A Trump Pick, And Why Indiana’s Strict Medicaid Rules Could Spread

The New York Times

By: Margot Sanger-Katz

Seema Verma has been chosen by President-elect Donald Trump to be in charge of Medicaid and Medicare programs. She has had experience with Medicaid in Indiana, where she developed the program HIP, that required Medicaid beneficiaries to pay monthly premiums. For this reason, many healthcare experts are concerned with the changes that she will be making to programs like Medicaid and Medicare nationally, as many Americans could end up uninsured.

“We can expect to see far-reaching changes contemplated for Medicaid that will erect many more barriers to coverage — and very punitive barriers,” said Joan Alker, the executive director of the Center for Children and Families at Georgetown University, in an email. “For example, forcing people to remain uninsured for up to year if they miss a paperwork deadline or a premium payment, even though we know that conditions like mental illness or homelessness — or something more simple like a notice getting lost in the mail — may explain the missed deadline.”

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