Charles Gaba's blog

If some major development occurs I'll post it (and I'll probably be posting links to stuff via Twitter and Facebook here and there), but otherwise don't expect much in the way of site updates until next Thursday.

Meanwhile, thanks to Paul Krugman for his latest shout-out this morning!

UPDATE: Yeah, yeah, I saw the news about both Rubio and Walker releasing their "Obamacare Replacement Plans". As far as I can tell, they're both the same warmed-over crap that the GOP has been farting around with for 5 years now, a mish-mash of "Obamacare without the Obama part", with "selling across state lines" added and "regulations requiring insurance companies not to act like complete jerkfaces" removed. I'll probably write up something about it when I get back next week, but that's my initial reaction.

As I've noted before, "The Daily Signal" is a front site for the right-wing think-tank-turned-propaganda-machine Heritage Foundation.

In their latest bit of silliness, they've come up with a modified version of Sharyl "a stuck key on my computer means Obama is spying on me!" Attkisson's laughable butchering of math last year.

When Attkisson posted her phantom numbers, one of the biggest ways she came up with her phony tally of how many people have gained healthcare coverage was to simply ignore Medicaid expansion completely. Apparently Medicaid "doesn't count" as healthcare coverage for some reason or another (or perhaps it's the other way around: To conservatives, anyone who qualifies for Medicaid apparently "doesn't count" as a human being). As a result, she was able to lop off about 6.1 million newly enrolled Medicaid recipients at the time (this is now up to perhaps 10 million newly covered out of the 14.5 million or so who've been added to the Medicaid rolls since the ACA was enacted).

This time around, a "Melissa Quinn" has posted a 700-piece article which purports to blow the lid off the most shocking scandal of the decade:

Vermont was one of the earliest states to report their requested rate hikes back in mid-May. Due to Vermont's small size (both in total population as well as insurance providers...there's only two of them even operating on the individual markets), as well as their unique law requiring that all individual policies be purchased through the ACA exchange, they were also one of the easiest to calculate.

In addition, as far as I can tell, in Vermont, both the individual and small group markets are considered part of the same rate pool, although the market share differences between the two still resulted in slightly different weighted averages: 7.8% for the individual market, 8.1% for the small group market. These were slightly revised to 8.0% and 8.3% just prior to the review/approval process.

Yesterday the state regulators announced the final approved rates for both BCBSVT and MVP...and lo and behold, they've shaved off several points in both the individual and small group markets:

OK, now that I've gotten that out of my system, let's look at today's CMS report itself:

2015 Special Enrollment Period Report – February 23 – June 30, 2015

The next open enrollment period for Marketplace coverage begins on November 1, 2015 for coverage starting on January 1, 2016. Some people can sign up for health coverage outside of open enrollment, before November 1, because they qualify for a special enrollment period (SEP). A consumer can qualify for a SEP for such circumstances as loss of health coverage, losing Medicaid eligibility, changes in family status (for example, marriage or birth of a child), or other exceptional circumstances.

This snapshot provides information about consumers who selected a plan between February 23 and June 30, 2015 through the HealthCare.gov platform, which includes 37 states with Federally Facilitated Marketplaces, State Partnership Marketplaces, and supported State-Based Marketplaces.

Some Guy, July 29th:

Assuming my ballpark estimate of appx. 7,500 Off-Season QHP Selections Per Day is accurate, the grand total nationally should be breaking the 13 million milestone right about...now-ish (or at least sometime this week).

Some Guy, 10:45am this morning:

#ACASignups I'm pretty sure QHP selections just broke 13.1 million nationally: http://t.co/lNqkAw6WsX #ACA #Obamacare pic.twitter.com/U0fD2mTuMT

— Charles Gaba (@charles_gaba) August 13, 2015

YES, I KNOW ABOUT THE BIG CMS OFF-SEASON QHP REPORT released a couple of hours ago, and I'll be posting about that next, but I just got back from an end-of-summer camp carnival thing with my kid, and want to make sure I get Massachusetts crossed off the list first.

The Massachusetts Health Connector just held their monthly board meeting this morning, and have released the July dashboard report with a whole mess of demographic data for Baystate-obsessed nerds to revel in.

I've pasted screen shots of every page of the report below (and there's a link to the PDF version above), but here's the main takeaways:

  • Effectuated QHPs have reached 170.5K...a whopping 45,161 higher than at the end of Open Enrollment!

While the national effectuation number is likely only 2% or so higher today than it was in March (likely 10.4 million vs. 10.2 million), in Massachusetts it's 36% higher. There's two main reasons for this, both connected to "ConnectorCare", which is unique to Massachusetts. ConnectorCare consists of the same low-end Qualified Health Plans that anyone can purchase (ie, they're still counted as QHPs in the national tally), except that in addition to the federal Advanced Premium Tax Credits (APTC), enrollees in ConnectorCare also receive additional state-based financial assistance, making them even more attractive to enrollees. In addition, however, unlike "normal" APTC or Full Price QHPs, which are limited to the official open enrollment period for most people, ConnectorCare enrollment, like Medicaid/CHIP, is open year round. That makes a dramatic difference, as you can see below; over 85% of the net QHP enrollment increase since March is thanks to ConnectorCare additions.

  • In addition, MA is the only state I know of which actively reports their attrition numbers--that is, so far this year they've had just 16,631 people drop their QHP policies, meaning a total of 187,194 people have selected a plan and paid at least their first monthly premium.
  • Assuming a 90% payment rate (confirmed for Massachusetts back in April), this also suggests that the cumulative QHP selection total should be roughly 208,000 people to date, which is only significant to me and The Graph.

But wait, there's more! Look below and you'll see a whole mess of pie charts, bar charts and line charts, breaking out everything from Metal Level selections and Market Share by Provider to SHOP enrollments (5,302 lives covered as of August 1st) and even Dental Plans!

Data nerds, go nuts!!

Minnesota's troubled MNsure exchange continues to quietly roll along through the off-season...

Cumulative QHP selections are up 1,093 since July 14 (42 per day), 2,937 since June 14 (52 per day), 5,059 since May 14 (58 per day) and 9,355 since the end of Open Enrollment on 2/21/15...or about 55 per day). Things have gradually slowed during the off-season, but not by much.

In just the last month they've also beefed up their Medicaid enrollment tally by over 16,800 and added 3,800 more to MinnesotaCare.

This report also gives some important additional stats, such as:

IMPORTANT: See this detailed explanation of how I've come up with the following estimated maximum requested weighted average rate increases for this state.

As explained in the first link above, I've still been able to piece together rough estimates of the lowmid-range and maximum possible requested average rate increase for the Arkansas individual market. Note: While the table & methodology for Arkansas are the same as most of the other states I've posted on, there's one important difference here; see below for details:

Again, the full explanation is included here.

Today's the aniversary of my dad passing away. He was an Osteopathic physician, so today's Big News® would make him very happy, but I have to keep things short today so just a quick write-up:

The Centers for DIsease Control just released their latest big insurance coverage survey.

As I noted when CDC released the full-year 2014 NHIS back in June (which covered the full calendar year 2014):

Health and Human Services Secretary Sylvia M. Burwell announced today $169 million in Affordable Care Act funding to 266 new health center sites in 46 states, the District of Columbia and Puerto Rico for the delivery of comprehensive primary health care services in communities that need them most. These new health center sites are projected to increase access to health care services for over 1.2 million patients. These awards build on the $101 million awarded to 164 new health center sites in May 2015.

Pages

Advertisement