In a Tuesday press conference, Rokita said the money comes from 89 separate recoveries, some through civil settlements and others via criminal prosecutions.
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.
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.
Allison Taylor is set to resign “later this summer” after eight years with the Indiana Family and Social Services Administration and six years as Medicaid director—and as the program makes drastic post-pandemic adjustments.
The head of the state Family and Social Services Administration said Tuesday that the federal government is expected to approve an extension of the Healthy Indiana Plan, but a request to use the plan for an Indiana Medicaid expansion could take much longer.
The federal government has delayed action on Indiana's proposal to expand Medicaid because the state hasn't received public comment on the proposals, but the issue could be resolved quickly with two hearings set for next week, a spokeswoman for Gov. Mike Pence said Wednesday.
Federal officials on Friday denied Indiana's request to use a state public health savings account to help cover the half-million people who will become eligible for Medicaid in 2014, saying the request was premature and leaving the state program's future in flux.
The state budget bill moving through the Indiana General Assembly would save about $7 million each year by creating a list of preferred mental health drugs and trying to win larger rebates from manufacturers.
The Office of Medicaid Policy and Planning has approved a series of emergency rules that it expects to save a total of $4.1 million over the next six months, but that will make up for only a small portion of the $31.4 million shortfall the agency anticipates for the fiscal year.
Indiana and other states face a struggle as they grapple with putting the health care changes into place in a relatively short
span of time while they also contend with the economic downtown and strained state budgets.
In October 2005, Indiana’s Medicaid program touted that it could save the state $29 million a year through disease management, a program aimed at reducing the medical costs of patients with chronic illnesses. But now, those estimated savings quietly have been slashed more than 75 percent. And one critic of Indiana’s program says it is likely achieving even less in savings. The debate over the effectiveness of the Indiana Chronic Disease Management Program comes as the state moves to triple…
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.
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.
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.
Hoosiers getting insurance under the Healthy Indiana Plan would need to log at least 20 work or volunteer hours a week with the state, a move that supporters hope will curb the program’s enrollment numbers.
Under Senate Bill 2, those enrolled in the Healthy Indiana Plan will need to either work or volunteer for 20 hours each week, with several exceptions for caregivers, disabled beneficiaries and more.
Roughly two-thirds of Indiana’s total Medicaid budget is covered by the federal government. For the 2024 fiscal year, that amount came to nearly $13.5 billion, compared to the $3.7 billion from state coffers.
Closing the fiscal year this week, Indiana budget leaders say the state government’s finances are in a healthy spot despite posting its lowest reserves since the pandemic, an issue exacerbated by a $1 billion Medicaid shortfall discovered last December.
