Open Enrollment for 2023 Health Insurance Begins October 15
Idahoans can now determine their tax credit and shop for a plan within minutes.
BOISE, Idaho – Open Enrollment for health insurance in Idaho starts tomorrow, October 15. Idahoans can enroll in 2023 medical and dental coverage through Your Health Idaho, the state’s health insurance exchange. For the first time ever, Idahoans will be able to apply for a tax credit and health insurance on the same application and find out if they qualify within minutes. The new technology is designed to improve Idahoan’s health insurance shopping experience.
Florida state law gives private corporations wide berth as to what sort of information, which is easily available in some other states, they get to hide from the public under the guise of it being a "trade secret."
In the case of health insurance premium rate filing data, that even extends to basic information like "how many customers they have."
Hmmmm...Vermont's filings are usually pretty easy to average because a) they don't redact any of their filing data; b) they make the forms easy to access; and c) they only have two insurance carriers operating in the individual or small group markets anyway (in fact, it's the same two carriers in both markets).
Back in May, the preliminary individual market rate filings were +12.3% for Blue Cross Blue Shield of Vermont and +17.4% for MVP, for a weighted average increase of 14.7%, while the small group filings averaged out to +14.6%.
As I (and many others) have been noting for many months now, the official end of the federal Public Health Emergency (PHE), whenever it happens, will presumably bring with it reason to celebrate...but will also likely create a new disaster at the same time:
What goes up usually goes back down eventually, and that's likely to be the case with Medicaid enrollment as soon as the public health crisis formally ends...whenever that may be.
Well, yesterday Ryan Levi and Dan Gorenstein of of the Tradeoffs healthcare policy podcast posted a new episode which attempts to dig into just when that might be, how many people could be kicked off of the program once that time comes and how to mitigate the fallout (I should note that they actually reference my own estimate in the program notes):
Georgia's health department doesn't publish their annual rate filings publicly, but they don't hide them either; I was able to acquire pretty much everything via a simple FOIA request. Huge kudos to the GA OCI folks!
A few years ago, Georgia's GOP Governor, Brian Kemp, put in a request to the Centers for Medicare & Medicaid Services (CMS) for what's known as a Section 1332 State Innovation Waiver. If approved, these waivers allow individual states to modify how the ACA operates in their state as long as they can prove that the changes would a) cover at least as many residents b) at least as comprehensively without c) increasing federal spending in the process.
Covered California Executive Director Jessica Altman commended President Joe Biden’s administration for finalizing the proposed fix to the “Family Glitch,” an issue that had prevented millions of Americans with unaffordable employer health insurance from getting marketplace coverage through the Affordable Care Act.
“Covered California supports this proposed rule change, which will build on the Affordable Care Act’s vision and intent to expand access to affordable health insurance, by opening the door of coverage to millions of Americans.
This is a new era for the Affordable Care Act, as Covered California prepares to enter its 10th open enrollment period, with increased financial help available for those who need coverage as well as our 1.7 million enrollees.
Via the SERFF database, it looks like Rhode Island's two individual market carriers have had their 2023 individual market rate changes finalized. Blue Cross Blue Shield is increasing rates lower than they originally requested (3.1% instead of 9.6%), while Neighborhood Health Plan rates are increasing more than they originally asked for (8.3% vs. 6.9%).
Overall weighted average increase: +6.1%, down from +8.0%.
Unfortunately I can't find the final rate change filings for the small group market yet.
Salem – People who purchase their own health insurance, as well as those in the small group market, can view the final rate decisions for the 2023 health insurance plans, which have been released by the Oregon Division of Financial Regulation. The division reviews and approves rates through a detailed and transparent process before they can be charged to policyholders.
The division conducted a rigorous review, including holding public hearings and taking public comments, to reach the final decisions. The division published preliminary decisions in July before the public hearings. In the public hearings, members of the public, health insurance companies, and the division have the opportunity to further review and analyze the preliminary decisions.
The Montana Insurance Dept. has published the final/approved (unsubsidized) premium rate changes for 2023 in both the individual and small group markets:
Insurance companies offering individual and small group health insurance plans are required to file proposed rates with the Montana State Auditor’s Department of Insurance for review and before plans can be sold to consumers.
What is a rate review?
The rate review process, established by the Montana Legislature in 2013, does not give the Commissioner the authority to disapprove rates or prevent them from taking effect. It does give the commissioner the chance to review the factors insurance companies use in setting rates.
If the commissioner finds a rate increase to be excessive or unjustified, the insurer can voluntarily lower the rate increase. If the insurer decides to use the rate anyway, the commissioner will issue a public finding announcing that the rate is unjustified.
