Aaron Carroll, writing at the Incidental Economist, has a post entitled Arkansas and Indiana, offering some thoughts on Gov. Pence’s apparent refusal to undertake the Medicaid expansion unless the expansion uses the Healthy Indiana Program. Per Carroll, HIP doesn’t meet the Affordable Care Act standards because it has annual and lifetime caps and also because it has no dental, vision, or maternity benefits. Additionally, using HIP for the state’s Medicaid expansion would cost 44% more per person.
So, as he points out, it makes little sense to argue on the one hand that expanding Medicaid is just too darn expensive but, on the other hand, say that we’ll do the expansion if we can do it in a way that costs more money.