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Governor Pence Applauds Sharp Increase in Medical Providers Accepting Healthy Indiana Plan and Medicaid Members; Nearly 1,000 new providers including 335 physicians have joined network
Start Date: 3/17/2015Start Time: 12:00 AM
End Date: 3/17/2015
Entry Description

Indianapolis – Low-income Hoosiers on the Healthy Indiana Plan and in other Medicaid programs have significantly more primary-care doctors to choose from now that the program has been expanded. The Indiana Health Coverage Programs provider network has added 335 physicians and 939 providers of all types since Governor Mike Pence announced the approval of the program, known as “HIP 2.0,” on Jan. 27.

“This rapid and meaningful increase in the number of doctors opening their practices to Healthy Indiana Plan members shows how the changes we’ve made to our program here in Indiana are causing real reform to stick,” said Governor Pence. “We still have work to do to continue increasing our provider roles to meet the demand for HIP 2.0, but this immediate response is an indication that the program is popular with members and clinicians alike.” 

Indiana health providers are responding to the incentives built into the Healthy Indiana Plan. A critical tenet of the program since its inception in 2007 has been the higher reimbursement rates that it pays providers as compared to traditional Medicaid. The Healthy Indiana Plan’s reimbursement structure pays for care at Medicare reimbursement rates, not the much lower rates that would have come with an expansion of traditional Medicaid. The state also raised reimbursement rates by an average of 25 percent for medical care delivered to the state’s remaining traditional Medicaid recipients who are categorized as aged, blind, disabled or children. 

Each of the managed-care plans responsible for coordinating the care of Healthy Indiana Plan members has contracted with hundreds of new primary medical providers. Combined, the managed-care plans have entered into 794 new contracts with primary medical providers (PMPs) to serve HIP members. (Primary medical providers may contract with more than one health plan.) 

  • Anthem Blue Cross and Blue Shield had 2,167 primary medical providers prior to HIP 2.0’s approval and has added 232 for a total of 2,399. This is an 11 percent increase in primary-care network size.
  • MDwise has grown its PMP network from 1,193 to 1,509 for an increase of 316, or 26 percent.
  • Managed Health Services (MHS) has grown its network from 1,211 to 1,457, generating an increase of 246, or 20 percent.  

“For a long time as we sought to bring HIP 2.0 to Hoosiers, we cautioned that the simple act of giving someone a membership card would not guarantee them access to health care,” said John J. Wernert, M.D., secretary of the Indiana Family and Social Services Administration. “We know that increased reimbursement rates result in more provider participation and improved access to care for members.  This immediate growth in the provider network indicates there is excitement within our health care provider community and that providers want to be a part of our innovative programs and health care solutions.” 

The HIP 2.0 waiver approved by the federal government in January means an estimated half-million additional Hoosiers are now eligible for the Healthy Indiana Plan. FSSA expects the growth in the provider network to continue as membership increases.

Location Information:
Statewide
IN
Contact Information:
Name: Christy Denault
Phone: 317-233-9997
Email: cdenault@gov.in.gov
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Entry Type:
Press Release
Entry Category:
  • Announcements
  • IN.gov Category:
  • Government
  • Residents
  • Family & Health
  • Agency Name
    Governor

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