A national feeling of uncertainty about the continued roll out of the Affordable Care Act, especially as the individual mandate portion goes into effect Jan. 1, has trickled down to the local level.
In the health care sector, officials in their budgeting process are left with unanswered questions about how to plan and what to expect, said Franciscan Alliance Northern Indiana Region CEO Gene Diamond.
“How do we plan? How do we budget? How do we project?” he said. “Right now, we'd be throwing darts at a dart board.”
Health officials don't know whether people will keep the insurance they receive from their employer, whether they will buy insurance from an exchange or drop their coverage altogether.
Convoluting the matter is the uncertainty regarding the Indiana Medicaid expansion, Diamond said.
Gov. Mike Pence has refused to expand Medicaid eligibility as directed by the Affordable Care Act, because he believes the federal government will not provide adequate funding.