I've spent the past couple of weeks up to my ears in 2025 annual healthcare policy rate filing analysis, so I haven't gotten around to addressing JD Vance's recent appearance on NBC in which he finally explained exactly what Donald Trump's "concept of a plan" for healthcare is:

When Donald Trump stammered at the recent presidential debate that he had “concepts of a plan” for Americans’ health care, he came across like a child who had forgotten his homework. But thanks to his campaign and his running mate JD Vance, we know now the Republican ticket really does have some “concepts.” Those concepts are bringing health care into the election — and presenting a tremendous opportunity to Vice President Kamala Harris.

Last Sunday, Vance raised the eyebrows of anyone familiar with health care policy when he told NBC’s Kristen Welker about Trump’s “deregulatory agenda.”

Arizona

Originally posted 8/13/24

The good news is that the federal Rate Review database has now posted the preliminary avg. 2025 rate filings for the individual and small group markets for every state. This makes it very easy to plug in the average requested rate changes in 2025 for every carrier participating in both markets.

The bad news is that most of the underlying filing forms are heavily redacted, meaning I can't use the RR database to acquire the other critical data I need in order to run a proper weighted average: The number of people actually enrolled in the policies for each carrier.

This means that in cases where this data isn't available elsewhere (either the state's insurance department website, the SERFF database or otherwise), I'm limited to running an unweighted average. This can make a huge difference...if one carrier is requesting a 10% increase and the other is keeping prices flat, that's a 5.0% unweighted average rate hike...but if the first carrier has 99,000 enrollees and the second only has 1,000, that means the weighted average is actually 9.9%.

via MNsure:

Preview 2025 Health Insurance Plans Today

ST. PAUL, Minn.—Minnesotans who need health insurance for 2025 can get an early start on health plan shopping through MNsure. Consumers can go to MNsure.org to preview 2025 health plans and get a free and anonymous cost estimate ahead of MNsure’s annual open enrollment period, beginning November 1.

“With just three key pieces of information — where you live, who is in your household, and your total household income — you can get an immediate estimate of how much money you could save in 2025 by enrolling through MNsure,” said MNsure CEO Libby Caulum. “We estimate eligible Minnesota families will save an average of $561 per month (over $6,700/year) on private health plans purchased through MNsure.”

via Your Health Idaho (this is actually from Sept. 30th):

Preview Your 2025 Health Plan

There is no doubt about it—fall is here. Many of us take this time to wind down from the summer’s excitement and start preparing for the upcoming year. While it may not be the most thrilling task, health insurance is one of the most important things you can plan for every year.

Starting October 1, you can visit yourhealthidaho.org to preview 2025 health plans. During this period, you can window shop for health insurance plans without logging in to an account or filling out an application. Previewing plans can give you confidence in your future decision and the freedom to thoroughly review your options.

Back in late August, Covered California issued a formal press release stating that average 2025 rate increases for individual market policies would average 7.9% statewide.

However, that was actually only for the preliminary rate filings. In addition, at the time I only had access to California's on-exchange individual market enrollment data, so I had to guess at the off-exchange numbers.

The small group market was more frustrating: I only had enrollment data for about 1/3 of the carriers; the rest had redacted their enrollment information. This meant I couldn't even guess at a weighted average rate change.

Fortunately, my friend & colleague Louise Norris reminded me that California has, in addition to their official Insurance Department, a second insurance regulatory body, the Dept. of Managed Healthcare, which has its own database of individual, small group and large group market rate filings.

Originally posted 9/12/24

via the Pennsylvania Insurance Dept:

PID is working with insurers to review proposed changes to ensure rates are adequate and fair.

 Harrisburg, PA – The Pennsylvania Insurance Department (PID) today announced that 2025 rate changes requested by insurance companies currently operating in Pennsylvania's individual and small group markets are now available online. This initiative upholds the Shapiro Administration's commitment to providing consumers with the information they need when shopping for health insurance. 

Rate filings for 2025 health insurance plans were submitted to PID on May 15, 2024. Ever since, PID has been working with insurers to review these insurance companies' proposed rate changes, as rates vary by plan and region and are subject to change by the Department to ensure rates are adequate and fair. Final approved rates will be made public in the fall. 

via Nevada Health Link (from Oct. 1st):

Nevadans can now “window shop” online to view and compare health insurance plans ahead of Open Enrollment starting November 1

CARSON CITY, Nev. (Oct. 1, 2024) – In preparation of Nevada’s 2025 Plan Year Open Enrollment Period, Nevadans can now explore and compare health insurance plans on NevadaHealthLink.com. The Open Enrollment Period begins on Nov. 1, 2024, and continues through Jan. 15, 2025. Throughout October, Nevadans can check plan rates and assess eligibility for federal assistance to help reduce the cost of monthly premiums; nearly 9 out of 10 Nevada Health Link enrollees qualify for financial help on their premiums. All plan options and rates can be viewed using the “window shopping” feature on enroll.NevadaHealthLink.com.

via Maryland Health Connection (this is actually from Oct. 1st):

BALTIMORE (Oct. 1, 2024) – Marylanders can now preview 2025 health plans and prices on MarylandHealthConnection.gov, the state’s online health insurance marketplace. Use the “Get an Estimate” tool to compare health plans and savings.

Open enrollment to sign up for a 2025 health plan runs from Nov. 1, 2024 through Jan. 15, 2025. New this year, Marylanders can enroll in plans from Wellpoint Maryland, Inc. Other insurance companies include: Aetna, CareFirst, Kaiser Permanente, and UnitedHealthcare. Vision and dental plans also are available.

“Health insurance makes an impactful difference in the lives of Marylanders every day," said Michele Eberle, executive director of the Maryland Health Benefit Exchange. “With savings through Maryland Health Connection, health care is within reach. In fact, 9 out of 10 Marylanders who enroll get financial help with their health coverage.”

via Jonathan Cohn at Huffington Post:

Democratic presidential nominee Kamala Harris on Tuesday proposed a major new initiative: expanding Medicare to cover the cost of long-term care at home.

Such a plan could mean the option of staying at home, rather than in a nursing facility, for the millions of seniors and people with disabilities who need help with the daily tasks of life.

It could also mean physical and financial relief ― and new opportunities for school or work outside the home ― for the millions of working-age Americans who today provide so much of that care on their own without much in the way of outside assistance.

If the proposed legislation is enacted, such a program would represent a substantial boost in federal support for caregiving and, by any measure, one of the largest one-time increases in American history.

Mississippi is one of the 10 states which still hasn't expanded Medicaid to all residents earning up to 138% of the Federal Poverty Level (FPL) under the Affordable Care Act. If they did so, up to 123,000 uninsured residents would gain healthcare coverage, while up to another 180,000 who are currently enrolled in zero-premium ACA exchange plans would be transferred over to Medicaid instead.

However, it turns out that the Magnolia State does at least have a much smaller Medicaid expansion program called "Healthier Mississippi:"

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