Charles Gaba's blog

Washington HealthPlan Finder

via the Washington HealthPlan Finder:

Individual market open enrollment starts Nov. 1; preview available now on Washington Healthplanfinder 

  • New this year – all Washingtonians, regardless of citizenship status, will have opportunity to shop for and purchase qualified health and dental plans for 2024

Key Dates

I debated how to word the headline for this blog post. On the one hand, the press release itself includes some important information and some genuinely good news re. cost savings for Colorado residents. On the other hand, I couldn't get past how hilariously misleading the headline itself is, so I decided to use the sublede instead.

Via the Colorado Department of Regulatory Agencies:

Gov. Polis and DOI Announce 80% of Health Insurers to Decrease Premium Requests for 2024 and Increases Reinsurance Savings to $411M for Colorado Consumers

  • Nearly 20,000 more Coloradans could reduce deductibles to as low as $100.

DENVER - When it comes to health insurance, the Colorado Division of Insurance (DOI), part of the Department of Regulatory Agencies (DORA), makes sure that insurance companies are complying with the Affordable Care Act (ACA), as well as State law and our specific insurance regulations. Today, Governor Polis and the Division of Insurance announced 80% of health insurers will decrease premium requests for 2024.

Via the Colorado Department of Regulatory Agencies:

The most noteworthy developments below are that in addition to Friday, Oscar and Bright Health Plans all leaving the Colorado market (as documented/reported on several times earlier this year), Aetna and Humana both appear to be dropping out of the states small group market.

In any event, the weighted average increase being requested is 9.2% on the individual market and 8.4% for the small group market.

Michigan

Last month I noted that Michigan legislative Democrats were planning on passing a package of bills designed to repeal a bunch of restrictions on abortion & other reproductive healthcare:

Via Paul Egan of the Detroit Free Press:

Dems to end 24-hour abortion waiting period, ban on Medicaid funding of procedure

LANSING — Michigan Democrats said Wednesday they will repeal laws that require a 24-hour waiting period to have an abortion performed, impose what they say are costly and unnecessary regulatory burdens on abortion clinics, prohibit abortions funded by Medicaid, and ban private health insurers from automatically covering abortions under standard policies.

Michigan

Back in February, I posted an updated & overhauled version of my Michigan healthcare legislative wish list for the newly-elected Democratic majorities in my home states House and Senate.

The list includes 9 major items (some of which actually include a lot more than one provision within them). It really should include ten, since I forgot about implementing a Basic Health Plan program like New York and Minnesota have (and as Oregon is ramping up to do soon as well), but it's still a pretty full plate.

The second and third items on the list included:

via the Centers for Medicare & Medicaid Services (CMS):

October 16th: CMS approved a state plan amendment for Montana to extend postpartum coverage for a full year for individuals enrolled in Medicaid. The opportunity to extend postpartum coverage was made possible under the American Rescue Plan and made permanent in the Consolidated Appropriations Act, 2023. Montana’s approval marks 38 states, D.C., and the U.S. Virgin Islands that have extended postpartum Medicaid coverage for an entire year. This approval supports the CMS Maternity Care Action Plan and Biden-Harris Maternal Health Blueprint.

via KFF, the 12 states which haven't expanded postpartum Medicaid coverage to a full year include:

Arizona

The good news is that the federal Rate Review database has now posted the preliminary avg. 2024 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 2024 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:

ST. PAUL, Minn.—Minnesotans who need health insurance for 2024 can now preview plans through MNsure, Minnesota’s official health insurance marketplace. MNsure’s annual open enrollment period for health insurance begins November 1, and Minnesotans can get a jump start by going to MNsure.org to shop, compare options, and get a free and anonymous cost estimate.

“MNsure is the only place Minnesotans can compare health plans from multiple insurance companies, side-by-side,” said MNsure CEO Libby Caulum. “When you shop for health insurance through MNsure, you can be confident you’re getting the right plan, at the right price, for you and your family.”

With just three key pieces of information — where you live, who is in your household, and total household income — you can get an immediate estimate of how much money you could save by enrolling in a private health plan for 2024 through MNsure. And you can find out if any household members may be eligible for no- or low-cost coverage through Medical Assistance or MinnesotaCare.

via the Centers for Medicare & Medicaid Services (CMS):

Today, the Centers for Medicare & Medicaid Services (CMS) released the 2024 Star Ratings for Medicare Advantage (Medicare Part C) and Medicare Part D to help people with Medicare compare health and prescription drug plans ahead of Medicare Open Enrollment, which kicks off on October 15.

via the Centers for Medicare & Medicaid Services (CMS):

On October 12, 2023, the Centers for Medicare & Medicaid Services (CMS) released the 2024 premiums, deductibles, and coinsurance amounts for the Medicare Part A and Part B programs, and the 2024 Medicare Part D income-related monthly adjustment amounts. 

The Medicare Savings Programs (MSPs) help more than 10 million people with coverage of Medicare premiums and, in most cases, other cost sharing. In their continued efforts to improve access to health care and lower costs for millions of Americans, the Department of Health and Human Services (HHS), through CMS, recently finalized a rule to streamline enrollment in MSPs, making coverage more affordable for an estimated 860,000 people. In addition, the Part D low‑income subsidy (LIS) helps pay for the Part D premium and lowers the cost of prescription drugs. Further, the Inflation Reduction Act recently expanded the number of people eligible for full LIS.  

Medicare Part B Premium and Deductible

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