New Mexico: @NMHIX & NM Insurance Dept. publish annual marketplace report

via BeWell NM, New Mexico's state-based ACA exchange:

The annual report, as mandated by the 2021 New Mexico Statutes Chapter 59A, Article 23F, Section 59A-23F-10, and compiled jointly by beWellnm, New Mexico’s Health Insurance Exchange, and the New Mexico Office of the Superintendent of Insurance (NM OSI), offers a comprehensive analysis of various key aspects. These include the individual health insurance market, both on- and off-Exchange enrollment, small business enrollment, qualified health plan pricing, outreach and enrollment assistance activities, as well as strategies aimed at addressing the challenge of the remaining uninsured population in New Mexico.

Overview of the Individual Health Insurance Market

During the 2022 Plan Year, New Mexico had a robust individual health insurance market participation on and off New Mexico’s Health Insurance Exchange, beWellnm. Carriers offered a range of health insurance options, which included 68 medical and 8 dental plans. These offerings included corresponding zero cost-sharing plans, Native American plans, and cost- sharing reduction (CSR) plan variants on the Exchange. Additionally, off the Exchange, there were 77 medical plans available, both mirrored and non-mirrored. All coverages in the individual market fully complied with all state and federal laws applicable to Qualified Health Plans (QHPs).

Carriers offering on- and off-Exchange QHPs:

• Friday Health Plans of Colorado, Inc.
• Health Care Service Corporation, a Mutual Legal Reserve Company, (DBA BCBSNM)
• Molina Healthcare of New Mexico
• Presbyterian Health Plan, Inc.
• True Health New Mexico
• Western Sky Community Care, Inc.

Carriers offering on- and off-Exchange Qualified Dental Plan coverage:

• BEST Life and Health Insurance Company
• Health Care Service Corporation, a Mutual Legal Reserve Company

On-Exchange Enrollment Summary Data

Overview of the Small Group Health Insurance Market

During the 2022 Plan Year, New Mexico carriers offered 27 medical and 6 dental plans on-Exchange through beWellnm and offered 146 medical and 6 dental mirrored and off- Exchange-only plans.

Carriers offering on- and off-Exchange Small Group Qualified Health Plans:

• Friday Health Plans of Colorado, Inc. – off-Exchange only
• Health Care Service Corporation, a Mutual Legal Reserve Company,
• (DBA BCBSNM) – off-Exchange only
• Presbyterian Insurance Company, Inc.
• Presbyterian Health Plan, Inc.
• True Health New Mexico
• United Healthcare Insurance Company, Inc. – off-Exchange only

Carriers offering on- and off-Exchange Small Group Qualified Dental Plan Coverage:

• • Best Life and Health Insurance Company

Off-Exchange Enrollment:

• Individual – 8,924
• Small Group – 42,278

OSI QHP Pricing

2022 plans experienced 9.53 percent average rate increase for on-Exchange plans in the individual market and 16.69 percent in the small group market. Off-Exchange-only small group rates increased only by 2.69 percent.

(there's some additional small group market charts which wouldn't fit on this site)

Outreach and Enrollment Assistance Activities

BeWellnm has historically contracted communications and outreach work to a prime vendor and sub-vendors. In 2022 the Exchange was gearing up for the Medicaid Unwinding and preparing messaging for an outreach campaign.

While preparing the Exchange continued to focus on routine messaging and event tactics and structure. The vendor held in-person enrollment events and most of the outreach centered on the open enrollment time period. 2022 was a successful enrollment period with a 22.6% increase in those getting coverage through the Marketplace.

Looking Forward:

BeWellnm will be ending its prime vendor model in 2023. The organization will also split communications and outreach to have dedicated directors of each division to ensure a more robust emphasis on strategies and tactics.

The Remaining Uninsured in New Mexico and Strategies to Reach Them

BeWellnm plans to move away from the traditional outreach model under a prime vendor. Consumers continue to evolve with how and when they want to interact with our services and therefore we must also evolve. In the coming years a greater focus and emphasis will be placed on the following modalities:

• Text messaging
• Virtual events
• Chat functionality
• Improving the online experience
• Sponsorships at relevant events

In addition, the exchange will be placing a greater emphasis on in-house expertise and with- drawing from the prime vendor model. We believe this will allow for a quicker and more proactive approach to messaging to consumers. There will also be a focus on updating our website and expanding the roles of those in the call center to support enrollment over the phone.