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POLITICO Pulse: Spending growth outpaces need for care

By: Dan Diamond

Indiana is abuzz with news that the Trump administration this week will approve the state's pending Medicaid waiver, which would add a work requirement for able-bodied adults, multiple sources tell POLITICO's Rachana Pradhan.

Indiana's pioneering conservative Medicaid model — which CMS Administrator Seema Verma helped develop as a consultant and then-Gov. Mike Pence used to expand Medicaid under Obamacare in 2015 — includes HSA-like accounts and monthly payments for enrollees. As part of the latest proposal, Gov. Eric Holcomb has also proposed to expand substance abuse treatment in light of the opioid epidemic.