IBJNews

Daniels' health care team says answers pending

Back to TopCommentsE-mailPrintBookmark and Share

Indiana Gov. Mitch Daniels' team of federal health care overhaul leaders told state lawmakers Wednesday that even without clear answers on the new law, it will cost the state hundreds of millions more in the coming years.

A new report this week assumed that if Medicaid isn't expanded, Indiana would still pay a combined $612 million over the next seven years as more residents who qualify for the program come out of the "woodwork" because of the health care law. Milliman, an actuary, is assessing the potential costs for the state.

Daniels has left two key decisions to whoever succeeds him — whether the state should establish its own insurance exchange and whether it should expand Medicaid coverage. Republican Mike Pence has not said what he would do, aside from continuing to oppose the health care law. Democrat John Gregg and Libertarian Rupert Boneham have said the state should run a "hybrid" exchange in coordination with the federal government.

Beyond those questions, however, state health overhaul consultant Seema Verma told members of the General Assembly the state is having trouble getting answers from the Obama administration on specifics of the new health care law.

"I do think that it's a huge challenge. There are so many unanswered questions," she said. "They haven't told us how much it's going to cost. I think it put states in very difficult positions."

Indiana health care advocates say, however, that many other states are moving forward with exchanges and seem to be having little trouble coordinating with the federal government.

"There are a bunch of other states that certainly would disagree with Seema that there's not enough information for them to make a decision and they're moving ahead on it," said David Roos, executive director of Covering Kids and Families of Indiana.

Verma also said the state would accept a one-year expansion of its health savings account plan, the Healthy Indiana Plan. The Centers for Medicare and Medicaid Services approved the state for an expansion at the end of July, but the Daniels' administration griped about not getting a requested five-year expansion or an answer whether the plan could serve as an expansion of Medicaid.

The state has until Oct. 1 to say which benefits would be covered in a state exchange and until Nov. 16 to decide whether to run an exchange.

The winner of the governor's race will have until 2014 to decide whether the state should expand Medicaid coverage.

ADVERTISEMENT

  • Hoosier Values
    I thought Indiana was the Champion of Values. Decent health care is one of the values.
  • nail on the head
    Totally agree - maybe I can get a second job to make more, get taxed more, and contribute what isn't rightly mine anyway. Socialism.
  • Let's do it
    Who cares how much it costs? I think, if you are lucky enough to work-especially lucky enough to work like me 10 to 16 hrs a day, you should feel obliged to cover health care for those who don't have to work a single hour a day. And hey, Obama's right, rich people like me should be willing to pay for them. It's my fault they can't or won't work. Please, just let me know how much more of my take home pay you need to support these people. Maybe, because I'm lucky, I can squeeze a couple more hours of work in each day to support my family and yours!

    Post a comment to this story

    COMMENTS POLICY
    We reserve the right to remove any post that we feel is obscene, profane, vulgar, racist, sexually explicit, abusive, or hateful.
     
    You are legally responsible for what you post and your anonymity is not guaranteed.
     
    Posts that insult, defame, threaten, harass or abuse other readers or people mentioned in IBJ editorial content are also subject to removal. Please respect the privacy of individuals and refrain from posting personal information.
     
    No solicitations, spamming or advertisements are allowed. Readers may post links to other informational websites that are relevant to the topic at hand, but please do not link to objectionable material.
     
    We may remove messages that are unrelated to the topic, encourage illegal activity, use all capital letters or are unreadable.
     

    Messages that are flagged by readers as objectionable will be reviewed and may or may not be removed. Please do not flag a post simply because you disagree with it.

    Sponsored by
    ADVERTISEMENT

    facebook - twitter on Facebook & Twitter

    Follow on TwitterFollow IBJ on Facebook:
    Follow on TwitterFollow IBJ's Tweets on these topics:
     
    Subscribe to IBJ
    1. Now if he'd just stay there...

    2. Daniel - what about the many US citizens who do NOT follow what the Bible teaches? The Hindus, Jews, Muslims and others who are all American citizens entitled to all rights as Americans?? This issue has NOTHING to do with "What the Bible says..." Keep all Churches separate from State! Pence's ongoing idiocy continues to make Indiana look like a backwards, homophobic state in the eyes of our nation. Can't we move on to bigger issues - like educating our kids?

    3. 1. IBJ should link to the referenced report. We are in the age of electronic media...not sharing information is lazy. Here is a link http://www.in.gov/gov/files/Blue_Ribbon_Panel_Report_July_9_2014.pdf 2. The article should provide more clarity about the make-up of this panel. The commenters are making this item out to be partisan, it does not appear the panel is partisan. Here is a list of the panel which appears to be balanced with different SME to add different perspectives http://www.in.gov/activecalendar/EventList.aspx?view=EventDetails&eventidn=138116?formation_id=189603 3. It suggests a by-pass, I do not see where this report suggests another "loop". 4. Henry, based on your kneejerk reaction, we would be better off if you moved to another state unless your post was meant as sarcasm in which case I say Well Done. 5. The article and report actually indicates need to improve rail and port infrastructure in direct contradiction to Shayla commentary. Specifically, recommendation is to consider passenger rail projects... 6. People have a voice with their elected officials. These are suggestions and do not represent "crony capitalism", etc. The report needs to be analyzed and the legislature can decide on priorities and spending. Don't like it, then vote in a new legislature but quit artificially creating issues where there are none! People need to sift through the politics and provide constructive criticism to the process rather than making uninformed comments in a public forum based on misinformation. IBJ should work harder to correct the record in these forums when blatant errors or misrepresentations are made.

    4. Joe ... Marriage is defined in the Bible ... it is mentioned in the Bible often. Marriage is not mentioned once in the US or Indiana Constitution ...

    5. Daniel - Educate me please: what does the Bible have to do with laws? If the government wasn't in the business of marriage to begin with, then it wouldn't have to "define" marriage at all. Marriage could be left as a personal, religious, or otherwise unregulated action, with no ties to taxes, legal status, etc. Then people could marry whomever they want, and all this silliness would go away. Remember to vote Libertarian in November.

    ADVERTISEMENT