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Nox and other Hoosier staters

Just heard that your governor is humping for expansion of Medicade in Indiana.
6 Replies

Re: Nox and other Hoosier staters

Yeah, with some twist to semi "privatize" it, as I believe Iowa did, or at least the intial proposal was formulated.

 

Which on first read makes little sense to me- medicaid is very efficent from a cost per patient point of view. I'm not really worried about whether docs with a full list of insured patients don't want to take it- somebody will.

 

But I imagine he needed to appear a bit different in order to not get RINOed.

 

Also, to be a bit cynical, docs and hospitals get better reimbursements through insurers than they get through medicaid.

 

But perhaps a backhanded acknowledgement that refusing to expand medicaid has been very costly to the states, institiions, localities.

 

Ya want to keep the old system, you gotta keep eating some of the costs and figure out how to pass them on to someone else.

Re: Nox and other Hoosier staters

And ot to mention that none of this would have been necessary if we hadn't been messing with the perfect system we had in place in the past.

r3020
Senior Advisor

Re: Nox and other Hoosier staters


@bruce MN wrote:
Just heard that your governor is humping for expansion of Medicade in Indiana.

Indiana Gov. Mike Pence  unveiled a plan Thursday to extend health coverage to about 350,000 lower-income  residents, a play on Obamacare’s Medicaid expansion that should be more  palatable to conservatives.

Mr. Pence is among  Republican governors who are trying to thread the needle by leveraging new  federal dollars for people who make less than 138 percent of poverty, but  without expanding traditional Medicaid as President Obama’s health care  prescribes.

The governor’s office said the strategy, known as Healthy Indiana  Plan 2.0, rewards people for moving off public assistance and into employment,  strengthens Health Savings Accounts and puts people in a benefit structure  similar to commercial health plans.

Enrollees who contribute to their savings account, or “POWER  account,” will be rewarded with access to dental and vision care.

“Reforming traditional Medicaid is essential to creating better  health outcomes and curbing the dramatic growth in Medicaid spending,” Mr. Pence said. “HIP 2.0 takes consumer-driven Medicaid reform to  the next level by replacing traditional Medicaid for many in Indiana with a plan  that empowers participants to take charge of their health and to be  cost-conscious consumers.”

The expansion of the Health Indiana Plan is paid for by the state’s  cigarette-tax revenue, its Hospital Assessment Fee and new federal Medicaid  funding.

Although his office’s press release doesn’t say it, the move is a  spin on Obamacare’s Medicaid expansion, and it will need a federal waiver to  access the funding available through the law.

The governor’s office says the plan will “alleviate the coverage  gap created by the Affordable Care Act.” However, the gap only exists when  governors refuse to follow what Obamacare urges — expanding Medicaid to make  sure people can qualify for either the government health program or subsidies on  the health care law’s exchanges.

Several states have found a way to expand coverage to its poorer  residents without violating the GOP’s opposition to Obamacare. Arkansas led the  way, leveraging federal payment for the expanded population to buy them private  insurance on its new health exchange, and Iowa followed suit.

Other states are forging their own plans.

“The Healthy Indiana Plan is an example of how the Hoosier state  has been leading the way with innovative ideas and state-based solutions,” Sen.  Dan Coats, Indiana Republican, said. “I commend Governor Pence and his administration for their commitment to maintaining a  consumer-driven approach that empowers participants and provides access to  quality health care. “

Read more: http://www.washingtontimes.com/news/2014/may/15/indiana-gov-mike-pence-announces-gop-friendly-twis/#...

Re: Nox and other Hoosier staters

And FWIW, it made me recall a conversation I had with a rock ribbed Iowa Republican.

 

Iowa had done the same, early on.

 

He was very pleased that Iowa didn't have Obamacare and never would.

r3020
Senior Advisor

Re: Nox and other Hoosier staters


@hardnox wrote:

And FWIW, it made me recall a conversation I had with a rock ribbed Iowa Republican.

 

Iowa had done the same, early on.

 

He was very pleased that Iowa didn't have Obamacare and never would.


I am for anything that gives the consumer more control over the cost with an incentive to save. This creates more competition and it is competition that delivers a quality product at an affordable price.