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Low enrollment numbers in the Healthy Indiana Plan are questioned

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As Indiana seeks federal approval to continue its Healthy Indiana Plan, a health insurance program for income-eligible uninsured Hoosiers, some state legislators are concerned enrollment in the program is not higher.

Family and Social Services Administration Secretary Debra Minott provided an update on HIP Tuesday during the first meeting of the Legislature’s Health Finance Commission.

The state has applied to the Centers for Medicare & Medicaid Services to continue the HIP program as an ongoing waiver project. Recently, Minott and members of her staff, along with members from Gov. Mike Pence’s office, met with CMS Director Cynthia Mann.

Although the state has proposed using the HIP program as the platform to expand Medicaid, Minott told the commission the first priority is to get the current waiver approved so the enrollees in the program would have certainty their healthcare coverage would continue.

Minott said CMS had some concerns over issues such as benefits and enrollment caps but she is optimistic the program will get approval.

“We were very encouraged that yet this summer we will know and we will be able to communicate with the current HIP enrollees that their coverage will not be lost,” Minott said.

As of May, the HIP program had 37,000 Hoosiers enrolled with another 53,000 on the waiting list, according to Minott. The trust fund which supports the program contains a little over $300 million.

Both Sen. Vaneta Becker, R-Evansville, and Rep. Charlie Brown, D-Gary, pointed out when the program was originally enacted, enrollment was estimated to hit 140,000. They questioned why the current number of participants is so low, especially since the money to handle more enrollees is available in the trust fund.

Minott responded that enrollment in the HIP program is capped and that acceptance of more participants has to be done in a fiscally responsibly manner. She said she expects enrollment will rise if the program gets approval to continue for another three years.

“You talk about you’re doing this now and yet the funding has been there,” Becker said. “So to me, it’s been, I guess, an opportunity lost for people that need health coverage.”

Rep. Pat Bauer, D-South Bend, then pressed Minott over the expansion of Medicaid under the Patient Protection and Affordable Care Act. The federal health care plan calls for states to raise the eligibility for the program to 133 percent of the federal poverty level in order to give more people insurance coverage. However, states are not obligated to expand Medicaid.

During the 2013 legislative session, some Democratic legislators did push for the state to opt to grow Medicaid, arguing since the first three years of the expansion would be fully funded by the federal government, Indiana would essentially be losing tax money is if did not approve the expansion.

However, their efforts did not gain traction. Many other legislators, including those in the Republican leadership, were skeptical the federal dollars would be there to support the expansion.

Minott said the state is continuing to pursue the possibility that it be allowed to expand Medicaid under the terms of HIP. In particular, Indiana wants the participants in the expanded Medicaid to pay into the program like they do for the Healthy Indiana Plan.

“I think we are dealing with incredibly important issues and we’re dealing with the lives of vulnerable people,” Minott said. “And so I don’t think we can just be lured by the fact that there’s a pot of money there without really being certain that we’re making good decisions and treating these folks with the respect that they need. The last thing I want to do is treat them like a yo-yo.”

This was the first of five meetings the Health Finance Commission is scheduled to hold. It will convene again July 22 and discuss, among other topics, health care exchanges.
 


 

 

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  • Harassment
    Yes this is so sad. They constantly are sending you letters that you didn't give this or give that my poor husband did everything they asked over 3 times yet they still continued to accuse him of owning his fathers (struggling business ) because his fathers legal name is Frank an his legal name is Frankie so after approved am paid his monthly contribution 6 months ahead ( 8.00 per month ) they cut him off once again saying he didn't give them what they wanted. My husband is a struggling Mechanic with a Large Mass the size of an apple on his arm he cannot get removed. after Gov. Mitch Daniels everything went down hill for Healthy Indiana Plan.
  • HIP A SCAM
    I WORK FOR A NON FOR PROFIT ORGANIZATION AND I GET MANY CALLS INDICATING THE HIP PROGRAM IS PLANNING TO TERMINATE THEIR INSURANCE BECAUSE THEY EITHER DID NOT COMPLETE AND RETURN THEIR RENEWAL APPLICATION OR DID NOT PROVIDE REQUESTED DOCUMENTATION. THE CALLERS ARE ADAMANT THEY PROVIDED WHAT WAS REQUIRED. I BELIEVE THEM ALL. THEN THEIR APPEAL PROCESS IS THE WORST. A FAMILY IS CUT OFF MEDICAL ASSISTANCE THE FOLLOWING MONTH WHILE GOING THROUGH THE APPEALS PROCESS. MEANING THE FAMILY IS GUILTY BEFORE ALL OF THE FACTS ARE IN. THAT IS WHY THE HIP PROGRAM HAS SOOOO MUCH MONEY IN THE POT....IT IS A COMPLETE SHAME. LET ME ASK, HOW MUCH ARE THESE PEOPLE BEING PAID IN SALARIES? THE OTHER QUESTION I HAVE, WHERE IS THE MAIN OFFICE OR ANY OF THEIR OFFICES LOCATED????? IF IT'S OUT THERE IT CERTAINLY ISNT PLAN, CLEAR OR ACCESSIBLE.
  • Enrollment
    It actually happens all of the time in healthcare. Many consumers aren't aware of their benefits while others simply choose to ignore it. A strange phenomenon. www.indianainsurancehealth.com Affordable Healthcare in Indiana

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  1. YES I WENT THROUGH THIS BEFORE IN A DIFFERENT SITUATION WITH MY YOUNGEST SON PEOPLE NEED TO LEAVE US ALONE WITH DCS IF WE ARE NOT HURTING OR NEGLECT OUR CHILDREN WHY ARE THEY EVEN CALLED OUT AND THE PEOPLE MAKING FALSE REPORTS NEED TO GO TO JAIL AND HAVE A CLASS D FELONY ON THERE RECORD TO SEE HOW IT FEELS. I WENT THREW ALOT WHEN HE WAS TAKEN WHAT ELSE DOES THESE SCHOOL WANT ME TO SERVE 25 YEARS TO LIFE ON LIES THERE TELLING OR EVEN LE SAME THING LIED TO THE COUNTY PROSECUTOR JUST SO I WOULD GET ARRESTED AND GET TIME HE THOUGHT AND IT TURNED OUT I DID WHAT I HAD TO DO NOT PROUD OF WHAT HAPPEN AND SHOULD KNOW ABOUT SEEKING MEDICAL ATTENTION FOR MY CHILD I AM DISABLED AND SICK OF GETTING TREATED BADLY HOW WOULD THEY LIKE IT IF I CALLED APS ON THEM FOR A CHANGE THEN THEY CAN COME AND ARREST THEM RIGHT OUT OF THE SCHOOL. NOW WE ARE HOMELESS AND THE CHILDREN ARE STAYING WITH A RELATIVE AND GUARDIAN AND THE SCHOOL WON'T LET THEM GO TO SCHOOL THERE BUT WANT THEM TO GO TO SCHOOL WHERE BULLYING IS ALLOWED REAL SMART THINKING ON A SCHOOL STAFF.

  2. Family court judges never fail to surprise me with their irrational thinking. First of all any man who abuses his wife is not fit to be a parent. A man who can't control his anger should not be allowed around his child unsupervised period. Just because he's never been convicted of abusing his child doesn't mean he won't and maybe he hasn't but a man that has such poor judgement and control is not fit to parent without oversight - only a moron would think otherwise. Secondly, why should the mother have to pay? He's the one who made the poor decisions to abuse and he should be the one to pay the price - monetarily and otherwise. Yes it's sad that the little girl may be deprived of her father, but really what kind of father is he - the one that abuses her mother the one that can't even step up and do what's necessary on his own instead the abused mother is to pay for him???? What is this Judge thinking? Another example of how this world rewards bad behavior and punishes those who do right. Way to go Judge - NOT.

  3. Right on. Legalize it. We can take billions away from the drug cartels and help reduce violence in central America and more unwanted illegal immigration all in one fell swoop. cut taxes on the savings from needless incarcerations. On and stop eroding our fourth amendment freedom or whatever's left of it.

  4. "...a switch from crop production to hog production "does not constitute a significant change."??? REALLY?!?! Any judge that cannot see a significant difference between a plant and an animal needs to find another line of work.

  5. Why do so many lawyers get away with lying in court, Jamie Yoak?

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