Policy & Research


Issue Brief: Indiana’s Alternative Medicaid Expansion—A Model for Kansas?

By Andrea N. Hinton | March 11, 2015

Issue Brief: Indiana’s Alternative Medicaid Expansion—A Model for Kansas?

Since the decision by the U.S. Supreme Court in June 2012 to make Medicaid expansion optional for states, 28 states (plus the District of Columbia) have expanded their programs. Six of those states—many of them under Republican leadership—have been granted waivers to expand Medicaid in an alternative fashion. Kansas is among the 22 states that have not expanded Medicaid. Of those, six are currently discussing alternative expansion models.


The Kansas Hospital Association has put forward a proposal for Medicaid expansion in Kansas that draws on models from other states, including Indiana. For that reason, the Kansas Health Institute (KHI) has produced an Issue Brief describing how the state of Indiana expanded its program through an alternative model.

Indiana’s new plan, called Healthy Indiana Plan (HIP) 2.0, uses a high-deductible health plan to cover eligible adults and a $2,500 Health Savings Account (HSA) to encourage individual responsibility.

“Understanding how other states balance designing a Medicaid program that meets state needs with federal requirements can help inform policy discussions in Kansas. Indiana’s program has features like private high-deductible health plans and health savings accounts that may be appealing to other states investigating alternative Medicaid expansion models.” 

- Scott Brunner, M.A., KHI Senior Analyst and Strategy Team Leader

The Kansas Health Institute supports effective policymaking through nonpartisan research, education and engagement. KHI believes evidence-based information, objective analysis and civil dialogue enable policy leaders to be champions for a healthier Kansas. Established in 1995 with a multiyear grant from the Kansas Health Foundation, KHI is a nonprofit, nonpartisan educational organization based in Topeka.