Then-Indiana Gov. Mike Pence announces that the Centers for Medicaid and Medicare Services has approved the state's waiver request for its Medicaid plan in 2015. Michael Conroy/AP Indiana expanded Medicaid under the Affordable Care Act in 2015, with a few extra conditions that were designed to appeal to the conservative leadership in the state. The Federal government the experiment, called the Healthy Indiana Plan, or, and it is now is up for another three-year renewal. But a close reading of the shows misleading and inaccurate information is being used to justify extending HIP 2.0. This is important because the initial application and expansion happened on the watch of then-Governor, now-Vice President.
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And, who is now President Trump's pick to lead the Centers for Medicare and Medicaid Services, helped design it. (Among other functions, CMS oversees all Medicaid programs.) So states are watching to see if the approval of Indiana's application is a bellwether for Medicaid's future. To get the program extended again, the Indiana Family and Social Services Administration has to prove to CMS that the experiment is and that low-income people in the state are indeed getting access to care and using health care efficiently. The key part of Indiana's experiment requires low-income participants to make monthly payments. Advocates say this promotes recipients' taking personal responsibility for their health care.
But some health policy experts say the information provided by the state shows that the provision isn't working as well as it should. Here are some examples: The Claim: Most Members Are Making Regular Payments To Maintain Coverage The Fact: A Lot Of People Are Missing The First Payment The state's application says that 'over 92 percent of members continue to contribute [to their POWER accounts] throughout their enrollment.'
This claim is missing a lot of context. To understand why it's important, here's a primer on how HIP 2.0 works: Members can get HIP 2.0's more complete coverage, the plan, by making monthly payments into a 'Personal Wellness and Responsibility Account,' or POWER account. If they don't make the payments, there are penalties. If a recipient makes less than the federal poverty level — about $12,000 a year — they're bumped to HIP Basic, a lower-value plan that requires copays and doesn't include vision or dental insurance. If a recipient is above the poverty line and misses a payment, they're locked out of coverage completely for six months.
The state's claim that 92 percent of members make consistent payments is based on data in a, a health policy research firm in Virginia that evaluated HIP 2.0's first year. But the Lewin report also says that when people are signing up for HIP 2.0, they can be declared 'conditionally enrolled,' which means they're eligible but have not yet made their first payment. According to the Lewin report, in HIP 2. Who Is On My Wifi Keygen Youtube. 0's first year, about a third of people who were conditionally enrolled never fully joined. Spotlight On Mysql Keygen. 'I don't see those numbers being captured,' says, senior policy analyst with the National Health Law Program, which advocates for low-income individuals. Machledt says the state should recalculate the figure to include those people, because it's potentially an indicator that people are confused about how the program works, or that they can't afford the payments. He adds that the figure cited is also based on the first year of HIP 2.0, and that the rate of losing coverage for missing payments has increased substantially since then. The Claim: HIP 2.0 Users Check Their POWER Account The Fact: More Than Half of People Don't Even Know They Have One The state says the POWER account is promoting personal responsibility in health care; meaning, if someone is aware of how much they are spending, they'll choose their medical care wisely.