Charles Gaba's blog

This may seem a bit antlclimactic after today's big California news...unless you happen to live in Maine.

A big shout-out to Amy Fried for the heads up re. this story about Maine's 2016 rate requests:

Most Mainers buying Affordable Care Act insurance will see modest increases in their premiums for 2016, below the national average and much lower than the double-digit increases projected in some cities by a recent study of initial rate filings.

About 80 percent of the 75,000 Mainers purchasing ACA marketplace insurance have a plan through Lewiston-based Community Health Options – formerly Maine Community Health Options. The ACA marketplace, operated on the Web as healthcare.gov, is where those without insurance – often part-time or self-employed workers – can obtain subsidized benefits.

This Just In...

FOR IMMEDIATE RELEASE Media Line: (916) 206-7777 July 27, 2015

COVERED CALIFORNIA HOLDS RATE INCREASES DOWN FOR SECOND CONSECUTIVE YEAR

Average Increase Is 4 Percent; Consumers Who Shop Can Lower Their Premium by an Average of 4.5 Percent

SACRAMENTO, Calif. — Covered California announced its rates for 2016 and unveiled which health insurance companies will be offering plans through the marketplace. The statewide weighted average increase will be 4 percent, which is lower than last year’s increase of 4.2 percent and represents a dramatic change from the trends that individuals faced in the years before the Patient Protection and Affordable Care Act.

When I last checked in on Pennsylvania's year-late-but-certainly-welcome addition to the ACA Medicaid expansion club, newly inaugurated Governor Tom Wolf was in the process of replacing his predecessor's poorly-conceived, overly-complicated "Conservative version" of the expansion program with "official" Medicaid expansion to up to 600,000 state residents. At the time (early May), they had hit roughly 250,000 people.

I'm happy to report that according to today's Pittsburgh Post-Gazette, the dust has settled on the transition, and enrollment has been on a tear, with the tally now standing at roughly 439,000 Pennsylvanians.

About 439,000 Pennsylvanians have enrolled in expanded Medicaid, which provides health insurance coverage to the poor and disabled, since the beginning of the year, according to figures released last week by the state’s Department of Human Services.

I posted this back in January, but given Mike Huckabee's comments yesterday (which he's actually using as an official campaign slogan today, I might add...)

...it seems appropriate to repost it today.

So, late last night the New York Times posted another story about Hillary Clinton's email which included this headline...

Criminal Inquiry Sought in Hillary Clinton’s Use of Email

...and this lede passage:

"...into whether Hillary Rodham Clinton mishandled sensitive government information on a private email account she used as secretary of state."

An hour or so later, they changed the headline to this...

Criminal Inquiry Is Sought in Clinton Email Account

..and the wording of the passage was changed to this:

"...into whether sensitive government information was mishandled in connection with the personal email account Hillary Rodham Clinton used as secretary of state."

(yes, this part is virtually identical to the Paul Ryan post from 12 days ago; that's kind of the point)

Via Wikipedia:

Japanese holdout

Japanese holdouts (残留日本兵 Zanryū nipponhei?, "remaining Japanese soldiers") or stragglers were Japanese soldiers in the Pacific Theatre who, after the August 1945 surrender of Japan ending World War II, either adamantly doubted the veracity of the formal surrender due to strong dogmatic or militaristic principles, or simply were not aware of it because communications had been cut off by the United States island hopping campaign.

They continued to fight the enemy forces, and later local police, for years after the war was over. Some Japanese holdouts volunteered during the First Indochina War and Indonesian War of Independence, to free Asian colonies from Western control despite these having once been colonial ambitions of Imperial Japan during World War II.

Over the past couple of months, the proposed 2016 individual & small business market premium rate filings have mostly been released. These are requests only, and have yet to be approved by state regulators in most states (Oregon and Kentucky are the only ones I know of which have actually approved theirs so far), but it at least gives us a general idea of where things are likely to stand next year.

One major exception to the above so far, however, has been California. The Golden State has been conspicuously absent in all of the 2016 Rate Review fuss so far. The rate review tool on their own insurance commissioner website only runs through 2015, and plugging in 01/01/2016 for California at HealthCare.Gov's rate review site brings up nothing either.

Thanks to Don Kramer for the heads up:

News Alert – July 23, 2015
Individual/Consumer Markets
What to Expect for 2106 Open Enrollment Plans

On Monday, the Texas Department of Insurance gave Blue Cross and Blue Shield of Texas (BCBSTX) the clearance to announce a change in retail product offerings for 2016. We wanted to share this information with you first.

...There are some changes in the plans we intend to offer in 2016. Most significantly, we won’t be offering our Blue Choice PPO insurance plans for our under 65 block of business going forward.

We intend to offer other products, on and off the Marketplace. A new product has been filed that we believe will give you a flexible choice for your clients. We will be able to share information about that product if and when it is approved by the Centers for Medicare & Medicaid Services (CMS) closer to open enrollment.

...Currently, we have about 367,000 individual Texas members who will have their PPO plan discontinued in 2016. This number fluctuates monthly.

Thanks once again to Louise Norris for doing the heavy lifting in the Aloha State:

Hawaii Health Connector offers individual plans from two carriers: BCBS’s Hawaii Medical Service Association (HMSA), and Kaiser Permanente.

For 2016, HMSA has proposed a 45.5 percent rate increase for their individual HMO plan, and nearly a 50 percent rate hike for their individual PPO plan (49.1 percent overall). The carrier justified their rate hikes based on claims costs, explaining that while virtually everyone in Hawaii was already insured, the uninsured pool – many of whom purchased new ACA-compliant plans – had significant medical needs.

Ouch. Yup, that's a pretty ugly requested increase, no way around it.

The following day, Kaiser proposed an 8.7 percent rate increase for their individual market policies.

Pages

Advertisement