Gov. Cuomo just announced that he has directed Supt. Vullo to reject any individual market rate increase that included an increase to compensate for the repeal of the individual mandate
...Assuming that nothing else changes during the rate review process, this makes carriers that didn't associate a % of their rate request with the loss of the mandate big winners...and those who did, not so much.
Sure enough, after watching the half-hour speech by Cuomo, it sure as hell sounded like he was doing exactly that: Instructing the state insurance commissioner to only allow 2019 ACA individual market premiums to increase by around the 12.1% (on average) that they were expecting to go up with the ACA's individual mandate penalty in place instead of the roughly 24% (on average) that they said they'd have to raise them to cancel out the adverse selection impact of the mandate being repealed:
Assuming that nothing else changes during the rate review process, this makes carriers that didn't associate a % of their rate request with the loss of the mandate big winners...and those who did, not so much.
The Basic Health Program is one of the more obscure provisions of the Affordable Care Act. Very few people outside of the healthcare wonk community know anything about it...unless they live in Minnesota or New York State.
The short version is that it's an optional low-income healthcare program designed for people at the income tier just above Medicaid expansion...138% - 200% of the Federal Poverty Line, or between around $16,600 - $24,100/year for a single adult. In most states people in that income range would be expected to enroll in heavily-subsidized ACA exchange policies. In New York and Minnesota, however, they've instead set up Basic Health Programs (BHPs) for this population instead.
Consumer Choice Continues to be a Hallmark of the Marketplace
ALBANY, N.Y. (March 14, 2018) -- NY State of Health, the state’s official health plan Marketplace, today released data showing 2018 health plan enrollment by insurer. Statewide, 12 health insurers offer Qualified Health Plans (QHP) to individuals and 15 health insurers offer coverage to Essential Plan (EP) enrollees through the Marketplace. Ten health insurers participate in all individual market programs offered through NY State of Health allowing consumers a smooth transition if their program eligibility changes. Throughout the 2018 Open Enrollment Period, most consumers had a choice of at least four health insurer options in every county of the State.
ALBANY, N.Y. (February 27, 2018) -- NY State of Health, the state’s official health plan Marketplace, today released county-level enrollment data as of January 31, 2018, showing that overall enrollment increased in each of New York’s 62 counties. Total enrollment in the Marketplace is now over 4.3 million people, reflecting an increase of 700,000 people (19 percent) from 2017. Many upstate counties saw significant enrollment gains in the last year.
“Consumers from Chautauqua to Suffolk and every county in between are shopping for health plans through the Marketplace,” said NY State of Health Executive Director, Donna Frescatore. “With affordable premiums and a robust choice of plans, NY State of Health is where New Yorkers go to get covered.”
Nothing new or noteworthy here, but I've posted the "last call" press releases for California and DC, so I figured with just 8 hours left to go I should do so for New York as well:
ALBANY, N.Y. (January 24, 2018) – NY State of Health, the state’s official health plan Marketplace today announced that New Yorkers who have not yet signed up for coverage in a Qualified Health Plan (QHP) should enroll now so they are covered for 2018. Open Enrollment ends January 31st. Consumers across the state have a choice of multiple health plan options and for many, coverage is more affordable than last year.
Enrollment through NY State of Health continues to climb to record levels with more than 4.2 million enrolled across all programs. As of January 16, 2018, 243,600 consumers have enrolled in a Qualified Health Plan (QHP) and 726,300 have signed up for the Essential Plan, exceeding numbers at the end of open enrollment in 2017.
If you look at The Graph for the 2018 Open Enrollment Period, you'll notice that in addition to the large green section (Qualified Health Plan (QHP) selections across the 39 Healthcare.Gov states) and the smaller blue section (QHP selections across the 12 State-based exchanges), there's a much smaller burgundy slice at the top labelled "BHPs (MN/NY only). This represents around 820,000 people in Minnesota and New York only who are enrolled in Basic Health Plans, or BHPs.
Press Release: Governor Cuomo Ensures Medicaid Coverage for DACA Recipients Regardless of Federal Action
If Congress Does Not Act to Protect DACA, New York DACA Recipients will Remain Eligible for State-Funded Medicaid
Governor Andrew M. Cuomo today announced that recipients of the Deferred Action for Childhood Arrivals policy will remain eligible for state-funded Medicaid, regardless of any federal changes to or termination of the program. There are approximately 42,000* DACA recipients in New York, many of whom are at risk of losing their employment-based health insurance if the federal government changes or terminates the program. Under New York law, DACA recipients are considered PRUCOL (Permanently Residing Under Color of Law) and eligible for state-funded Medicaid or CHIP.
Last year, New York State of Health enrolled a total of 242,880 people in ACA exchange policies; this means they're slightly ahead of that number with two weeks left to go before the January 31st Open Enrollment deadline. This makes NY the fifteenth state to surpass last year's total...as well as the 7th State-based Marketplace (or the 10th if you include SBMs which are piggybacking on the federal exchange platform). I'll be writing something up about that later today.
For context, as of 12/17/16, New York had enrolled 213,248 people in Qualified Health Plans (QHPs), putting them over 7% ahead of the same point last year...and unlike most states, New York's Open Enrollment Period is just as long as prior years, running all the way out to January 31st.
Put another way: New York's final enrollment tally last year was 242,880, meaning they're just 6% away from breaking that number with six weeks left to go. Their all-time record was set in OE2 with 409,000 QHP selections, but that's a meaningless comparison since the Essential Plan was added the following year, cannibalizing several hundred thousand enrollees anyway.
Enrollment in Qualified Health Plans and Essential Plan Reaches Nearly 900,000
December 15th is the Deadline to Enroll for January Coverage
New Yorkers Urged to Enroll Now
ALBANY, N.Y. (December 7, 2017) - NY State of Health, the state’s official health plan Marketplace, today announced enrollment in Qualified Health Plans (QHP) and the Essential Plan have reached nearly 900,000—continuing to outpace enrollment at the same point last year by 13 percent.
Unfortunately, a lot of the state-based exchanges have an annoying habit of not posting renewal numbers until after the enrollment period is over (including the biggest one, California), but this is still helpful. Also handy to have the early BHP enrollment numbers.