Document 3699

 ACA Implementation in Indiana:
Challenges, Strategies,
and Solutions
ADVOCATING HEALTH COVERAGE FOR ALL Co-Sponsored By: American Academy of Pediatrics/Indiana Chapter,
American Cancer Society/Cancer Action Network, Cover Indiana Campaign,
Indiana Coalition for Human Services, Indiana Family Health Council, Indiana Family Services, Martin Center
8:30 AM
9:00 AM
Welcome and Introductions
John Ketzenberger, Indiana Fiscal Policy Institute
9:15 AM
Keynote Address: ACA State of Play – What’s at Stake for Indiana
Tricia Brooks, Senior Fellow, Georgetown University Health Policy Institute Center for Children
and Families
10:00 AM
To Expand or Not to Expand
The U.S. Supreme Court’s June, 2012 decision left it up to each individual state to decide
whether to expand their Medicaid programs. The Pence Administration has made it clear
that should Indiana decide to expand, it will only do so through the Healthy Indiana Plan. It
has submitted a waiver renewal application to extend the program from 2014 to 2016, and
awaits a decision from CMS. Meanwhile, several bills introduced in the 2013 legislative
session are providing a vehicle for ongoing public debate about whether and how to expand
coverage to up to 450,000 currently uninsured individuals at or below 138% FPL.
Introduction – Senator Karen Tallian
Moderator – Judy Solomon, Center on Budget and Policy Priorities
Pence Administration (invited)
Douglas Stratton, Indiana Comprehensive Health Insurance Association
Dee Mahan, Families USA
Brian Tabor, Indiana Hospital Association
Mike Ripley, Indiana Chamber of Commerce (invited)
11:00 AM
11:15 AM
Examining the Nuts and Bolts of Indiana’s Health Benefit Exchange
Indiana has opted for a federally-facilitated exchange (FFE), but the state Department of
Insurance will continue to retain jurisdiction over market issues related to licensing, rate
review, financial solvency and coordination with the FFE. Other issues, such as whether the
FFE will make Medicaid eligibility assessments or determinations, whether the state will
retain functions related to risk adjustment and reinsurance, the process for certifying
qualified health plans, and whether the state will combine or maintain separate insurance
pools for products sold on the individual and small business markets, will need to be
resolved quickly in order to be ready for open enrollment beginning October 1, 2013.
Moderator – Sarabeth Zemel, National Academy for State Health Policy
Douglas Stratton, Indiana Comprehensive Health Insurance Association
Judy Solomon, Center on Budget and Policy Priorities
Erin Mathies, Indiana Department of Insurance
Office of Medicaid Policy and Planning (invited)
12:15 PM
Networking Lunch
1:00 PM
Harnessing Technology to Drive Efficiency and Modernize the Enrollment
Whether Indiana policymakers elect to extend Medicaid to the lowest income uninsured
Hoosiers or not, the ACA accelerates the use of technology to modernize eligibility and
enrollment through consumer friendly web-based systems and data-driven electronic
verification of eligibility. The Medicaid system will need to exchange information with the
FFE to achieve a high-functioning coordinated system of coverage. Additionally, hundreds of
thousands of Hoosiers who will be eligible to purchase a Qualified Health Plan (QHP) through
the FFE, with or without financial assistance, will be choosing from a variety of insurance
plans in just over six months from now. Whether online, by phone, or in person, the
enrollment process must be streamlined to accommodate the increase in demand and to
provide meaningful access to quality data so consumers can easily compare and choose an
affordable plan that best fits their health care needs.
Moderator – Susan Jo Thomas, Social Interest Solutions
Jennifer Sullivan, Enroll America
Tricia Brooks, Georgetown University Center for Children and Families
Marci Toler, Covering Kids & Families of Indiana
Office of Medicaid Policy and Planning (invited)
2:00 PM
Tapping the Community Based Infrastructure to Maximize Outreach and
Consumer Assistance
State Medicaid and CHIP agencies have a long history of offering programs through which
application counselors have played a key role in promoting enrollment for low-income
individuals seeking coverage. Recent rules proposed by CMS acknowledge how making such
assistance available for the health benefit exchange will be critical to achieving a high rate
of enrollment. Concurrent with the development of federal standards for exchange
certification, bills pending in the state legislature propose standards for training and
certification of navigators and application organizations. Indiana’s ability to accommodate
the large increase in demand for enrollment in public and private health insurance plans will
depend in large part on its ability to leverage the contributions of hospitals, health centers,
and other community-based organizations who currently provide outreach and enrollment
services, while ensuring high-quality and effective assistance.
Moderator – Tricia Brooks, Georgetown University Center for Children and Families
J Hopkins, Wishard Hospital
Sherry Gray, St. Vincent Health
Jennifer Sullivan, Enroll America
3:00 PM
Closing Remarks
Alex Slabosky, Chair, Cover Indiana Campaign
3:15 PM
Special thanks to Senator Karen Tallian and her Legislative Assistant, Brent Stinson, for reserving
the conference room for the Symposium and acting as our liaisons with the Government Center.