Indiana plans to cut Medicaid coverage of drugs through federal program
The change is expected to save the state’s Medicaid program approximately $63 million annually, but safety-net care providers say the cuts could put them in jeopardy.
The change is expected to save the state’s Medicaid program approximately $63 million annually, but safety-net care providers say the cuts could put them in jeopardy.
States face an immense task to prepare for the Jan. 1 kickoff of new Medicaid eligibility mandates affecting millions of lower-income adults in the government-funded health care program.
In a Tuesday press conference, Rokita said the money comes from 89 separate recoveries, some through civil settlements and others via criminal prosecutions.
Democrats argued that new rules could push eligible Hoosiers out of coverage.
Although supporters of the effort promised more than $100 million in annual savings, opponents — including Indiana’s top Medicaid official — warned the proposal could undermine care coordination efforts just weeks after other key reforms launched.
FSSA plans to put out a proposal request for managed care services for the Healthy Indiana Plan, Pathways for Aging, Hoosier Care Connect and Hoosier Healthwise.
Rural hospitals are among those that are most affected by the financial challenges facing health care institutions in Indiana, according to a new report released by the Indiana Hospital Association.
Indiana was awarded $206.9 million for fiscal 2026 from the rural health care fund. States will be forced to undergo a re-scoring process every year with the Office of Rural Health Transformation.
Since 2016, the Department of Health and Human Services’ inspector general has conducted 18 audits on a selection of state programs.
Despite Thursday’s positive forecasts, Republican state fiscal leaders showed no signs of any spending boosts for the tight budget that took effect July 1.
Indiana health officials are extending open enrollment for two major Medicaid programs, giving more time for hundreds of thousands of Hoosiers facing a forced plan change to select another option from the state’s managed care lineup.
Business leaders say health insurance is causing heartburn among many small employers, forcing some to consider dropping coverage altogether.
Indianapolis-based MDwise, which said it has provided Indiana Medicaid services for more than 30 years, has already launched a court challenge to the state’s action.
Thursday’s announcement is the latest attempt by the Trump administration to rein in soaring drug prices in its efforts to address cost-of-living concerns among voters.
Kevin Calvert, 57, was charged with 43 counts of Medicaid fraud and an additional count of theft following an investigation by the attorney general’s Medicaid Fraud Control Unit.
Indiana’s hospital systems could face hundreds of millions of dollars in annual Medicaid reimbursement cuts if the rates they charge to employer-provided insurance plans are higher than thresholds set by Gov. Mike Braun’s administration.
Shares in Indianapolis-based Eli Lilly and Co. were on the rise Wednesday after President Trump suggested the company would be next up to cut a deal over drug pricing.
The video jolted the cannabis industry, sending stocks soaring and raising hopes that the president will take a permissive approach to marijuana.
Other parts of Indiana’s HIP 3.0 proposal are still under consideration, including an expansion on provider taxes, cost-sharing requirements and wellness incentives.
Hospital leaders who spoke with Inside INdiana Business emphasized the bill wouldn’t increase funding, it would give hospitals access to funding that’s already been allocated.