Fresh off a Philadelphia Fed survey of manufacturers finding that the Affordable Care Act is acting as a drag on hiring and increasing part-time employment, a Dallas Fed survey finds the much same thing.
Like the Philly Fed survey, it was tacked on to an existing monthly survey of conditions. In this case, a net 23.5% of respondents say the number of workers employed is lower due to the effects of what’s commonly called Obamacare. Part-time work is up, the amount of work outsourced is up, wages and salary compensation per worker is down, other benefits are down, and prices charged are higher.
OK, I'm feeling a bit foolish now. Earlier today I lamented the fact that the number of state exchanges issuing regular updates continues to dwindle. A few moments ago I realized that I hadn't checked in on Colorado in awhile, and sure enough, they've posted an update through the end of July.
No Medicaid numbers are included, but the exchange QHP tally has risen by another 3,750, to break the 140K milestone at 140,355.
The enrollment rate in CO has dropped a bit since earlier this summer, but they're still running pretty strong. With the new updates from CO and MN, my off-season enrollment projection has dropped a bit as well and now ranges between 8,100 - 10,900/day, still centered squarely on the 9,000/day mark.
SHOP enrollments, meanwhile, have gone up a whopping 19, to 2,392.
Even in states whose ACA exchanges have operated pretty smoothly such as Connecticut and Kentucky, there's bound to be some technical problems. Washington State is no exception. As a result, the WA insurance commissioner has announced that anyone who tried to enroll earlier but has struggled with billing, payment or other technical issues (WA is one of only 2 states that run payments through the exchange and require the 1st months premium to be paid before even reporting the enrollment) can now give it another shot or make whatever changes are necessary without requiring a "qualifying life event" to do so:
The Washington Health Benefit Exchange (the Exchange), also known as the Washington Healthplanfinder, is making progress to correct the enrollment and payment difficulties that have affected some consumers. Those fixes are continuing, but may take additional time to resolve.
Yeah, yeah, I know the title is lame, but it's not easy to find alliterative synonyms for "ugly" and "unpleasant" starting with "O"...
Anyway, a few days after Oracle sued Oregon for $23 million in unpaid bills over the CoverOregon exchange debacle, the state has counter-sued the tech company...for a whopping $5.5 BILLION...including "Whoa...heavy, dude!" charges by the state Attorney General such as racketeering:
In the aftermath of what was likely the most spectacular failure among state-run Affordable Care Act health exchange site launches, the state of Oregon has filed a lawsuit against Oracle America Inc. over the total failure of the Cover Oregon exchange. “Oracle’s conduct amounts to a pattern of racketeering activity that has cost the State and Cover Oregon hundreds of millions of dollars,” Oregon Attorney General Ellen Rosenblum wrote in a civil complaint filed August 22. The lawsuit seeks over $5.5 billion in damages from Oracle, plus legal fees.
The complaint comes after Oracle filed its own lawsuit against the state’s health exchange for failure to pay for services rendered in early August. Oracle’s attorneys claimed that Oregon Governor John Kitzhaber had defamed the company in a “smear campaign” while failing to take responsibility for the failure of state management of the project and not paying Oracle for additional work done.
The Good News: Minnesota, as always, continues to provide consistent, up-to-date enrollment data, adding 56 QHPs over a 3 day period:
latest enrollment numbers
August 24, 2014
Health Coverage Type Total Enrollments
Medical Assistance 183,503
Qualified Health Plan (QHP) 53,866
The Bad News: Up until recently I was only receiving regular upates from 3 states (plus monthly updates from Maryland and random, occasional updates from various other states). For the past few weeks, however, even 2 of those 3 states (Hawaii and Oregon) have seemingly gone radio silent as well. Aside from the next monthly MD update (due sometime this week, I believe), that leaves Minnesota as the sole state keeping their data up to date.
Meanwhile, Minnesota's exchange Medicaid total has now broken the 250K mark and stands at 250,557.
The news broke just a few hours ago that Kevin Counihan, the head of AccessHealthCT (Connecticut's extremely successful ACA exchange, which works so well that they were able to actually sell the software platform to Maryland to replace MD's original broken system) is leaving the CT exchange for an unspecified position at the HHS Dept:
Access Health CT CEO Kevin Counihan, who spearheaded Connecticut's largely successful first round of Obamacare enrollment through the state's public insurance exchange, is departing, a source close to the matter confirmed.
Access Health has scheduled a noon press conference Tuesday to make the announcement. No replacement will be named today, according to the source, who said Counihan is leaving to take a federal position within the U.S. Department of Health and Human Services.
Well, Sarah Kliff over at Vox.com has now broken the news about just what that new HHS position actually is...and it's very good news indeed:
Breaking: White House announces Kevin Counihan will be new Healthcare.gov CEO. Currently runs the Connecticut exchange.
States running their own Affordable Care Act marketplaces enrolled more people in health insurance than those using the federal marketplace, according to an analysis by researchers at the University of Pennsylvania's Leonard Davis Institute.
Given the federal Website's dreadful October launch, that isn't exactly jaw-dropping news. But Penn's Health Insurance Exchange researchers were surprised to find that even after Healthcare.gov began working well in December, state-based marketplaces kept outperforming the federal site.
Huh. Interesting. They even specified that this was true "even after December".
Of course, there's a very good reason why they would be "surprised" at this finding...it's not even remotely close to being true.
Regular followers of this site know that I'm primarily a bean counter, concerned mainly with tracking the numbers and plugging them into spreadsheets and graphs.
However, there's another side to the ACA story which is extremely important, and which I tend not to give enough attention to, and that's the human factor.
Sources like Amy Lynn Smith and ACASuccessStories have been doing their best to put a human face on what the Affordable Care Act means for real people with real healthcare needs, and I've mentioned or given a shout-out to these and other "tell your story" writers from time to time. However, it was 3 completely unrelated incidents which inspired me to write this entry.
Vermont signed a revised contract with the tech firm Optum that expands its role in Vermont Health Connect’s operations.
Optum already had a contract worth $5.6 million for consulting work, and the latest deal, signed Aug. 15, is worth an additional $9.5 million for a total of $15.1 million.
...At latest count, Optum has helped the state halve its backlog of coverage changes and information errors from a high of more than 14,000 to roughly 7,000. Also, close to 4,000 people are having billing issues with Vermont Health Connect. There is some overlap between the two groups, Miller said.
It’s hard work trying to get people to sign up for health insurance when their care is mostly free to them. Andrea Thomas is working to get Alaska Natives in Sitka, Alaska, to do just that. She’s the outreach and enrollment manager at SouthEast Alaska Regional Health Consortium (SEARHC), and it’s her job to sign people up for health insurance coverage through exchanges created as a result of the Affordable Care Act.
To get a sense of just how uphill Thomas’s battle is, consider this: Of the more than 100,000 people who live in Alaska and self-identify as Alaska Native or American Indian, only 115 had signed up for health insurance through an Affordable Care Act exchange as of March 31. Alaska Natives and American Indians are exempt from tax penalties for not signing up for health insurance.
(Baltimore) – Maryland Insurance Commissioner Therese M. Goldsmith today announced approved premium rates for individual health insurance plans to be offered in the State for coverage beginning January 1, 2015.
Premium rates for three of the six carriers currently participating in Maryland’s individual insurance market – All Savers Insurance Company, Evergreen Health Cooperative, and Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc. − will drop by an average of 6.7 percent, 10.3 percent, and 14.1 percent, respectively. The other three carriers currently in the market, all CareFirst companies, received approval to increase premium rates by 9.8 percent (CareFirst BlueChoice, Inc.) or 16.2 percent (CareFirst of Maryland, Inc. and Group Hospitalization and Medical Services, Inc.), on average − substantial reductions from the 22.8 percent and 30.2 percent increases those companies requested for 2015.
About a year ago, Georgia Insurance Commissioner Ralph Hudgens bragged to a crowd of fellow Republicans: “Let me tell you what we’re doing [about ObamaCare]: Everything in our power to be an obstructionist.”
It was a striking quote that quickly took on national significance. As a rule, policymakers at least pretend to care about working constructively, but here was a state official boasting about his deliberate embrace of obstructionism.
And yet, this week, Hudgens said he didn’t really mean it.
“I spoke to a Republican group in Rome, Ga., and I said I was going to be an obstructionist, but I can’t be. I mean, I was talking to a Republican group and I was throwing them some red meat.”
OK, a couple of caveats here: First, yes, it's California; obviously this isn't exactly representative of states like, say, Oklahoma or Alabama. Second, CoveredCA had a much smoother rollout last fall than HC.gov did (and some of the other state exchanges are still struggling with serious technical issues).
Having said all that, California does still have over 12% of the total U.S. population, and they do tend to be early adopters historically. With that in mind...
The nation’s new health care law is surging in popularity in the Golden State, according to the Field Poll, which finds more Californians today — of all political stripes — support the Affordable Care Act than at any time since it was signed into law four years ago.
And by a two-to-one margin, they praise the successful way it’s been rolled out in the state, compared to the federal government’s glitch-ridden system.
Still more now say they’re satisfied with the way the health care system is working in the state, compared to a year ago.
Low-income consumers struggling to pay their Obamacare premiums may soon be able to get help from their local hospital or United Way.
Some hospitals in New York, Florida and Wisconsin are exploring ways to provide such aid, which would at least partly guarantee the hospitals get paid when the consumers seek care.
But the hospitals' efforts have set up a conflict with insurers, which worry such programs will add too many sick people to their rolls. The premium assistance could drive up costs for everyone and discourage healthier people from buying coverage, insurers wrote recently to the Obama administration.
Think about that one for a moment.
The hospitals (you know, the ones who are supposed to help heal the sick) are offering to help pay the insurance companies for patients who can't afford it otherwise...and the insurance companies are actually opposed to this...because it might add "too many sick people" to their customer base.