Cost-sharing Archive

States reluctant to accept federal funds for the Affordable Care Act's adult Medicaid expansion have proposed health expense accounts as a mechanism to "brand" their expansion as different. These accounts add administrative complexity, cost, and likely impede beneficiaries' access to care. The Healthy Indiana Plan (HIP), implemented in 2008…

In considering whether to accept federal funds for the Affordable Care Act's (ACA) adult Medicaid expansion, several states have turned to approaches that establish individual accounts for beneficiaries to manage their Medicaid expenses. The Healthy Indiana Plan (HIP), implemented in 2008 and renewed with changes in 2015, was the first demonstration…