Several states are considering adopting features of the federal waiver through which Indiana has expanded Medicaid — such as setting up accounts modeled on health savings accounts for each beneficiary, delaying coverage until beneficiaries pay premiums tied to their incomes, and ending coverage for some beneficiaries if they don’t pay their premiums. But Indiana has had trouble implementing its waiver, our new paper explains. Evaluations of the program — called the “Healthy Indiana Plan 2.0” (HIP 2.0) — are underway, and the Centers for Medicare and Medicaid Services should see the results before allowing other states to replicate it.
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