Aaron Carroll on Pence, HIP, and Medicaid Expansion

by Doug on February 28, 2013

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.

{ 9 comments… read them below or add one }

Joe February 28, 2013 at 11:31 +00006

Best I can tell, nothing Pence has done so far has to do with “sense”. It’s about ensuring that Pence can try to run for President.

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jharp March 1, 2013 at 21:59 +00006

Pence is far too stupid to have any chance of winning even the republican nomination.

Not even close.

Good grief.

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Stuart March 2, 2013 at 8:50 +00006

Come think of it, if you count the score, he’s already weighed down with a lot of baggage. I’m no Pence expert, but I can’t think of anything the guy has done that people would consider a great positive accomplishment. He won the governorship, but just barely, and things aren’t getting any better. His campaign icon could be an empty suit.

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Another Joe February 28, 2013 at 14:21 +00006

Agree with Joe…..I think in the long run, this will be a decision that Pence the Ideologue will regret as it will clearly become more and more evident that his stubborn attitude to Hoosiers generally, and goes against the state’s economic interests. Don’t you think that the other Republican governors who are going along with the ACA have figured this out?

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Joe March 1, 2013 at 10:51 +00006

I don’t think “stubborn” is an attribute that Hoosiers will penalize a politician for. I think it’s more likely they get in trouble for trying to change things.

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Abdul February 28, 2013 at 14:56 +00006

Actually the studies have shown HIP is cheaper, by about $50 million.

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Doug February 28, 2013 at 15:13 +00006

Dr. Carroll disagrees:

*Please don’t tell me that the new study shows that HIP will save money in the expansion. It’s not a new study. It’s an interpretation of the fact that HIP has come under the federal cap for the waiver per-capita spending. That doesn’t mean that HIP – as it stands – is cheaper than traditional Medicaid. It’s not.

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Pila March 8, 2013 at 21:51 +00006

Pence seems determined to be Mitch Daniels, Jr. Not sure how that would help Pence’s presidential prospects, given that the original Mitch Daniels could not generate much interest or name recognition among Republican voters outside Indiana.

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Doghouse Riley March 10, 2013 at 11:33 +00006

Eh, never say never, but I think narrowly getting elected governor in Indiana, in a Republican year, while trailing the slate, pretty much eliminated Mike Pence’s opportunity to cash in on a presidential run, which, prior to November, was “zero”.

As far as being Daniels, Jr., what choice did he have? It’s as if Benedict had decided to be the next John XXIII when the Church had practically canonized JP II while he was still breathing.

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