How Indiana Can Save on Healthcare Despite Its Medical Monopoly

How Indiana Can Save on Healthcare Despite Its Medical Monopoly

How Indiana Can Save on Healthcare Despite Its Medical Monopoly 942 594 Apostrophe Health

Self-insured plan sponsors in Indiana have a real opportunity to control their health plan spend.

Right now, an opportunity exists to take back control of healthcare costs, embrace innovation and improve the overall quality of care in Indiana. We believe this is a time for optimism. When we can all finally return to the doctor, Apostrophe members will do so with confidence knowing our smart shopper program is saving them money.

When we talk about the future of healthcare, we anticipate a substantial period of recovery in which providers will seek to recoup losses. To do so, cost of care and treatment will increase and legacy insurance rates will rise in response.

It’s hard to imagine rates being any higher in Indiana, where Hoosiers already pay 311%* over Medicare for their healthcare. Indianapolis alone has the highest markup rate* in the entire U.S. 

“The typical Hoosier spends 4.4% more of their annual income on healthcare than the average American,” according to 

It’s too soon to know what will happen to that rate as part of the post-COVID recovery. Are you prepared for even greater expense when healthcare costs increase?  

Apostrophe Intelligent Health Benefits are uniquely positioned to take on this challenge and put our self-insured plan sponsors ahead of the “what’s next” curve.


Apostrophe’s Intelligent Health Benefits put the self-funded plan sponsor back in control of spend and experience.

We took the direct-purchase plans modeled by Lowe’s and Boeing and made them accessible to mid-size, self-insured plan sponsors. It’s no longer a luxury reserved for the biggest corporate players. It’s a necessity your members deserve.

With Apostrophe, your members enjoy better benefits for less money. Intelligent Health Benefits include:

  • All providers treated as in-network. We eliminated confusing rules and penalties.
  • Cut out middlemen with common sense purchasing. Save with direct contracts, cash pay, and referenced-based payments.
  • Smart shopper and $0 care options. Members save on out-of-pocket expenses by choosing our partner providers.
  • White glove Member Care. Advocacy and expert support to navigate the healthcare system.


When health systems and private physician practices re-open, they’ll work to quickly overcome the financial losses incurred during the closure. Their patients will pay for it. Apostrophe Members won’t feel that strain, though, with smart shopper rates helping to insulate them from any reactionary rate hikes.

In fact, we expect these rate increases to change member behavior for the better:

  • Greater reliance on Apostrophe’s existing suite of virtual healthcare tools
  • Shopping around for the best treatment and care options
  • Cost-conscious decision making

Apostrophe smart shopper program enables our members to be more informed, smarter healthcare consumers. This is what Better Benefits for Less Money looks like in action.

The process of researching providers and fair rates against benefit availability can be overwhelming. But when our members need a procedure or treatment outside of standard office visits, Apostrophe smart shopper helps them identify high-quality and cost-effective options right here in Indiana. The advocacy of white glove Member Care ensures that our members feel supported and informed when making healthcare decisions. 

“I am thrilled to be able to see [my doctor] and I’m a little overwhelmed (happy) by the $0 cost for the surgery!!,” one member told us after Member Care secured a zero-dollar option.

Apostrophe smart shopper is available for:

  • MRI or CT at free-standing imaging centers
  • Colonoscopies
  • Outpatient or elective surgery
  • Musculoskeletal pain management, e.g. virtual physical therapy

Both HSA and non-HSA plans get the benefit of bundled case rates. Non-HSA plans have access to $0 member cost benefits, and HSA plans may have opportunities for account credits.**


Indiana has a monopoly problem in healthcare, according to 2019 research from the Ball State Center for Business and Economic Research.

“Evidence strongly suggests healthcare markets in Indiana experience significant monopoly power, which has increased prices, allowed not-for-profit providers to accrue stunningly large profits [$82 million in excess revenue over expenses], increased the burden on Hoosier families, and likely reduced healthcare outcomes across the state,” the policy brief stated.

Expensive healthcare has far-reaching effects, including wage stagnation and fewer good jobs. And it reduces access to care—9% of Americans report delaying or avoiding care because of medical costs.

That’s all contributing to the poor state of wellness throughout the state of Indiana. It has the eighth-lowest life expectancy in the U.S. and one of the highest mortality rates for diabetes, cancer, and heart disease.


This unchecked market and the highest medical costs in the country keep business at bay and the hard-working residents paying outrageous out-of-pocket fees. 

But Apostrophe says, Why not Indiana? Self-insured plan sponsors have a rare opportunity to break this cycle. They have the power to control their plan’s spend and the healthcare experience of its members.

Now is the time to change everything with better benefits for less money.

If you’re a self-insured plan sponsor in Indiana, we’d like to calculate the savings you’ll see when you switch to Apostrophe Intelligent Health Benefits.

Let’s talk before your next renewal.

*2019 Rand Report
**Dependent on plan design