Charles Gaba's blog

Morning Consult has released the results of an interesting survey about 2016 Open Enrollment attitudes/intentions:

Premiums are slated to rise steeply next year for health plans across the board. Yet almost half of voters who have health coverage under Obamacare say they will keep their current plan through 2016, according to a new Morning Consult online poll.

The findings could be a worrying sign for the Obama administration, which is urging people who buy their insurance on state or federal exchanges to shop around for new plans to avoid premium increases. But the results could also be seen as a positive sign for Obamacare, generally. Half of enrollees are satisfied with their current plan and another one-third are comfortable enough with the online exchanges to look for cheaper coverage, as intended.

Since today's just filled with wonderful news for 418,000 Kentucky residents who are very likely to lose Medicaid coverage, I figured I might as well toss this on the fire as well:

It appears that East Lansing-based Consumers Mutual Insurance of Michigan could wind down operations this year as it is not participating in the state health insurance exchange for 2016.

But officials of Consumers Mutual today are discussing several options that could determine its future status with the state Department of Insurance and Financial Services, said David Eich, marketing and public relations officer with Consumers Mutual.

Consumers Mutual CEO Dennis Litos said: "We are reviewing our situation (financial condition) with DIFS and should conclude on a future direction this week.”

The population of Kentucky is just over 4.4 million people.

The number of Kentuckians enrolled in Medicaid specifically due to the Affordable Care Act's expansion provision is just over 400,000 people (418K to be precise, according to Emma Sandoe, who used to work for CMS).

By my math, that's a bit over 9% of the entire state's population which--assuming Republican Governor-elect Matt Bevin keeps his vow from the campaign--is about to be kicked off of Medicaid.

Wil Wheaton said it best: 

Oh, Kentucky. You really fucked up today.

— Wil Wheaton (@wilw) November 4, 2015

Ultimately, the blame lies with the voters for failing to care about their own interests, but I do want to say one thing about Democratic candidate Jack Conway's campaign.

Last week I noted that according to the official enrollment data for 8 of the state-based exchanges, effectuated QHP enrollment as of September 30th had actually increased 2.7% since June 30th (or, at worst, down only 0.1% if you don't include Massachusetts, which has special circumstances):

Last month, HealthCare.Gov announced that they'd be including several handy new tools in their Window Shopping database. Some are working already, but a few were held back due to not having all the kinks worked out yet. One of those is the much-needed "In Network" tool, to make sure that your preferred doctors, hospitals, specialists etc. are all covered by whichever policy you're interested in for 2016.

Today, the CMS kind of, sort of announced that the Network Lookup tool is kind of, sort of ready to go:

HealthCare.gov Pilots New Doctor Lookup Feature

Beginning today, HealthCare.gov is piloting a new beta feature that allows consumers to search plans by their preferred provider or health facility. Some consumers will be part of a pilot that allows them to use the beta Doctor Lookup feature as they compare their coverage options in window shopping or when selecting a plan.

IMPORTANT: If you're enrolled via Health Republic of New York and have questions about your situation, call this hotline: 855-329-8899

I don't know who's to blame for this. It could be the management of the about-to-be-defunct Health Republic of NY CO-OP. It could be someone at the NY State of Health ACA exchange. It could be someone at the NY Dept. of Financial Services. Perhaps it's all three.

What I do know is that this situation, which was already unacceptable several days ago...

This is basically a mini, state-level version of the "Shop Around & Save $51/month" press release from the HHS Dept. the other day.

MNsure, the Minnesota ACA exchange (which isn't included in the HC.gov analysis above, of course), just posted their own independent analysis of their 2016 rate offerings, and while the picture is pretty ugly for current enrollees who don't shop around, it's actually pretty damned good for those who do so:

Just moments ago, HHS Secretary Sylvia Burwell tweeted out the following:

Open Enrollment: 1st two days → 250K applications submitted to #GetCovered.

— Sylvia Burwell (@SecBurwell) November 3, 2015

This is a good sign, believe me. HOWEVER, it's important to remember that applications are NOT enrollments, and in fact are not even plan SELECTIONS, which is the main number that I'm keeping track of here.

An application simply means that someone either created an account and filled out their personal info (name, address, age, social security number, etc) or that someone with an existing account updated their personal info (income changes, new baby, whatever) and re-submitted it to the HC.gov website.

Every year, plenty of people (including reporters who should know better) confuse applications with plan selections.

My attempt to boil down the overall, weighted-by-market-share, national average 2016 individual market rate increases into a single percentage figure has received a lot of attention over the past few weeks, including not one but two citations from Paul Krugman of the New York Times, feature articles from Bloomberg News and the Huffington Post, and even a partly-mangled version from the right-wing Daily Caller.

I'm not name-dropping for the heck of it here; my point is that I've been a little jumpy about that particular projection (12-13% overall) getting so much attention because I honestly had no clue how accurate it was.

Just a quick hit here: Federal health officials approve Montana Medicaid waiver

HELENA, Mont. (AP) — Montana will become the 30th state to expand its Medicaid program after federal health officials on Monday approved provisions that include requiring beneficiaries to pay premiums that amount to 2 percent of their income.

Gov. Steve Bullock announced the Centers for Medicare and Medicaid Services' approval of the federal waiver needed for state officials to start enrollment this fall and begin coverage on Jan. 1.

The governor's office has said 70,000 people or more would be eligible for coverage under the expansion, but legislative fiscal analysts predicted about 45,700 would actually participate over the next four years.

Actually, if the past 2 years of Medicaid expansion in the other 29 states are any guide, Montana will probably hit 50-60K easily within the first year. Many other states ended up maxing out by the end of 2014.

Pages

Advertisement