The future of health care reform is unclear, but there is no doubt that federal changes to the Affordable Care Act (ACA) will have major implications on Indiana and could affect the future of HIP 2.0 coverage expansion and Medicaid reimbursement for hospitals. Now more than ever, we must be engaged in the political process.
CONTACT YOUR FEDERAL LAWMAKERS
Voice your concerns with proposed legislation in Congress that would repeal and replace the ACA. Ask lawmakers to help preserve coverage for hundreds of thousands of Hoosiers.
TELL YOUR STORY
Nothing is as powerful as your experience. Tell lawmakers that hospitals are critical to the health of Indiana’s economy. Tell them what significant cuts to the Medicaid program could mean to your hospital and your community.
STAY ON MESSAGE
Refer to IHA messaging below and utilize these talking points in your conversations with lawmakers.
Preserving HIP 2.0
Health Care Reform Principles
As Congress considers legislation to repeal and replace parts of the ACA, Indiana hospitals believe that:
MAINTAINING COVERAGE IS CRITICAL
Increased uncompensated care costs will burden hospitals, who are facing billions in funding cuts.
Hospitals lost billions of funding when the ACA passed and cut disproportionate share (DSH) payments, which hospitals received for caring for low-income and uninsured patients, and annual raises in Medicare reimbursement. Policymakers said the cuts would be offset by the reduction in the uninsured, which in turn would decrease the amount of uncompensated care hospitals provide.
The map above indicates the extent hospital providers have been impacted by existing Medicare provider payment cuts enacted by Congress to achieve Medicare payment policy and long-term deficit reduction goals over the next 10 years. The legislative cuts consist of ACA marketbasket cuts, Medicare DSH cuts and adjustments related to the three mandatory quality-based payment reforms: value-based purchasing, readmissions reduction program, and the hospital-acquired conditions program.
When the ACA passed, these cuts were offset by the increase of coverage included in the law. Indiana hospitals have worked to make up for these cuts by making sure Hoosiers have coverage. However, proposals to repeal the ACA without a robust replacement would likely result in coverage losses for thousands of Hoosiers. Any proposal should, at a minimum, maintain coverage levels or increase hospital funding to account for increases in uncompensated care costs.