Insights
Written for people who have to defend the number in public.
Everything here cites its sources, because everything here is meant to survive being read out at a council meeting by someone who disagrees with you.
Public Dollars, Private Prices: the 2026 reality check for Indiana’s public employers
Two numbers every Indiana public official should be able to recite, three years of renewals in one paragraph, the questions Aim Medical Trust members should be asking, and why the second-largest expense in the budget earned a permanent exemption from the discipline we apply to asphalt.
The numbers behind “Public Dollars, Private Prices”
The documented source layer for the article: the 2024–2026 renewal record, Indiana’s consolidating carrier map, the projected $744 million SEA 1 hit to schools, and the fiduciary duties SEA 3 now places on every TPA and PBM. Full figures table and every source published.
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The Pressure Test will place your filed figures against comparable Indiana units in about a minute, at no cost, without collecting anything you do not choose to send.