When ass-half Matt Bevin was running for Kentucky Governor, he campaigned explicitly on wiping out the state's expansion of Medicaid to over 400,000 Kentuckians under the Affordable Care Act.
As election day actually approached, he began kind of, sort of walking this pledge back, making vague references to possibly shifting to some form of "waiver" version of Medicaid expansion, along the lines of several other states. These vary from fairly mild (small co-pays/nominal premium payments, as we have here in Michigan) to extremely confusing/complicated, as they have in Indiana:
As I noted last Tuesday, the Week Seven HC.gov Snapshot Report threw a bit of a curveball; while they did add most of the bulk auto-renewals to the total, they also stated that some unknown number had yet to be added. As far as I can tell, that number could be as low as 1...or (theoretically) as high as 680,000. My best spitball take is that it was somewhere around 150,000, which presumably have all been added to this week's report.
As for new enrollments, with Week Eight taking place a) entirely after even the extended deadline for January coverage and b) the same week as Christmas Eve and Day, I'm not expecting many to be added; perhaps 100,000 or so, for a grand total of roughly 250,000 for the week, which in turn would bring the cumulative total (for the federal exchange only) up to right around 8.50 million even.
NYC man sues health care provider Fidelis Care, says Obamacare gave him few options and insurer's site was 'plagued with errors'
Hmmm...OK, he's suing a private insurance corporation, saying that the private insurance corporation's website was error-plagued. So what part does the ACA play in this?
Trying to find a gynecologist for his wife on a New York state health care exchange gave a Manhattan lawyer a major headache.
In papers filed in Manhattan Supreme Court, Robert Neal Halpern says he and his wife were automatically enrolled in Fidelis Care after their previous Affordable Health Care Act insurer, Official Health Plan Marketplace, went belly-up in November.
Every time Covered California issues a press release, it's like Lucy pulling away the football from Charlie Brown; I always think that this time they're gonna finally let me know how many current ACA exchange enrollees have re-enrolled for 2016...but it never has that number included. Considering that it could potentially be as high as 1.3 million people, that's kind of a big deal (although I realistically expect the number to be somewhere between 1.0 - 1.2 million at most).
Covered California Highlights Major Health Insurance Changes for the New Year — New Penalties, New Requirements and, for Those With Coverage, Improved Benefits, More Options and More Access to Care
Now that we're past the official (and extended) deadlines for January coverage in most states, I no longer have to add the auto-renewal caveat for states which "pre-loaded" them such as Rhode Island, Connecticut and Massachusetts. Having said that, Rhode Island, which already had one of the later deadlines in the first place, just bumped it out even later...all the way out through tonight (12/29).
Having such a small population, Rhode Island's latest update doesn't have much impact nationally, but it's still worth noting the weekly trend (remember, today's update still doesn't include the final 3 days of their extended deadline):
INDIVIDUAL AND FAMILY ENROLLMENT As of December 26, 2015:
Some insurers said they were doing fine, and the biggest insurers reported solid 2014 profits.
...Mark Farrah Associates (MFA) has now published a review of 2014 medical loss ratio (MLR) data that implies that carriers in some states might have done a good job of setting premiums at a high enough level to generate underwriting gains.
Regular site visitors know that I spent several months last fall poring over various insurance carrier rate filings in order to patch together, as best as I could, a rough idea of the weighted average premium rate increases for each state (and nationally) based on the average rate hikes by individual carriers, weighted by their market share by effectuated enrollees.
This project was helped to some degree by the introduction of the HealthCare.Gov Rate Review Database, where you can easily search for different carriers by state/other criteria and find out what their average rate hikes (proposed and, later on, approved) will be for 2016.
Last week I asked "How many HC.gov auto-renewals are left to be added?" I noted that 5.86 million current exchange enrollees have been confirmed to have been renewed/re-enrolled via the federal exchange (71% of 8.25 million total), and that there could theoretically be up to 680K left to be auto-renewed, assuming that the currently-effectuated number is indeed still 9.1 million nationally:
The 9/30/15 number isn't what's relevant here; what we need to know is the December number. For that, HHS is still quite insistent that it'll end up being 9.1 million. While I was more optimistic earlier this year (I assumed it'd still be close to 9.7 million nationally as of now), it's pretty obvious that the attrition rate has indeed been higher than I figured, so I'll go with their 9.1 million.
If so, and assuming the federal-to-SBM ratio has remained the same, that suggests that as of December, HC.gov states are down to 6.54 million people as of today.
I finally found time to take my wife and son to see "Star Wars: The Force Awakens" over the weekend. It wasn't perfect, of course, but it was still amazingly good; easily better than the Godawful Prequels, and somewhat better than Return of the Jedi. I'd call it on par with the original (nothing can match Empire Strikes Back, of course).
Anyway, I've seen lamentations from a few people who are under the impression that they're "the only one" who hasn't seen it yet. However, aside from the simple fact that more than one person stating this means, by definition, that they're not the only one, perhaps this will make those folks feel better:
A week ago, American Enterprise Fellow and right-wing BS artist Scott Gottlieb (MD) tried to make it look like the 2016 Open Enrollment numbers were lagging behind last year by deliberately ignoring a) the 2-week enrollment period differential and b) the millions (at least 2.28 million) of auto-renewals which were added to the total just days after his claim.
While the number of auto-renewals ended up being a bit lower than I expected, they still brought the 2016 same-point comparison up from Gottlieb's claim of 36% behind 2015 to 25% ahead...with an unknown additional number of auto-renewals (I'm guessing around 150K) yet to be added over the next week or so.
