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The program has extended Medicaid coverage to 207,000 people who didn’t have it before. 

Zetema PanelistZetema Panelist In Favor

Several aspects of the program, including premiums for residents with no income, seem to have kept some people from enrolling or getting needed healthcare. Participants in have found it confusing to sign up and use. These problems may particularly affect the most vulnerable.

Zetema PanelistZetema Panelist Against

The program is designed to promote personal responsibility to contain costs, to encourage preventive care, and to reduce use of unneeded care.  Participants pay an income-based contribution into a health savings account each month.

Zetema PanelistZetema Panelist In Favor

Fewer than half of HIP beneficiaries were even aware that they had HSAs, so it’s unlikely that these will affect their behavior. Many find it offensive to argue that working-class people working paycheck-to-paycheck are not invested in spending their health care dollars wisely.

Zetema PanelistZetema Panelist Against

Beneficiaries report a high rate of satisfaction with HIP. The majority elected to pay to receive the higher level of benefits.

Zetema PanelistZetema Panelist In Favor

Physicians and potential beneficiaries report a high level of frustration with enrollment.

Zetema PanelistZetema Panelist Against

HIP is designed to offer similar benefits and responsibilities to those in private health plans, which is fair to all and instills a sense of dignity to poor people. 

Zetema PanelistZetema Panelist In Favor

It’s not realistic to expect people with very low or no income to make the same tradeoffs regarding healthcare that those with more money can make. 

Zetema PanelistZetema Panelist Against

The early results seem to indicate that HIP, despite some bureaucratic problems, has successfully expanded coverage while encouraging beneficiaries to take more responsibility for their healthcare funding and use. 

Zetema PanelistZetema Panelist In Favor

Some have fared worse than they had under traditional Medicaid. It’s too early to evaluate the program overall. But we know that all the funding for this expanded coverage came from the Affordable Care Act, so it’s at risk if that law is repealed.  

Zetema PanelistZetema Panelist Against

What do you think?

Is Indiana’s Healthy Hoosiers program a model that could work in other states?

Is Indiana’s Healthy Hoosiers program a model that could work in other states?

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