You have until June 21 to comment on the proposed expansion of the Healthy Indiana Plan (HIP) announced by Gov. Mike Pence last month. Once the public comment period is complete and the waiver is finalized, HIP 2.0 will be formally submitted to the Centers for Medicare & Medicaid Services (CMS). The application deadline ends in June.
“The ISMA supported HIP when it began in 2008,” explained Mike Rinebold, director of Government Relations. “Right now, we are calling physicians to action to comment on this expanded plan.”
HIP 2.0 would replace traditional Medicaid for all non-disabled adults ages 19-64 with incomes up to 138 percent of the federal poverty level, adding 350,000 Hoosiers to the plan. It also would reimburse physicians at 100 percent of the higher Medicare rates and increase reimbursement for care of the aged, blind and disabled from 60 percent to 75 percent of Medicare rates.
If accepted by CMS, Indiana will be the first and only state to successfully apply low-cost insurance and a health savings account to a Medicaid population.
|You are invited to hear Gov. Pence discuss HIP 2.0
Hear more about the governor’s plan to expand health care coverage to uninsured Hoosiers. Gov. Mike Pence will discuss his proposal at these locations (updated 5/30):
Seating is limited and reservations are encouraged by emailing here. We will update this page if more locations become available.
- June 3, 2014, at 12:30 p.m. in the McReynolds Conference Room at IU Health Bedford Hospital, 2900 West 16th Street in Bedford
- June 4, 2014 in Evansville. Time and location TBA.
- June 9, 2014 at 11:00 a.m. at Hendricks Regional Health YMCA, 301 Satori Pkwy, Avon
- June 9, 2014 at 1:00 p.m. at Ivy Tech Community College Northeast, Student Life Center, Room 121, 3701 Dean Drive, Fort Wayne.
- June 16, 2014 at noon at Memorial Lodge, 2590 S. Newton Street in Jasper
- June 16, 2014 in Indianapolis at Community East Hospital. Time and location TBA.
HIP 2.0 offers three plans:
- Employer Benefit Link that supports participation in employer-sponsored insurance plans, provides greater choice and increased access to providers, while encouraging use of existing private insurance options.
- HIP Plus that is based on a health savings account and offers an enhanced benefit plan to cover dental and vision care. It incentivizes enrollees to contribute monthly to their POWER account.
- HIP Basic is available to those below the 100 percent poverty level. The plan provides all essential health benefits but does not include vision and dental care. It also requires co-payments for all services.
According to Gov. Pence, the plan will not raise taxes and will be fully funded by Indiana’s existing cigarette tax revenue, the Hospital Assessment Fee program and federal Medicaid funding.
“This is a significant effort by the Indiana Hospital Association and its members to play a role in this important development,” said Rinebold. “The governor’s plan provides a unique approach to answer the call to provide health care to Hoosiers caught in the gap.”
ISMA member response
Reaction to the governor’s plan was immediate.
Here are just a few comments from ISMA members:
Alexander Choi, M.D.
“Practices like ours take care of patients whether or not they have insurance. I applaud a plan like this that seems to provide a safety net for our most vulnerable patients, yet does not increase the cost to the Hoosier taxpayers. I am very hopeful it will lead to better access to health care beyond what traditional Medicaid is able to offer.”
William Penland, M.D.
“HIP 2.0 gives Hoosier doctors a decent reimbursement for services. It’s a good precedent for other states to follow.”
Thomas Whiteman, M.D.
“This appears to be the best effort to date at including some component of patient responsibility for their health, along with a much more viable Medicare-based reimbursement for the hospitals and providers.”
Learn how you can comment on HIP 2.0 at in.gov.
Read the ISMA’s response to the proposal on the ISMA website.