Charles Gaba's blog

I haven't done these average-rate-increase posts in a while, but this one came across my screen today so I figured I should post about it.

Back in August, Washington State announced that they had final approved rates on the 90 plans being offered on the WA exchange, with an average increase of 1.9%. However, I didn't know what the market share breakdown was at the time, so I couldn't tell whether that was weighted or not.

Well, today they've issued a more comprehensive press release, covering both on- and off-exchange policies (230 total: 90 on the exchange, 140 off of it). The unweighted overall average increase is a mere 1.5%:

OLYMPIA, Wash. - Individuals and families looking for health insurance this fall have 15 insurers and 230 health plans to choose from, starting Nov. 15.

The average approved rate change was 1.5 percent. Originally, the insurers requested an average 8.3 percent increase, but it was lowered after a review by the Office of the Insurance Commissioner.

Bankrate, according to their website, is "the Web's leading aggregator of financial rate information, offering an unparalleled depth and breadth of rate data and financial content." I've never heard of them before, but this is certainly possible.

However, a few weeks back they published the results of a survey in which they concluded that 51% of those who used the ACA healthcare exchanges last year don't plan on doing so again this year. In short, they're making it sound like up to half of the 8 million people who enrolled through last April (7.1 million of whom were still enrolled as of October 15th) plan on bailing this time around. 

Naturally, various right-wing news outlets like TownHall and the Daily Caller pounced all over this survey, claiming (again) that this proves that Obamacare is dead, dead, deader than dead.

With all the Open Enrollment Period changes for 2015 (#OE2), it can get confusing to follow where you're supposed to go to buy an ACA-compliant healthcare policy this time around (especially if you qualify for tax credits to help pay for it, which includes a good 85% or so of the people enrolling). Two states moved from their own websites over to Healthcare.Gov; one did the opposite; and still others have a "split decision" where you visit one site for individual/family policies and another for small business policies.

Thanks to Zane Benefits for helping sort it all out; I've reformatted the info into an easier-to-follow table:

Over at The New Republic, Jonathan Cohn has a must-read which summarizes, state-by-state, just how ugly things could get if the Supreme Court 1) does indeed rule in favor of the plaintiffs in King v. Burwell; 2) does rule that all ACA tax credits in the 36 states not running their own marketplaces (or possibly as low as 34 or as high as 37, depending on how the court defines "NOT established by the state") have to stop immediately; and 3) neither my own "Denny's Grand Slam Breakfast" solution nor the "State Exchange Two-Step" workarounds end up coming to fruition.

How ugly? This ugly:

Those who signed up for insurance during the first year of health care reform may think they can avoid open enrollment this fall, but that may not be the best choice because of a tax credit formula in the federal law.

Since federal subsidies are based on a formula that reflects the cost of certain insurance plans, and those costs have actually gone down for 2015, some people will see the amount the federal government contributes toward their insurance go down as well.

More than 350,000 more Oregonians received subsidized or government-paid health coverage last year than the year before, due to expanded income standards for the Oregon Health Plan as well as new tax credits to reduce private health plan premiums.

Maryland officials say about 9,000 people have browsed for health insurance plans so far on the state's newly designed health care exchange website.

Carolyn Quattrocki, the exchange director, said Monday the website is working smoothly, and officials are pleased with the number of people who have started shopping. It opened on Saturday, ahead of Sunday's scheduled opening.

An architect of ObamaCare on Tuesday said he regretted his 2013 comment that a "lack of transparency" and the "stupidity of the American voter" helped Congress pass the healthcare law.
Massachusetts Institute of Technology Professor Jonathan Gruber made his first public comments on MSNBC after conservative media unearthed a video clip over the weekend of him discussing the healthcare law.

Those entering the marketplace to downgrade, upgrade or buy insurance for the first time will have to give it a little more thought. In addition to the expected complications of switching health insurance, the Department of Health and Human Services reports that consumers will have 25 percent more options this year. 

But that’s not the only thing that's changed. Consumers, doctors and insurance agents have all learned a lot over the past year. If you’re getting into the health insurance marketplace for the first time, here’s what’s important to know.

While we have made every effort to provide accurate information in these FAQs, people should contact the Marketplace or Medicaid agency in their state for guidance on their specific circumstances.

Smedsrud is chief executive of HealthCare.com, which holds a seemingly invaluable piece of Internet real estate these days. And he’s looking to make the most of it.

...If that sounds a lot like the government’s official portal for purchasing health care, that’s pretty much the idea. And it doesn’t look that different from HealthCare.gov. Stock photography of smiling people? Check. The promise to help someone find the right insurance plan for them? Yes.

My latest piece for healthinsurance.org is the second part of my explanation of why people shouldn't freak out about my estimate from a week ago that the current ACA QHP enrollment appearing to have dropped down to below the 7 million mark.

Of course, as it turns out, the actual QHP enrollment as of mid-October turned out to be around 7.1 million anyway, making some of my points moot, but they're food for thought since 7.1M is still less than 7.3M (which in turn, of course, is less than the 8.0M from April).

Anyway, check it out.

In the meantime, here's a video of a cat wearing a shark costume while riding a Roomba.

UPDATE: More specifically, Friday morning, probably between 8 - 9am.

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