IBJNews

Pence’s HIP 2.0 plan gets kudos at first public hearing

Back to TopCommentsE-mailPrintBookmark and Share

Health care professionals and advocates for the poor voiced praise and support Wednesday for a plan by Gov. Mike Pence to expand the state’s Healthy Indiana Plan to provide more insurance coverage to Hoosiers.

Pence plans to submit the plan – known as HIP 2.0 – by June 30 to federal officials, who will decide whether the state can use the program instead of traditional Medicaid for those poor adults who would otherwise be covered under the Affordable Care Act.

Kristen Metzger, plan president for Indiana Medicaid at Anthem Blue Cross and Blue Shield, said at a public hearing that the company fully supports HIP 2.0 and its design. Metzger reported that nearly 81 percent of people enrolled in the original HIP program said that they were satisfied.

“We have seen positive results,” Metzger said.

Katherine Wentworth, chief operating officer of MDwise, said the company also supports HIP 2.0’s promotion of personal responsibility and consumer-directed principles. Wentworth reported that more than 90 percent of HIP enrollees paid their portion of the contributions on time.

Paul Chase, deputy director for policy and administration at Covering Kids and Families of Indiana, said the group actively supported the original HIP, which launched in 2007 as an insurance program for poor Hoosiers. That was before Congress approved the federal Affordable Care Act.

But federal officials said HIP didn’t comply with the requirements under Obamacare. That led Pence to redesign the program to HIP 2.0.

“We applaud Gov. Pence for this ambitious plan and its approval,” Chase said. “We believe HIP 2.0 is a win-win proposal.”

Federal rules require the state to hold public hearings on the plan before it can be submitted for approval.

The next public hearing on the HIP 2.0 proposal is scheduled for 1 p.m. Thursday at the Indiana Statehouse, Room 156-B. However, people are welcome to send public comments through letter and email until June 21.

The new plan would apply to all non-disabled adults ages 19-64, who earn between 23 percent and 138 percent of the federal poverty level. In 2014, that means a maximum income of $16,105 annually for an individual and $32,913 for a family of four.

HIP 2.0 would provide three plans for low-income Hoosiers. The options are meant to be based on personal responsibility and consumer behavior.

Each plan includes a Personal Wellness and Responsibility, or POWER, account that helps pay for deductible expenses.

The three plans are called Employer Benefit Link, Plus, and Basic.

The Employer Benefit Link plan provides financial support to members who wish to access employer-sponsored insurance options. The plan gives Hoosiers greater choices and increases access to providers while encouraging the use of existing private insurance options.

Individuals who are deemed eligible can pick an employer-sponsored plan that they think works best for them. The enrollment in this plan is optional.

The Plus plan is a consumer-driven Medicaid alternative for Hoosiers with incomes below 138 percent of the federal poverty level. It is available to all members who make their monthly POWER account contributions, which range from $3 to $25 per month.

Members and the state jointly fund a $2,500 POWER account, which members contribute to based on an income scale.

Plus offers enhanced benefits, such as vision and dental services and includes comprehensive prescription drug benefits. It also covers maternity services with no cost-sharing during the duration of the pregnancy.

The Basic plan is the default for Hoosiers that fall below the 100 percent of the federal poverty level and fail to make required POWER account contributions. It requires co-payments for all services.

Basic plan members will use the state-funded POWER account to cover their $2,500 annual deductible. There is a reduced benefit package and a more limited prescription drug benefit.

The basic plan will provide incentives for members to be more cost-conscious and to recommend preventive care services.

ADVERTISEMENT

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. I think the poster was being sarcastic and only posting or making fun of what is usually posted on here about anything being built in BR or d'town for that matter.

  2. Great news IRL fans: TURBO the IMS sanctioned movie about slugs running the Indy 500 has caught the Securities and Exchange Commission because Dreamworks had to take a $132MILLION write down...because the movie was such a flop. See, the Indy/IMS magic soiled another pair of drawers. Bwahahahahahaha! How's CARTOWN doing? HAHAHAHA...Indy is for losers.

  3. So disappointed in WIBC. This is the last straw to lose a good local morning program. I used to be able to rely on WIBC to give me good local information, news, weather and traffic on my 45 minute commute.Two incidents when I needed local, accurate information regarding severe weather were the first signs I could not now rely on WIBC. I work weekend 12 hour nights for a downtown hospital. This past winter when we had the worst snowfall in my 50 years of life, I came home on a Sunday morning, went to sleep (because I was to go back in Sunday night for another 12 hour shift), and woke up around 1 p.m. to a house with no electricity. I keep an old battery powered radio around and turned on WIBC to see what was going on with the winter storm and the roads and the power outage. Sigh. Only policital stuff. Not even a break in to update on the winter storm warning. The second weather incident occurred when I was driving home during a severe thunderstorm a few months ago. I had already gotten a call from my husband that a tornado warning was just southwest of where I had been. I turned to WIBC to find out what direction the storm was headed so I could figure out a route home, only to find Rush on the air, and again, no breaking away from this stupidity to give me information. Thank God for my phone, which gave me the warning that I was driving in an area where a tornado was seen. Thanks for nothing WIBC. Good luck to you, Steve! We need more of you and not the politics of hatred that WIBC wants to shove at us. Good thing I have Satellite radio.

  4. I read the retail roundup article and tried Burritos and Beers tonight. I'm glad I did, for the food was great. Fresh authentic Mexican food. Great seasoning on the carne asada. A must try!!! Thanks for sharing.

  5. John, unfortunately CTRWD wants to put the tank(s) right next to a nature preserve and at the southern entrance to Carmel off of Keystone. Not exactly the kind of message you want to send to residents and visitors (come see our tanks as you enter our city and we build stuff in nature preserves...

ADVERTISEMENT