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.

Last week, I posted a major entry in which I painstakingly pieced together the current QHP enrollment data from 16 states in an attempt to extrapolate what the current national enrollment figure stood at as of October. Since last spring, the only data point that HHS had given out was that 7.3 million were enrolled as of August 15th; I was trying to calculate how many were still enrolled 2 months later, after adding "special life event" enrollments and subtracting people who dropped their policies for other assorted reasons.

In addition, there was the question how much the "3 month grace period", "citizenship/immigration data" and the "income data discrepancy" issues would contribute to the attrition rate, as people were dropped due to failure to continue payments or for not being legally eligible for the policies.

Yup, that's another 16,000 Michiganders who are royally hosed if the Republican Party gets their way and repeals the ACA. The total is now up to around 662,000 people state-wide if you combine Medicaid expansion and those receiving QHP tax credits:

Healthy Michigan Plan Enrollment Statistics

Beneficiaries with Healthy Michigan Plan Coverage: 449,949
(Includes beneficiaries enrolled in health plans and beneficiaries not required to enroll in a health plan.)

*Statistics as of November 10, 2014 

And the MNsure train keeps on rolling along...

Latest Enrollment Numbers

November 9, 2014

Health Coverage Type Cumulative Enrollments
Medical Assistance 234,698
MinnesotaCare 80,391
Qualified Health Plan (QHP) 55,879
TOTAL 370,968

That's another 66 QHPs and 1,784 Medicaid/MinnesotaCare enrollees from just November 5th through 10th.

Even with #OE2 staring them in the face, Minnesota continues to see more people trickle into private policies for December alone.

OK, with the HHS Dept. issuing this press release a couple of hours ago, I can now make one, final update to The Graph before the 2015 Open Enrollment Period (#OE2) kicks off.

As you can see, there are only cosmetic changes at this point. A week or so ago, I had estimated that the number of current QHP enrollees had likely dropped from 7.3 million as of 8/15/14 down to somewhere between 6.8 - 7.0 million. However, according to the HHS press release, the actual number "as of October" stood at 7.1 million. I don't know if that means the beginning, middle or end of October, but let's assume it's somewhere in the middle, or October 15th. [Update: HHS confirmed that this number does indeed run through 10/15].

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