0 20 20" fill="none" stroke-width="1.5" stroke="var(--color-fg-primary)" stroke-linecap="round" stroke-linejoin="round" xmlns="http://www.w3.org/2000/svg"><g><title></title><path d="M2.53001 7.81595C3.49179 4.73911 6.43281 2.5 9.91173 2.5C13.1684 2.5 15.9537 4.46214 17.0852 7.23684L17.6179 8.67647M17.6179 8.67647L18.5002 4.26471M17.6179 8.67647L13.6473 6.91176M17.4995 12.1841C16.5378 15.2609 13.5967 17.5 10.1178 17.5C6.86118 17.5 4.07589 15.5379 2.94432 12.7632L2.41165 11.3235M2.41165 11.3235L1.5293 15.7353M2.41165 11.3235L6.38224 13.0882"></path></g></svg></button><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container view-image"><svg xmlns="http://www.w3.org/2000/svg" width="20" height="20" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-maximize2 lucide-maximize-2"><polyline points="15 3 21 3 21 9"></polyline><polyline points="9 21 3 21 3 15"></polyline><line x1="21" x2="14" y1="3" y2="10"></line><line x1="3" x2="10" y1="21" y2="14"></line></svg></button></div></div></div></a></figure></div><h3><strong>Policy &amp; Regulation</strong></h3><p>&#8226; <strong>Indiana hospitals tout affordability gains in national rankings, but rural pressures mount</strong><br>WalletHub ranks IN 8th for costs (up from 15th/&#8217;21), Forbes 24th (up 13 spots/&#8217;23), KFF premiums below national avg since &#8216;20; </p><blockquote><p>&#8220;We&#8217;re making measurable improvements relative to the rest of the country&#8221; &#8211; IHA Pres. Scott Tittle.</p></blockquote><div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="https://substackcdn.com/image/fetch/$s_!YQq3!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F22133b6d-32e7-4b07-87ae-9a94a94cfdd6_2560x934.png" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!YQq3!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F22133b6d-32e7-4b07-87ae-9a94a94cfdd6_2560x934.png 424w, https://substackcdn.com/image/fetch/$s_!YQq3!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F22133b6d-32e7-4b07-87ae-9a94a94cfdd6_2560x934.png 848w, 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srcset="https://substackcdn.com/image/fetch/$s_!YQq3!,w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F22133b6d-32e7-4b07-87ae-9a94a94cfdd6_2560x934.png 424w, https://substackcdn.com/image/fetch/$s_!YQq3!,w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F22133b6d-32e7-4b07-87ae-9a94a94cfdd6_2560x934.png 848w, https://substackcdn.com/image/fetch/$s_!YQq3!,w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F22133b6d-32e7-4b07-87ae-9a94a94cfdd6_2560x934.png 1272w, https://substackcdn.com/image/fetch/$s_!YQq3!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F22133b6d-32e7-4b07-87ae-9a94a94cfdd6_2560x934.png 1456w" sizes="100vw"></picture><div class="image-link-expand"><div class="pencraft pc-display-flex pc-gap-8 pc-reset"><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container restack-image"><svg role="img" width="20" height="20" viewBox="0 0 20 20" fill="none" stroke-width="1.5" stroke="var(--color-fg-primary)" stroke-linecap="round" stroke-linejoin="round" xmlns="http://www.w3.org/2000/svg"><g><title></title><path d="M2.53001 7.81595C3.49179 4.73911 6.43281 2.5 9.91173 2.5C13.1684 2.5 15.9537 4.46214 17.0852 7.23684L17.6179 8.67647M17.6179 8.67647L18.5002 4.26471M17.6179 8.67647L13.6473 6.91176M17.4995 12.1841C16.5378 15.2609 13.5967 17.5 10.1178 17.5C6.86118 17.5 4.07589 15.5379 2.94432 12.7632L2.41165 11.3235M2.41165 11.3235L1.5293 15.7353M2.41165 11.3235L6.38224 13.0882"></path></g></svg></button><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container view-image"><svg xmlns="http://www.w3.org/2000/svg" width="20" height="20" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-maximize2 lucide-maximize-2"><polyline points="15 3 21 3 21 9"></polyline><polyline points="9 21 3 21 3 15"></polyline><line x1="21" x2="14" y1="3" y2="10"></line><line x1="3" x2="10" y1="21" y2="14"></line></svg></button></div></div></div></a><figcaption class="image-caption">Source: <a href="https://my.ihaconnect.org/Portals/0/Health%20Care%20Affordability.pdf">IHA Healthcare Affordability Fact Sheet</a></figcaption></figure></div><p><em><a href="https://www.ihaconnect.org/news/national-rankings-show-indiana-hospitals-are-making-care-more-affordable-for-hoosiers">Indiana Hospital Association</a></em></p><div><hr></div><h3><strong>Growth &amp; Finance</strong></h3><p>&#8226; <strong>Harrison County Hospital joins Deaconess affiliate network for specialty boost without losing local reins</strong><br>Effective Jan. 1, deal unlocks clinical expertise, tech, and recruitment aid; </p><blockquote><p>&#8220;Rural hospitals face extensive challenges&#8230; this collaboration enhances access closer to home&#8221; - HCH CEO Dr. Lisa Clunie.</p></blockquote><p><em><a href="https://www.madisoncourier.com/corydon_democrat/news/hch-now-affiliated-with-deaconess/article_9a0d59db-f590-58c4-9755-c21f02c61949.html">Madison Courier</a></em></p><p>&#8226; <strong>Daviess Community Hospital drops $1.6M wage increase to lock in talent amid Epic switch and service expansion</strong><br>RN scale jumps 30% to $45/hr across 400+ staff, targeting growth in urology, musculoskeletal, and primary care; </p><blockquote><p>&#8220;Investing in our people is the most important step to keep care local&#8221; &#8211; CEO Justin D. Harris.</p></blockquote><p><em><a href="https://www.dchosp.org/news/2025/december/daviess-community-hospital-announces-1-6-million/">Daviess Community Hospital</a></em></p><p>&#8226; <strong>Greene County General shutters OB unit Jan. 31, redirects births to regional partners</strong><br>Cites declining volumes, staffing shortages, and payer underpayments &#8211; not closure risk; prenatal/gyne care stays local via My Linton Clinic.<br><em><a href="https://www.beckershospitalreview.com/finance/indiana-hospital-to-end-ob-services/">Becker&#8217;s Hospital Review</a></em></p><p>&#8226; <strong>Forbes unveils Top Hospitals 2026: 7 Indiana hospitals shine with 5-star rating</strong><br>First-ever list from CMS data crowns 253 five-star facilities nationwide; IN&#8217;s suburban surge continues to excel in outcomes, value, and experience.</p><div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="https://substackcdn.com/image/fetch/$s_!AIcm!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fe4d992a1-ab0f-4014-b31d-0d0bd9af57c3_1176x831.jpeg" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!AIcm!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fe4d992a1-ab0f-4014-b31d-0d0bd9af57c3_1176x831.jpeg 424w, https://substackcdn.com/image/fetch/$s_!AIcm!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fe4d992a1-ab0f-4014-b31d-0d0bd9af57c3_1176x831.jpeg 848w, https://substackcdn.com/image/fetch/$s_!AIcm!,w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fe4d992a1-ab0f-4014-b31d-0d0bd9af57c3_1176x831.jpeg 1272w, https://substackcdn.com/image/fetch/$s_!AIcm!,w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fe4d992a1-ab0f-4014-b31d-0d0bd9af57c3_1176x831.jpeg 1456w" sizes="100vw"><img src="https://substackcdn.com/image/fetch/$s_!AIcm!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fe4d992a1-ab0f-4014-b31d-0d0bd9af57c3_1176x831.jpeg" width="596" height="421.1530612244898" 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srcset="https://substackcdn.com/image/fetch/$s_!AIcm!,w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fe4d992a1-ab0f-4014-b31d-0d0bd9af57c3_1176x831.jpeg 424w, https://substackcdn.com/image/fetch/$s_!AIcm!,w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fe4d992a1-ab0f-4014-b31d-0d0bd9af57c3_1176x831.jpeg 848w, https://substackcdn.com/image/fetch/$s_!AIcm!,w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fe4d992a1-ab0f-4014-b31d-0d0bd9af57c3_1176x831.jpeg 1272w, https://substackcdn.com/image/fetch/$s_!AIcm!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fe4d992a1-ab0f-4014-b31d-0d0bd9af57c3_1176x831.jpeg 1456w" sizes="100vw" loading="lazy"></picture><div class="image-link-expand"><div class="pencraft pc-display-flex pc-gap-8 pc-reset"><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container restack-image"><svg role="img" width="20" height="20" viewBox="0 0 20 20" fill="none" stroke-width="1.5" stroke="var(--color-fg-primary)" stroke-linecap="round" stroke-linejoin="round" xmlns="http://www.w3.org/2000/svg"><g><title></title><path d="M2.53001 7.81595C3.49179 4.73911 6.43281 2.5 9.91173 2.5C13.1684 2.5 15.9537 4.46214 17.0852 7.23684L17.6179 8.67647M17.6179 8.67647L18.5002 4.26471M17.6179 8.67647L13.6473 6.91176M17.4995 12.1841C16.5378 15.2609 13.5967 17.5 10.1178 17.5C6.86118 17.5 4.07589 15.5379 2.94432 12.7632L2.41165 11.3235M2.41165 11.3235L1.5293 15.7353M2.41165 11.3235L6.38224 13.0882"></path></g></svg></button><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container view-image"><svg xmlns="http://www.w3.org/2000/svg" width="20" height="20" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-maximize2 lucide-maximize-2"><polyline points="15 3 21 3 21 9"></polyline><polyline points="9 21 3 21 3 15"></polyline><line x1="21" x2="14" y1="3" y2="10"></line><line x1="3" x2="10" y1="21" y2="14"></line></svg></button></div></div></div></a></figure></div><p><em><a href="https://www.forbes.com/lists/top-hospitals/">Forbes</a></em></p><div><hr></div><h3><strong>Innovation &amp; Tech</strong></h3><p>&#8226; <strong>Beacon teams with ENFRA for CHP energy overhaul at Memorial Hospital, live late 2026</strong><br>Combined heat/power system + LED/HVAC upgrades to cut emissions 26%, usage 40%, and millions in costs &#8211; ensuring 24/7 reliability for NICU and ORs.<br><em><a href="https://community.beaconhealthsystem.org/2025/11/19/beacon-and-enfra-partner-to-bring-cleaner-efficient-energy-to-memorial-hospital/">Beacon Health System</a></em></p><div><hr></div><h3><strong>Workforce &amp; Leadership</strong></h3><p>&#8226; <strong>Ascension St. Vincent anoints Don King as new CEO, effective Jan. 1, 2026</strong><br>Florida turnaround ace (25+ yrs exp) to helm 19 hospitals/15K associates, building on rural access and quality wins; </p><blockquote><p>&#8220;I look forward to serving Indiana by supporting exceptional care teams&#8221; &#8211; Don King, CEO of Ascension St. Vincent</p></blockquote><p><em><a href="https://about.ascension.org/news/2025/12/don-king-named-ceo-of-ascension-st-vincent">Ascension</a></em></p><div><hr></div><p><strong>Sources:</strong> Madison Courier, Becker&#8217;s Hospital Review, Daviess Community Hospital, Forbes, Beacon Health System, Indiana Hospital Association, Ascension</p><p><strong>Feedback or story tips?</strong> Reply or email <a href="mailto:indiana@trendlinehealth.com">indiana@trendlinehealth.com</a></p><div class="subscription-widget-wrap-editor" data-attrs="{&quot;url&quot;:&quot;https://www.trendlinehealth.com/subscribe?&quot;,&quot;text&quot;:&quot;Subscribe&quot;,&quot;language&quot;:&quot;en&quot;}" data-component-name="SubscribeWidgetToDOM"><div class="subscription-widget show-subscribe"><div class="preamble"><p class="cta-caption">Thanks for reading Trendline Health! Subscribe for free to receive new posts and support my work.</p></div><form class="subscription-widget-subscribe"><input type="email" class="email-input" name="email" placeholder="Type your email&#8230;" tabindex="-1"><input type="submit" class="button primary" value="Subscribe"><div class="fake-input-wrapper"><div class="fake-input"></div><div class="fake-button"></div></div></form></div></div>]]></content:encoded></item><item><title><![CDATA[IN Pulse 7 - Innovation Series Finale]]></title><description><![CDATA[Indiana&#8217;s Health Innovation Engine &#8211; Part III: The Series Finale]]></description><link>https://www.trendlinehealth.com/p/in-pulse-7-innovation-series-finale</link><guid isPermaLink="false">https://www.trendlinehealth.com/p/in-pulse-7-innovation-series-finale</guid><dc:creator><![CDATA[Mark Newell]]></dc:creator><pubDate>Tue, 02 Dec 2025 14:03:24 GMT</pubDate><enclosure url="https://substackcdn.com/image/fetch/$s_!X9vT!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fe5cd5db7-f0df-499f-b81c-3cfd31c1e99a_1280x475.jpeg" length="0" type="image/jpeg"/><content:encoded><![CDATA[<div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="https://substackcdn.com/image/fetch/$s_!X9vT!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fe5cd5db7-f0df-499f-b81c-3cfd31c1e99a_1280x475.jpeg" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!X9vT!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fe5cd5db7-f0df-499f-b81c-3cfd31c1e99a_1280x475.jpeg 424w, https://substackcdn.com/image/fetch/$s_!X9vT!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fe5cd5db7-f0df-499f-b81c-3cfd31c1e99a_1280x475.jpeg 848w, https://substackcdn.com/image/fetch/$s_!X9vT!,w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fe5cd5db7-f0df-499f-b81c-3cfd31c1e99a_1280x475.jpeg 1272w, https://substackcdn.com/image/fetch/$s_!X9vT!,w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fe5cd5db7-f0df-499f-b81c-3cfd31c1e99a_1280x475.jpeg 1456w" sizes="100vw"><img src="https://substackcdn.com/image/fetch/$s_!X9vT!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fe5cd5db7-f0df-499f-b81c-3cfd31c1e99a_1280x475.jpeg" width="1280" height="475" data-attrs="{&quot;src&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/e5cd5db7-f0df-499f-b81c-3cfd31c1e99a_1280x475.jpeg&quot;,&quot;srcNoWatermark&quot;:null,&quot;fullscreen&quot;:null,&quot;imageSize&quot;:null,&quot;height&quot;:475,&quot;width&quot;:1280,&quot;resizeWidth&quot;:null,&quot;bytes&quot;:216802,&quot;alt&quot;:null,&quot;title&quot;:null,&quot;type&quot;:&quot;image/jpeg&quot;,&quot;href&quot;:null,&quot;belowTheFold&quot;:false,&quot;topImage&quot;:true,&quot;internalRedirect&quot;:&quot;https://www.trendlinehealth.com/i/179870310?img=https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fe70c8d39-6f95-47ed-9475-223643b6dcdb_1280x720.jpeg&quot;,&quot;isProcessing&quot;:false,&quot;align&quot;:null,&quot;offset&quot;:false}" class="sizing-normal" alt="" srcset="https://substackcdn.com/image/fetch/$s_!X9vT!,w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fe5cd5db7-f0df-499f-b81c-3cfd31c1e99a_1280x475.jpeg 424w, https://substackcdn.com/image/fetch/$s_!X9vT!,w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fe5cd5db7-f0df-499f-b81c-3cfd31c1e99a_1280x475.jpeg 848w, https://substackcdn.com/image/fetch/$s_!X9vT!,w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fe5cd5db7-f0df-499f-b81c-3cfd31c1e99a_1280x475.jpeg 1272w, https://substackcdn.com/image/fetch/$s_!X9vT!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fe5cd5db7-f0df-499f-b81c-3cfd31c1e99a_1280x475.jpeg 1456w" sizes="100vw" fetchpriority="high"></picture><div class="image-link-expand"><div class="pencraft pc-display-flex pc-gap-8 pc-reset"><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container restack-image"><svg role="img" width="20" height="20" viewBox="0 0 20 20" fill="none" stroke-width="1.5" stroke="var(--color-fg-primary)" stroke-linecap="round" stroke-linejoin="round" xmlns="http://www.w3.org/2000/svg"><g><title></title><path d="M2.53001 7.81595C3.49179 4.73911 6.43281 2.5 9.91173 2.5C13.1684 2.5 15.9537 4.46214 17.0852 7.23684L17.6179 8.67647M17.6179 8.67647L18.5002 4.26471M17.6179 8.67647L13.6473 6.91176M17.4995 12.1841C16.5378 15.2609 13.5967 17.5 10.1178 17.5C6.86118 17.5 4.07589 15.5379 2.94432 12.7632L2.41165 11.3235M2.41165 11.3235L1.5293 15.7353M2.41165 11.3235L6.38224 13.0882"></path></g></svg></button><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container view-image"><svg xmlns="http://www.w3.org/2000/svg" width="20" height="20" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-maximize2 lucide-maximize-2"><polyline points="15 3 21 3 21 9"></polyline><polyline points="9 21 3 21 3 15"></polyline><line x1="21" x2="14" y1="3" y2="10"></line><line x1="3" x2="10" y1="21" y2="14"></line></svg></button></div></div></div></a></figure></div><h3>From 16 Tech to One Health&#8230; Now Meet the Next 4</h3><p>BioCrossroads lit the fuse in 2002.<br>16 Tech became Indy&#8217;s urban core.<br>One Health turned West Lafayette into a health quadrant.</p><p>The engine isn&#8217;t stopping&#8212;it&#8217;s spreading.<br>Four more university-anchored hotspots are quietly (or not so quietly) pulling in major health systems and hundreds of millions in new capital.</p><div><hr></div><h3>The Next 4 Innovation Hotspots to Watch</h3><div id="datawrapper-iframe" class="datawrapper-wrap outer" data-attrs="{&quot;url&quot;:&quot;https://datawrapper.dwcdn.net/SEmAa/3/&quot;,&quot;thumbnail_url&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/f91d8c75-2670-4b9d-a5aa-70c7848bcb99_1220x792.png&quot;,&quot;thumbnail_url_full&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/71341261-cfe4-4a6c-8676-f95d36d30a44_1220x862.png&quot;,&quot;height&quot;:439,&quot;title&quot;:&quot;The Next 4&quot;,&quot;description&quot;:&quot;&quot;}" data-component-name="DatawrapperToDOM"><iframe id="iframe-datawrapper" class="datawrapper-iframe" src="https://datawrapper.dwcdn.net/SEmAa/3/" width="730" height="439" frameborder="0" scrolling="no"></iframe><script type="text/javascript">!function(){"use strict";window.addEventListener("message",(function(e){if(void 0!==e.data["datawrapper-height"]){var t=document.querySelectorAll("iframe");for(var a in e.data["datawrapper-height"])for(var r=0;r<t.length;r++){if(t[r].contentWindow===e.source)t[r].style.height=e.data["datawrapper-height"][a]+"px"}}}))}();</script></div><div><hr></div><div id="datawrapper-iframe" class="datawrapper-wrap outer" data-attrs="{&quot;url&quot;:&quot;https://datawrapper.dwcdn.net/XGZGA/1/&quot;,&quot;thumbnail_url&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/3b67881b-5f7c-4e94-97be-d50aa9255f69_1220x1674.png&quot;,&quot;thumbnail_url_full&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/52ff28e9-bca1-46d6-b715-82b2a11d9eae_1220x1744.png&quot;,&quot;height&quot;:861,&quot;title&quot;:&quot;Indiana&#8217;s Health Innovation Network - 2025&quot;,&quot;description&quot;:&quot;&quot;}" data-component-name="DatawrapperToDOM"><iframe id="iframe-datawrapper" class="datawrapper-iframe" src="https://datawrapper.dwcdn.net/XGZGA/1/" width="730" height="861" frameborder="0" scrolling="no"></iframe><script type="text/javascript">!function(){"use strict";window.addEventListener("message",(function(e){if(void 0!==e.data["datawrapper-height"]){var t=document.querySelectorAll("iframe");for(var a in e.data["datawrapper-height"])for(var r=0;r<t.length;r++){if(t[r].contentWindow===e.source)t[r].style.height=e.data["datawrapper-height"][a]+"px"}}}))}();</script></div><div><hr></div><h3>The Repeating Playbook</h3><ol><li><p>University R&amp;D core</p></li><li><p>BioCrossroads / Ascend talent pipeline</p></li><li><p>Health-system capital chasing proximity to discovery</p></li></ol><p>Repeat in four new geographies &#8594; decentralized, high-velocity life-sciences growth.</p><div><hr></div><h3>Series Recap</h3><ul><li><p><strong>Part I</strong>: <a href="https://www.trendlinehealth.com/p/indianas-health-innovation-engine?r=1oxnh6">16 Tech &#8211; Indianapolis&#8217;s urban innovation engine</a></p></li><li><p><strong>Part II</strong>: <a href="https://www.trendlinehealth.com/p/a-west-side-story-how-purdues-gravitational?r=1oxnh6">One Health &#8211; West Lafayette&#8217;s health quadrant (the &#8220;West Side Story&#8221;)</a></p></li><li><p><strong>Part III</strong>: The Next 4 &#8211; Evansville | Fort Wayne | South Bend | Lake County</p></li></ul><p><strong>Indiana isn&#8217;t one hub. It&#8217;s a network of innovation engines&#8212;each rewriting how and where healthcare gets built.</strong></p><p><em>Trendline Health | IN Pulse</em> &#8211; Innovation Series Complete</p><div><hr></div><div class="subscription-widget-wrap-editor" data-attrs="{&quot;url&quot;:&quot;https://www.trendlinehealth.com/subscribe?&quot;,&quot;text&quot;:&quot;Subscribe&quot;,&quot;language&quot;:&quot;en&quot;}" data-component-name="SubscribeWidgetToDOM"><div class="subscription-widget show-subscribe"><div class="preamble"><p class="cta-caption">Thanks for reading Trendline Health! 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