As many as 130,000 of the 400,000 people now covered by the Healthy Indiana Plan 2.0 will be required to work, take part in school or training, or do community service to continue receiving insurance benefits in 2019.
The Trump administration and its pick to lead the Centers for Medicare & Medicaid Services are likely to champion the approach behind HIP 2.0—a Medicaid expansion that requires those receiving insurance coverage to have "skin in the game" by contributing financially.
Across Indiana, 64 hospitals are facing total federal penalties this year estimated at $9.3 million, according to the Indiana Hospital Association. Nationally, hospitals will pay an estimated $420 million.
IU Health effectively started its own ambulance service in December by adding two ambulances to its long-standing LifeLine critical-care service and opening a call center to help other health care providers figure out what level of transport services a particular patient needs.