With 12 out of 23 ACA-created Co-Ops now having bitten the dust (or at least about to do so as of the end of the year...or sooner, in the case of Health Republic of New York), the Co-Op story has been pretty grim.

However, there has been some good news to report among some of the 11 Co-Ops which remain:

That leaves HealthyCT of Connecticut, which is, again, apparently chugging along just fine this year amidst the carnage:

Me, October 15th:

[assuming that everyone currently enrolled sticks with their current policy next year], no matter how I slice it, the national weighted average increase for 2016 seems to be somewhere between 12% - 13%.

As I noted a couple of weeks later:

My attempt to boil down the overall, weighted-by-market-share, national average 2016 individual market rate increases into a single percentage figure has received a lot of attention over the past few weeks, including not one but two citations from Paul Krugman of the New York Times, feature articles from Bloomberg News and the Huffington Post, and even a partly-mangled version from the right-wing Daily Caller.

I'm not name-dropping for the heck of it here; my point is that I've been a little jumpy about that particular projection (12-13% overall) getting so much attention because I honestly had no clue how accurate it was.

Over at SNL Financial, healthcare reporter Adam Cancryn has posted what looks to be the definitive history of the ACA Co-Op debacle, documenting everything which went wrong from the beginning up through today:

In late September, the handful of CEOs leading Affordable Care Act-funded consumer operated and oriented plans traveled to Denver in search of answers.

The past year had been a difficult one. Their companies were struggling, awash in red ink and facing a mounting list of operational challenges. A few co-ops had already shut down, and regulators were circling several more. The fledgling health insurers needed more support from the Centers for Medicare & Medicaid Services if they were going to survive. Most importantly, they needed a lot more money.

I know you're not supposed to repost entire articles, but this one is about as short & to the point as it gets. Go visit the Billings Gazette:

HELENA — Montana officials say about 5,500 people have signed up for Medicaid in the first week of expanded eligibility to the working poor.

Department of Health and Human Services Director Richard Opper announced the results of the initial wave of enrollments during a cabinet meeting Tuesday.

An estimated 70,000 people are eligible now that Medicaid has been expanded to people who earn up to 138 percent of the federal poverty level — $33,000 for a family of four.

 

That's about 8% of Montana's potential Medicaid expansion population in the first week. Not bad!

Feast your eyes, FOX News, Daily Caller, Breitbart, etc!!

Of course, there are a few caveats, which I'm sure you guys will be certain to include when you report on this:

UPDATE 11/11/15: I've gone back through and annotated both Fiorina and Jindal's statements this morning.

UPDATE x2 11/11/15: PolitiFact is using a bunch of my stats in their own thorough debunking of Fiorina's claims.

Wow! After 3 1/2 Republican debates spanning upwards of 13 hours or so (7 debates, actually, if you include the "Kiddie Tables" separately), a few hours ago FOX Business Channel's Maria Bartiromo finally asked a substantive question regarding the Affordable Care Act, and Carly Fiorina was the first Republican candidate to actually say anything substantive about it (note: I'm not counting the boilerplate "we need to repeal/replace Obamacare!" bits tossed on the plate like croutons by Marco Rubio and Jeb Bush).

The good news (relatively speaking) is that the 200,000-odd New Yorkers currently enrolled in about-to-be-defunct Health Republic NY Co-Op policies have been given an extra 15 days to find a new insurance provider (11/30 instead of 11/15), and that those who don't do in time will be automatically enrolled in a temporary (1-month only) policy with someone else to at least ensure coverage to tide them over through January. The temporary policy may or may not include their preferred doctors/hospitals, but it's better than having no coverage at all during the December gap period, anyway.

The bad news is that the hospitals & doctors who have been treating these folks until now may find themselves getting stiffed by the Co-Op's middle man, MagnaCare:

OK, it turns out I have found an early enrollment update for a third state. Connect for Health Colorado held their monthly board meeting today, and along with a full report on October 2015 enrollments, they also posted a Business/Technology presentation for 2016 Open Enrollment, which includes this slightly cryptic bullet point:

  • Enrollment Results 2016 = 6,718 (as of 11/8/15)

That seems pretty cut & dry. I've confirmed with the exchange that this number represents QHPs only; it doesn't include SHOP (small business) or standalone Dental plans.

Last year Colorado ended up with 140,327 QHP selections during open enrollment out of 11,688,074 total...or about 1.2% of the national total.

Over at the Washington Post, Amy Goldstein has a pretty good story about the Real People who are benefitting from the ACA in Kentucky...and those among them who voted for Republican Matt Bevin anyway:

Dennis Blackburn has this splintered self-interest. The 56-year-old mechanic hasn’t worked since he lost his job 18 months ago at a tire company that supplies a diminishing number of local coal mines. “The old guy had to go home,” Blackburn says of his layoff.

He has a hereditary liver disorder, numbness in his hands and legs, back pain from folding his 6-foot-1-inch frame into 29-inch mine shafts as a young man, plus an extra heartbeat — the likely vestige of having been struck by lightning 15 years ago in his tin-roofed farmhouse.

When it comes to how many people are currently enrolled in effectuated Qualified Health Plans (QHPs) via the assorted ACA exchanges, I'm continuing to get completely different numbers from the actual exchanges as I am from the major insurance companies. To recap:

  • According to 8 of the state-based exchanges (CO, CT, DC, ID, MD, MA, MN & WA), effectuated enrollments as of the end of September were up 2.7% from the end of June (or down just 0.1% if you disregard Massachusetts, which has some special circumstances).
  • However, the quarterly financial reports from 8 major insurance carriers claim that private exchange enrollments in September were down around 7.9% since the end of June.

This discrepancy continues with the release of the Colorado exchange's October enrollment report. As you can see, when you add up the effectuated tax credit enrollees (APTC/CSR) (78,670) and the full-price enrollees (64,485) as of October 31st, they total 143,155 people.

...which is 1,304 more than the 141,851 effectuated enrollees reported as of the end of September.

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