Centers for Medicare and Medicaid Services

Even though at least one of the companies providing Affordable Care Act insurance in Indiana temporarily saves money from a recent Trump administration move, company officials say the decision create more questions about the future of health coverage for Hoosiers.

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Jake Harper / Side Effects

Indiana has submitted a proposal to the federal government to to add a work requirement to its Medicaid program, the Healthy Indiana Plan 2.0. But the state skirted an important step in the approval process: seeking public comment from Indiana residents.

C-SPAN / https://www.c-span.org/video/?421723-1/hhs-nominee-representative-tom-price-testifies-capitol-hill

During a Senate grilling of Health and Human Services Secretary nominee Tom Price at the Georgia Representative’s confirmation hearing this week, Indiana Senator Todd Young expressed support for a lesser-known part of the Affordable Care Act.

Naoki Takano / https://www.flickr.com/photos/echizen78/

Of 186,000 Medicare patients admitted to Indiana Hospitals in 2015, about one in six needed to return to the hospital within a month for different treatment. That’s a small decline from 2010, a drop in-line with national trends.

Sima Dimitric / https://www.flickr.com/photos/simajr/

The Centers for Medicare and Medicaid Services estimate as many as 45 percent of nursing home residents’ visits to the hospital are potentially avoidable. In an effort to discover how to reduce the potentially harmful transfers, the federal agency has been working with 19 Indiana nursing homes to develop a new model of care, prevention and reimbursement.

The so-called OPTIMISTIC study is funded by CMS and began in 2013. Geriatrician and study author Kathleen Unroe says nursing home residents are high-risk patients.

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Indiana will receive $9 million as a result of a settlement reached with drug producer Wyeth, which allegedly cheated multiple states’ Medicaid out of the money when it didn’t offer them federally-mandated rebates on specific drugs.

Indiana, along with 34 other states and the federal government, are sharing a nearly $800 million settlement with the company. Bryan Corbin of the Indiana Attorney General’s Office says drug companies such as Wyeth are required to give Medicaid programs certain rebates in order to save programs tax dollars.

State of Indiana / http://www.in.gov/fssa/hip/

The federal government will perform an emergency evaluation of the health care program for low-income Hoosiers. 

The Centers for Medicare and Medicaid Services or CMS will explore whether enrollees have difficulty accessing care because of one of the program’s features.

When Indiana and the Obama administration agreed on the terms of HIP 2.0 last year, the state was allowed to forego what’s called “non-emergency medical transportation,” meaning Indiana doesn’t have to cover transportation costs for services like chronic care visits and regular dialysis appointments. 

Alex E. Proimos / https://www.flickr.com/photos/proimos/

A diabetes prevention program developed in Central Indiana is the first preventative care program eligible for Medicare expansion. The initiative is now being offered at YMCAs across the country.

The model for the The Diabetes Prevention Program was developed by Dr. David Marrero, a researcher at the Indiana University School of Medicine.

Eligibility for Medicare expansion is a win he’s been waiting for.

Just Days Left To Sign Up For Marketplace Insurance

Feb 9, 2015
M. Kuhlman / Indiana News Service

The deadline is rapidly approaching to sign up for a Marketplace insurance plan.

Feb. 15 is the last day for enrollment for 2015 coverage.

Cara James, director of the Office of Minority Health at the Centers for Medicare and Medicaid Services with the Department of Health and Human Services, says more than 174,000 Hoosiers have signed up so far at healthcare.gov, and the majority have received financial assistance.