OK, there's a lot of confusion (including some by myself) about the whole "saving money" issue with regard to Matt Bevin shutting down Kentucky's kynect exchange. I've discussed it with Louise Norris, and I think the situation is as follows:
Currently, kynect's $28 million annual budget is covered by a 1% fee charged to all premiums for everyone on individual policies (on or off exchange), small group policies and large group policies.
Kentucky has roughly 4.4 million people. Of these, around 9% are still uninsured, 27% are on Medicaid (much of this thanks to ACA expansion!) and at least 18% are on Medicare (800K as of 2012, more today). That means that no more than 46% of the state's population is currently paying this 1% fee; it's likely around 40% doing so.
In other words, right now, as far as I can tell, around 1.8 million Kentuckians are paying roughly $16 per year to pay for Kynect.
FRANKFORT, Ky. - Following through on a campaign pledge, Gov. Matt Bevin has notified federal authorities he plans to dismantle kynect, Kentucky's health insurance exchange created as part of the Affordable Care Act.
In a Dec. 30 letter to Sylvia Burwell, secretary of the U.S. Department of Health and Human Services, Bevin said he plans to wind down the state health exchange and transition Kentuckians to the federal site, healthcare.gov, to shop for insurance under the law also known as Obamacare.
Louisiana Gov.-elect John Bel Edwards has set an ambitious timeline for a Medicaid expansion, saying he wants to have government-funded health insurance cards in thousands more people's hands by July 1.
...that's assuming the Republican-led Legislature doesn't try to throw up any roadblocks seeking to slow down an expansion effort.
Edwards, a Democrat who takes office Monday, said he would issue an executive order "within 24 hours from being sworn in" that starts the work required to expand Medicaid as allowed under the federal healthcare law. Health coverage for the people who would be eligible for the insurance under the expansion, he said, would begin July 1.
...The incoming health secretary estimated that about 300,000 people, mainly the working poor, would be enrolled for Medicaid under an expansion.
Just a quick reminder: This Friday, January 15th, is the deadline for people to sign up for healthcare coverage that starts on February 1st in most states:
The deadline for February coverage is Friday, January 15th in 46 states & DC.
The deadline for February coverage is Saturday, January 23rd in Massachusetts, Rhode Island and Washington State.
The FINAL deadline, for coverage starting in March in all states (& DC) is Sunday, January 31st.
Exceptions: Aside from the normal "off-season" Special Enrollment Period (SEP) for getting married, giving birth, etc., it's important to note that anyone who lost their coverage due to one of the dozen Co-Ops which shut down in December still has until March 1st to enroll (h/t to Amy Lotven for the reminder):
Everyone is posting various tributes to the late, great David Bowie today. Most will likely relate to Major Tom, Ziggy Stardust or Under Pressure.
For my part, I'm posting something a little different. Instead of anything from his music career, here's the clip of Bowie's brief but oddly appropriately-cast role as Pontius Pilate opposite Willem DaFoe in Martin Scorcese's "The Last Temptation of Christ".
Hey, remember back in October when I was deeply concerned about the 1.5 million taxpayers receiving APTC (Advance Premium Tax Credits) via ACA exchange policies last year who were at risk of losing those tax credits this year because they either didn't know they had to file a tax return, knew but didn't get around to doing so, or filed their taxes but forgot to fill out/include Form 8962?
Some readers may wonder why I, a lifelong Michigan resident who authors a website devoted to healthcare issues, haven't posted anything about my home state's latest shame, the Flint Water Poisoning scandal.
As of this week, Access Health CT announced it has more than 104,000 individuals enrolled in qualified health plans. That number could change during the final weeks of open enrollment and as existing customers renew coverage.
Lt. Gov. Nancy Wyman, who chairs the Access Health CT board, said the group is urging residents to check their healthcare coverage to make sure everything is correct for 2016. People without health insurance could face federal tax penalties.
...Access Health CT reported in late December over 34,000 new Connecticut customers had enrolled in health coverage since Nov. 1, on par with last year at this time. The new enrollment number represents 11,000 qualified health plan members and 23,000 Medicaid members.
One of the more obscure provisions of the ACA is the ability/funding for states to set up something called a "Basic Health Plan" for residents who are low income, but not that low income; it's sort of a "Medicaid Plus" program, in a way; here's the Kaiser Family Foundation's explanation:
The Patient Protection and Affordable Care Act (ACA) gives states the option to implement a Basic Health Program (BHP) that covers low-income residents through state-contracting plans outside the health insurance marketplace, rather than qualified health plans (QHPs). In March 2014, the Centers for Medicare & Medicaid Services (CMS) issued final regulations on the requirements for a BHP and the methodology for calculating federal payments to states. States can choose to implement BHP beginning in 2015.
I wrote about this last night as part of a larger piece, but the "Young Invincible Risk Pool" issue from yesterday's official Open Enrollment Report seems to be generating a lot of hand-wringing, so I decided to write something specifically about it.
One of the biggest concerns people have about the ACA exchanges is whether or not there are enough so-called "Young Invincibles" (ie, young adults aged 18-34 years old) in the market to help balance out the risk pool. The assumption is that "YI's" are considerably healthier than older folks, and therefore should help reduce the overall cost of medical services over the coming year. From an insurance carrier POV, it's a lot more profitable to have 10,000 healthy customers than 1,000 cancer or diabetes-ridden customers. In the past, of course, this meant that carriers would cherry-pick their enrollees; if they suspected you'd be a high risk customer, they'd simply tell you to go pound sand.
