Charles Gaba's blog

Bret Baier

Fox News cited an unnamed "independent expert" to cast doubt on the veracity of recent Affordable Care Act enrollment numbers, which have exceeded 16 million Americans and are reported to have driven the largest reduction in uninsured persons in 40 years.

...On the March 16 edition of Special Report with Bret Baier, host Bret Baier briefly reported on the enrollment numbers, offering the unevidenced claim that "an independent expert says the reality is fewer than 10 million people have signed up."

I suppose I could write a lengthy screed explaining 8 ways from Sunday how utterly full of garbage that is (i.e., if you don't include Medicaid, don't include sub26ers on their parent's plan, don't include off-exchange enrollments and don't bother including the 14 states running their own exchanges), but really...why bother? FOX has literally pulled a number out of their ass here. I can do the same thing:

"FOX News claims that none of their on-air personalities have molested goats. But an independent expert says that at least 40% of them have."

Hey, remember this?

As open enrollment for the second year of the Affordable Care Act’s health coverage expansion begins, a clearer picture of 2015 health insurance rates has emerged.  As of November 4, 2014, seven states—Colorado, Maryland, New York, Ohio, Oregon, Rhode Island, and Vermont—as well as the District of Columbia announced approved rates for both on-exchange and off-exchange health plans on the individual market. In total, HRI has collected premium data from 43 states and the District of Columbia.

Among the seven states and DC with final rate announcements, the average premium (across metal tiers and ages) is about $344, and the average premium increase from 2014 is 3.5%. By contrast, the average premium increase across all reporting states is 5.6%, and the average premium is $381.

Arrrrrrgh!!! Rachel Karas has provided a helpful heads' up regarding the latest enrollment data out of the DC exchange:

.@DCHealthLink enrolled 91,934 people in QHPs, Medicaid, SHOP from 10/1/13 through 3/11/15, Director Mila Kofman said today. #acasignups

— Rachel S. Karas (@rachelkaras) March 18, 2015

When I asked for clarification, she broke out the numbers:

@charles_gaba 91,934 is 2.3% up from 89,852 you had as of 3/8. 21,826 QHP, 54,096 Medicaid, 16,012 SHOP. Where's your 18% from?

— Rachel S. Karas (@rachelkaras) March 18, 2015

The problem (and the "18%" she refers to) is this: According to the ASPE report, DC's official QHP selection tally as of 2/21/15 was 18,465 people.

The Kaiser Family Foundation has posted a very handy table listing how many people in each state are receiving federal tax credits for ACA exchange-purchased healthcare policies this year, how much those policies would cost (on average) at full price, and what the average tax credit in each state is.

I'm using their data to take this info one step further: If the Supreme Court does tear away the tax credits in states operating on the federal marketplace, just how many people would be screwed by the ruling as a result, both on and off the exchanges? Remember, studies by both the Urban Institute and the RAND Corporation agree that average individual market premiums would rise by at least 35% in those states (and potentially as high as 45% in all states) as a result of such a ruling. The American Academy of Actuaries is taking these projections very, very seriously.

THIS is why the GOP is in a panic over King v. Burwell...

Health care ruling could be a blow to Maine, N.H.

PEMBROKE, Maine — Jeremy Brown has made a living hunting scallops in unforgiving waters off the state’s far eastern tip, where doctor visits are often construed as signs of weakness.

But sometimes his back hurts. His son got sick. Like many in Maine’s coastal fishing communities, he begrudgingly accepted insurance offered to his family through the Affordable Care Act and has come to rely on a federal discount to keep it.

Now, that support may disappear for tens of thousands of families in Maine and New Hampshire.

...The Affordable Care Act, President Obama’s signature legislative achievement, was enacted in 2010 and GOP lawmakers have worked to kill it since. They object to the cost and consider it governmental overreach. But if the law gets uprooted without a viable replacement, Republicans could face a backlash.

Yeah, I know, not exactly an earth-shattering development, but it's a fairly slow news day ACA-wise, and everyone's spazzing out about Hillary Clinton's a) email brouhaha and/or b) her (supposedly) imminent official announcement about whether or not she's gonna run for President next year, so I figured this was worth a post:

Repeal of the ACA would let insurers write their own rules again, and wipe out coverage for 16 million Americans.

— Hillary Clinton (@HillaryClinton) March 18, 2015

In today's New York Times, William Baude, an assistant Law Professor at the University of Chicago, comes up with quite the eye-opener:

But luckily the Constitution supplies a contingency plan, even if the administration doesn’t know it yet: If the administration loses in King, it can announce that it is complying with the Supreme Court’s judgment — but only with respect to the four plaintiffs who brought the suit.

This announcement would not defy a Supreme Court order, since the court has the formal power to order a remedy only for the four people actually before it. The administration would simply be refusing to extend the Supreme Court’s reasoning to the millions of people who, like the plaintiffs, may be eligible for tax credits but, unlike the plaintiffs, did not sue.

Kaiser Health News correspondent Phil Galewitz, February 25th:

Do I have this right?--The GOP is upset the Obama admin does NOT have a contingency plan for their efforts to kill the health law subsidies?

— Phil Galewitz (@philgalewitz) February 25, 2015

Me, February 26th:

@philgalewitz @aawayne HHS *does* have a plan: "Convince @GOP to stop being royal dicks & either add 4 words to the law *or* set up SBMs."

— Charles Gaba (@charles_gaba) February 26, 2015

Avik Roy, today:

At this point, I've stopped even trying to come up with cutesy headlines. Michigan's ACA expansion program, for which supposedly only 477,000 people were supposedly eligible, now claims that over 588,000 Michiganders have enrolled in the program:

Healthy Michigan Plan Enrollment Statistics

Beneficiaries with Healthy Michigan Plan Coverage: 588,641
(Includes beneficiaries enrolled in health plans and beneficiaries not required to enroll in a health plan.)

*Statistics as of March 16, 2015 
*Updated every Monday at 3 p.m.

As I noted the other day, there may be a plausible explanation for this:

So, for a year and a half now, I've been plugging raw data into spreadsheets and meticulously tallying the health insurance comings & goings of pretty much every person outside of Medicare, traditional Medicaid, ESI and the Indian Health Service.

I've learned more about the different types of health insurance polices than I ever wanted to. Small group. Large group. Off-exchange. "Grandfathered" plans. "Transitional" plans. The Child Health Plus (CHP) program in New York (not to be confused with the Children's Health Insurance Program (CHIP). The Basic Health Plan in Minnesota (MinnesotaCare). HMOs. PPOs. EMOs. "Sub26ers". Different Metal Levels.

Pages

Advertisement