Oregon should pull the plug on the beleaguered Cover Oregon health insurance exchange and switch to the federal exchange, a technological advisory committee recommended Thursday.
The move is considered almost certain to be adopted by the Cover Oregon board, which meets Friday.
Changing to the federal exchange would cost about $5 million, while a partial fix to the Oregon exchange would cost more than $78 million based on an estimate from Deloitte, a Cover Oregon consultant.
OK, I lied; I do have two comments:
--First, residents of Oregon do still have 3 more days (today, tomorrow and Wednesday) to push their 2014 policy enrollments through the remnants of Cover Oregon, and I'm assuming that the current hobbled-together system will still be in place during the transition period for Qualifying Life Events, Medicaid enrollment and so forth.
I haven't updated the graph with this yet, but both the front page "quick stats" block and the spreadsheet now include my rough guesstimate for the final mop-up period from 4/16 - 4/30...I'm guessing an extra 93,000 or so people are being tacked on via stray paper applications, special cases and oddball "super-extension periods" in Nevada, Oregon, DC and Hawaii, etc.
this should bring the grand total through the end of April up to around 8.14 million, of which I expect AT LEAST 7.5 million to have paid their premiums by late May.
Of the pile of submissions and requests which piled up last week, at least a half-dozen were basically the same question: Where the hell is the official March HHS report? Obviously that report from Inside Health Policy claiming that they'd release the report back on the 17th, complete with early April data, was flat-out wrong.
The irony is, of course, that a) no one has been anticipating this report more than myself (it was supposed to mark the end of this project, after all...although obviously the situation has changed...more on that later); b) I was previously concerned that they'd release the report too early (cutting off the last 2 days of March and only including 3/02 - 3/29); and c) it's actually just as well that they didn't release it last week, since I was in no position to do anything with the data anyway (still on the mend, but I'm at least able to type up a few updates this morning, as you can tell).
"Healthy Michigan" is the plan which specifically refers to ACA expansion in MI only (36,307 of these are actually bulk-transfers from an existing program, already listed separately on the spreadsheet):
Healthy Michigan Plan Enrollment Statistics
Total Healthy Michigan Plan Beneficiaries: 139,774
Washington State finally wraps things up with their final numbers, breaking 164K QHPs and keeping their Strict Expansion / Woodworker ratio to the same 2:1 ratio that it's been pretty much the entire enrolllment period:
The state has previously reported that 147,000 people signed up for private health coverage, but said Wednesday that the total grew to 164,062 as officials finalized applications after the March 31 deadline. Open enrollment began last October.
Updated enrollment numbers from Oct. 1 to March 31 are included below.
Qualified Health Plans: 164,062
Medicaid Newly Eligible Adults: 285,275
Medicaid Previously Eligible but not Enrolled: 137,930
Not that the raw numbers add up to much, but the 603 total lives covered by SHOP policies is mildly interesting, since it was at only 269 as of 3/31:
30,396 Applications completed in the Individual Marketplace 8,592 Individuals and families enrolled in the Individual Marketplace
568 Employers applied to SHOP Marketplace 603 Employees and dependents enrolled via SHOP Marketplace
This article is interesting not so much because of how close I came to the actual situation in Idaho (I had ID woodworkers pegged at around 5,600; the actual number is more like 5K even), but because of how far off Idaho's own official prediction on "woodworkers" was--they were assuming more than 7x that number:
But even without Idaho expanding its program, experts predicted a surge in Medicaid enrollment. A report prepared for the Idaho Department of Health and Welfare by Milliman Inc. predicted that more than 35,000 people would join Medicaid when they learned they already qualified for it. That was known as the "woodwork" group, for eligible people coming out of the woodwork.
The report said the cost of new enrollment — aside from the expansion — would total about $14.8 million in this fiscal year, then rise to between $32 million and $45 million per year over the next decade. That's not quite what happened, at least in these early months, Shanahan said.
"We just haven't seen the large increases we had expected," he said. Only about 35 percent — 5,000 people — of new Medicaid members are from the "woodwork" group, he said.
Pennsylvania’s Medicaid enrollment is up by more than 18,000 people since the Oct. 1 launch of the Affordable Care Act’s online health plan marketplaces.
The state's enrollment bump in the program for low-income families and individuals is small, though it coincides with larger jumps being experienced in other Republican-led states. Supporters of the ACA are crediting the 2010 federal health care overhaul with encouraging more uninsured to examine their health coverage options. Subsequently they discover that they were already eligible for state-funded insurance programs.
It’s called the “woodwork” effect — people who may have been eligible for Medicaid or related children’s programs all along only learned of their eligibility during the six-month push to sign Americans up for health insurance.
This AR update is noteworthy for being the first enrollment update I've received which actually includes a reference to...myself!
Through yesterday, almost 45,000 Arkansans have selected plans on the Arkansas Health Insurance Marketplace, the new marketplace created by Obamacare, according to information released today by the Arkansas Insurance Department (see county by county map above). Open enrollment is now closed, though people who submitted a paper application by April 7 have until the end of the month to enroll and pick a plan. We may also see this number creep up in the next few weeks as the carriers continue to receive data from the feds.
First, apparently the ACA is such a "socialist, anti-capitalist" enemy of the free market that the private, for-profit insurance companies are just fleeing for the hills. Oh wait, actually...
Peter Lee, executive director of Covered California, said all 11 current health plans have indicated they plan to return next year. He also said three new plans have submitted letters of intent indicating they may compete on the exchange in 2015.
Lots of people (especially myself) have been wondering just how many updates to enrollment data or other QHP/Medicaid/Exchange ACA-related news items there would be after the open enrollment "extension period" ended back on April 15th. After all, the dust should be settling with only the occasional bit of news now, right?
Well, since I've been out of commission with the shingles all week, this has actually turned into the perfect opportunity to answer this exact question. Take a look at the backlog I'm going to have to work my way through as soon as I'm up to it (this is from just the past 5 days or so):
Of course, some of these are duplicates and some may not really warrant their own full entry, but you get the picture. Seems like there's gonna be plenty of ACA news to keep this site operational for awhile yet.
Speaking of which, I'll be addressing my official plans for the future of ACASignups.net sometime next week, as soon as I'm up to extended blog entries...
The article claims that these numbers are "through 3/31", but that's obviously an error, since a previous update directly from Kynect made it clear that the QHP number was several thousand lower than that as of early April. Doesn't really matter, however; these are still outstanding results for Kentucky:
At a Capitol news conference Tuesday, the Democratic governor announced that 413,410 Kentuckians enrolled for health-care coverage through the online insurance marketplace called "Kynect" in its first open-enrollment period, from Oct. 1 through March 31.
...He said about 75 percent of the people signing up for health insurance in Kentucky had no previous insurance and that 330,615 people qualified for Medicaid coverage.
Beshear described it as "deeply satisfying" that 10 percent of the state's population "finally has affordable, quality health insurance that gives them assurance that if they get sick or hurt, they'll get the care and they're not in danger of bankruptcy."
...More than one out of every 10 Kentuckians has health insurance through Kynect, Haynes said.
LITTLE ROCK - Arkansas officials say nearly 70 percent of those eligible have signed up for health coverage under the state's compromise Medicaid expansion program.
The Department of Human Services said Monday that 155,567 people have applied and been determined eligible for the state's "private option" program, which uses federal Medicaid funds to purchase private health insurance for the poor. DHS estimates that 225,000 Arkansans qualify for the program that was approved last year as an alternative to the Medicaid expansion envisioned under the federal health care law.
Hmmm...my own calculations (based on KFF estimates) has Arkansas down as having around 281,000 people "eligible for Medicaid" who aren't currently insured, but that may just mean that the 56K difference are potential "woodworkers". In any event, this is still huge news.
Yes, that's right...ACA Signups is back in action!
Well...sort of. I'm able to post a couple of updates here and there, but don't expect anything major until next week. The swelling in my right eye has dropped significantly, allowing me to read and type for perhaps 20 minutes at a time, and I'm back on (semi) solid food...thick soups and the like.
With that in mind, I'm gonna try and cut down on the backlog of updates sent in this week...and you'd be amazed at how much is still going on even after the extension period elapsed 10 days ago...
I also wanted to thank everyone for the well-wishes and words of support.
And no, the irony of the situation is not lost on me: I'm taking my brand-new ACA-approved healthcare policy through a thorough workout this month, by subjecting myself to 3 different doctor's appointments (well, technically 4 if you include the dentist, but that's not covered by the policy, of course): Once to my GP, and two more to the Ophthalmologist (once last week to make sure the virus didn't infect my eyeball itself, and a follow-up next week to make sure it didn't seep into the eyeball later in the process).