Charles Gaba's blog

ACA Signups Logo

via the Centers for Medicare & Medicaid Services:

Nearly 16 Million People Have Signed Up for Affordable Health Coverage in ACA Marketplaces Since Start of Open Enrollment Period

  • This record-breaking enrollment represents a 13% increase over last year, including over 3 million people new to the Marketplaces.
  • Open enrollment continues through January 15

Today, the Biden-Harris Administration announced that about 15.9 million people have selected an Affordable Care Act (ACA) Marketplace health plan nationwide since the start of the 2023 Marketplace Open Enrollment Period (OEP) on November 1. This represents activity through January 7, 2023 (Week 10) for the 33 Marketplaces using and through December 31, 2022 (Week 9) for the 18 State-based Marketplaces (SBMs) in 17 states and the District of Columbia that are using their own eligibility and enrollment platforms. Total plan selections include 3.1 million people (20% of total) who are new to the Marketplaces for 2023, and 12.8 million people (80% of total) who had active 2022 coverage and made a plan selection for 2023 coverage or were automatically re-enrolled. About 1.8 million more people have signed up for health insurance, or a 13% increase, from this time last year.

Pennie Logo

via Pennie, Pennsylvania's state-based ACA exchange:

Pennie urges all Pennsylvanians without health coverage to visit to access affordable monthly premiums on high-quality plans for their 2023 coverage.

Philadelphia, PA – Pennsylvania Insurance Department and Pennie officials joined leaders at the Health Annex in Philadelphia to remind Pennsylvanians that the final deadline for 2023 health coverage through Pennie, Pennsylvania’s official online health insurance marketplace, is January 15. This marks the final opportunity to access affordable monthly premiums on quality health coverage that begins February 1.

Amid rising costs of services, including healthcare services, Pennie helps keep costs down by providing qualified customers with savings on their monthly cost of coverage. Savings on coverage is available to most Pennie customers, nine out of 10 qualify and on average, receive over $500 a month in premium savings.

Braying Donkey

It's been over a year and a half since I've paid much attention to #ShortAssPlans...officially "Short-Term, Limited Duration" healthcare policies.

As a reminder (via the Kaiser Family Foundation):

Short-term, limited duration (STLD) health insurance has long been offered to individuals through the non-group market and through associations. The product was designed for people who experience a temporary gap in health coverage.1 Unlike other products that are considered “limited benefit” or “excepted benefit” policies – such as cancer-only policies or hospital indemnity policies that pay a fixed dollar benefit per inpatient stay – short-term policies are generally considered to be “major medical” coverage; however, short-term policies are distinguished from other comprehensive major medical policies because they only provide coverage for a limited term, typically less than 365 days. Short-term policies are also characterized by other significant limitations, including the types of services covered, often with a dollar maximum.

A few months back, like millions of other Twitter users after the platform was taken over by Elon Musk, I turned to the open source, federated social media platform Mastodon as an alternative. While Mastodon is definitely undergoing some growing pains, for the most part I'm pretty happy with much so that I've actually signed on as a monthly Patreon supporter of the founder & primary instance administrator Eugen Rochko.

Unfortunately, last night I received an email notice which illustrated one of the key problems with Mastodon--a problem which, as it happens, is also at the core of Twitter's current woes: Content moderation policies & enforcement.

Here's the email I received:

Subject: Your posts on have been removed

Posts removed

Nevada Health Link Logo

via Nevada Health Link:

Nevadans have until January 15 at 11:59 p.m. to enroll in health and dental plans for 2023

WHAT: Less than one week remains to enroll in qualified, affordable health and dental coverage through, the online health insurance marketplace operated by the state agency, the Silver State Health Insurance Exchange (Exchange). Open Enrollment began on November 1, 2022 and ends on January 15, 2023 at 11:59 p.m.

90% of Nevadans who shop for plans through Nevada Health Link qualify for premium tax credits to help lower the costs of monthly premiums. Nearly half of all Nevadans with plans through Nevada Health Link have plans under $100 per month.

Since November 1, 43,546 Nevadans have actively enrolled or re-enrolled in one of the Exchange’s 163 Qualified Health Plans (QHP) for Plan Year 2023.

MNsure Logo

via MNsure, Minnesota's ACA exchange:

ST. PAUL, Minn.—MNsure, Minnesota’s health insurance marketplace, encourages consumers to be aware of scams targeting Minnesotans who need health insurance during the open enrollment period that runs through January 15, 2023. Scammers may use high-pressure phone calls or misleading websites to obtain personal information or try to fool Minnesotans into purchasing products that do not provide comprehensive coverage.

For example, if you search for "MNsure" online, you may see ads or websites that appear to be the official MNsure website but are not. Some of these sites collect your contact information and may bombard you with phone calls. Scammers also may claim they can find you a better plan for less money or threaten that your coverage will be discontinued if you don’t re-enroll.

Here are four tips to verify you’re working with MNsure and purchasing comprehensive health care coverage:


Thanks to the American Rescue Plan & Inflation Reduction Act, residents of every state + DC who earn less than 150% of the Federal Poverty Level (FPL), around $20,400/yr for a single adult, is eligible for a $0-premium "Secret Platinum" plan. If they earn between 150 - 200% FPL (roughly $27,200/yr), they're eligible for a slightly less-generous "Secret Platinum" plan with premiums less than 2% of their income (just $45/month for a single adult).

As I explained here, while Silver ACA plans normally only cover around 70% of the average enrollees' medical expenses (in aggregate), the ACA's "Cost Sharing Reduction" (CSR) subsidies mean that eligible enrollees who select "CSR Silver" plans will actually have 94% of their expenses covered for the < 150% crowd and 87% of their expenses covered for the 150 - 200% crowd.

Since Gold plans cover around 80% of expenses & Platinum plans cover roughly 90%, this means that "CSR Silver" is effectively "Secret Platinum" plans for anyone earning less than 200% FPL.

Access Health CT Logo

Via Access Health CT's News/Press Releases page:

Stats as of January 6, 2023

Qualified Health Plans (QHP):

  • QHP Enrollment In 2023 Coverage: 104,658
  • 2022 OE Acquisition Summary: 16,591


  • Completed applications/ redeterminations processed through the integrated eligibility system: 21,893

I've never been entirely sure what the "Acquisition Summary" figure refers to, but I've confirmed that it's already included in the larger number.

NOTE: According to Ted Doolittle, official Connecticut Healthcare Advocate:

Not 100% sure, but I think "acquisition" means entirely new folks, who haven't had an AccessHealth plan in the past 2-3 years.

MNsure Logo

via MNsure, Minnesota's ACA exchange:

ST. PAUL, Minn. — Want to get healthy or stay well in 2023? Start the year off right by adding “get covered” to your new year’s resolutions and signing up for comprehensive health insurance through MNsure, where Minnesotans choose medical and dental coverage. January 15, 2023, is the last day of Minnesota’s open enrollment period and the deadline to enroll in health coverage that begins on February 1.

Getting covered ensures that you can access the health care you need throughout the year, putting you one step closer to achieving your new year’s health and wellness goals. All plans sold through MNsure are guaranteed to cover a list of essential health benefits that includes prescription drugs, emergency services, and preventive care like flu shots and cancer screenings.

BeWellNM Logo

via BeWell NM, New Mexico's ACA exchange:

2023 Open Enrollment Report

This report provides a summary of information for week one of the beWellnm health insurance individual Marketplace Open Enrollment Period for plan year 2023 (OEP 2023). The report contains data from the beWellnm eligibility and enrollment platform for OEP 2023, and includes an overview of the following:

  • plan selections
  • new enrollees
  • enrollees renewing coverage
  • Customer Engagement Center call volumes
  • website traffic


This section contains enrollment data through December 31, 2022.

1. Total Plan Selections (net): Count of unique individuals who have selected a Plan Year (PY) 2023 Marketplace medical plan. Count includes all new and re-enrolling consumers (defined in Indicators 2 and 3), regardless of whether the consumer has paid the first month premium. Count does not include plans that were canceled or terminated.: 38,150