In addition, NJ FamilyCare – the state’s primary Medicaid coverage program -- has added 463,463 residents to its rolls since December 2013, including 42,947 in April.
The fact that 9% of the net increase happend 16 months after the Medicaid expansion provision started is surprising to me, consideirng that according to the Kaiser Family Foundation, only around 390,000 uninsured NJ residents were even eligible for the program as of last fall to begin with. In other states, like Michigan, things have pretty much plateaued as every eligible resident has pretty much been enrolled already.
I don't post about the state of Maine very often, and given that their Governor is an utter nutbag that's usually a good thing. Tonight, however, I'm happy to report that at least 2 of the 34 states at risk of losing their federal tax credits in the event of a King v. Burwell plaintiff win next month are seriously prepping to "establish" a state-based exchange if need be (Pennsylvania is the other one):
In a unanimous vote, the Legislature’s Insurance and Financial Services Committee endorsed the effort to maintain the health insurance premium subsidies that are offered as tax credits through the Affordable Care Act. Those credits are being challenged in a federal lawsuit known as King v. Burwell, which the U.S. Supreme Court is expected to decide next month.
Right off the bat, I want to clarify that I might have misread some of the numbers here; while some states provide the per-company average rate change requests in a nice, simple table format, I had to wade through a mountain of forms at the SERFF Filing Access Database to hunt all of these down, and there seems to be little consistency from company to company about the formatting of the documentation, etc etc. It's possible that I've confused a Small Group filing for an Individual one, for instance, and I may have misunderstood the current enrollment number for one or two companies. Finally, in one case (Physicians Health Plan), their 2016 rate request seems to have been redacted for some reason. Fortunately, they only appear to have around 600 enrollees anyway, which means any change in their rates would barely move the state-wide needle at all anyway.
With those caveats out of the way, assuming I have these numbers straight, here's what it looks like...and remember, these are requested changes only; they still have to be approved:
The California ACA exchange, CoveredCA, released their 2016 budget today, and the outlook is...well, kind of underwhelming, frankly:
After using most of $1 billion in federal start-up money, California's Obamacare exchange is preparing to go on a diet.
That financial reality is reflected in Covered California's proposed budget, released Wednesday, as well as a reduced forecast calling for 2016 enrollment of fewer than 1.5 million people.
The recalibration comes after tepid enrollment growth for California during the second year of the Affordable Care Act. The state ended open enrollment in February with 1.4 million people signed up, far short of its goal of 1.7 million.
A number of factors contributed to the shortfall, but health policy experts said that some uninsured folks still find health insurance unaffordable despite the health law's premium subsidies.
Yesterday I posted a rather scathing entry about Mr. Luis Lang of South Carolina, followed by another one about the hundreds of almost entirely liberal / progressive-leaning donors (including myself) who have, as of this writing, ponied up over $12,000 to save him from going blind due to a combination of his own irresponsibility and his political party's decision to throw nearly 180,000 SC residents--including himself--under the bus.
Today, Mr. Lang has responded to all the hubbub...mostly (emphasis mine):
First of all I would like to thank ALL of the wonderful people that have donated to help me in my time of need. And I do mean everybody. When I started this I never meant it to became a political war. I am a honest person and I have to give a big thumbs up to the liberal side. Even though you have crucified me in your comments but you spoke with your heart with the donations. I respect everybody opinion whether I agree with you or not. That is why we live in the U.S.A. home of the free and free speech. As far as the conservative side I wish they would step up to the plate and do there part. Again thank you all and i will be posting updates with my condition.
sorry one last thing I have to hand it to the liberal side you sure do know how to get the word out when you dislike something. I say shame on the conservative bloggers for resting on there laurels.
As one of those who coughed up a few bucks to bail him out of his self-created mess, here's what I have to say to Mr. Lang:
(ok, not much of an article here, I mainly linked to it as an excuse to jot down a note: The exchange market share breakout in Wyoming is roughly 9,500 via WINHealth & 10,500 via BCBSWY).
The Connect for Health Colorado staff has recommended more than doubling the fee that insurers pay on each policy purchased on the exchange — a charge that is passed on to consumers.
The state marketplace would increase the carrier fee from 1.4 percent to at least 3.5 percent of the premium charged on exchange health plans — the same rate charged through the federal exchange, under the recommendation made Monday.
For a consumer holding a $4,000-a-year health plan, the increase would be $84 a year. The estimated increase in revenue for the exchange would be about $5.8 million.
Yeah, that's right, I'll say it: Luis Lang is a hypocrite.
Over at Talking Points Memo, Josh Marshall has a story about a guy in South Carolina named Luis Lang who's in a nasty situation due to a combination of bad timing, Republican cold-heartedness and, to be blunt, his own stupidity.
First, the backstory:
As the Charlotte Observer explains, Lang is a self-employed handyman who works as a contractor with banks and the federal government to maintain foreclosed properties. He was making a decent living, enough to be the sole breadwinner in the family. As the Observer puts it, Lang "he has never bought insurance. Instead, he says, he prided himself on paying his own medical bills."
There's good news and bad news out of Iowa tonight. For 2015, there were originally only 2 insurance companies to choose from on Healthcare.gov: Coventry and CoOportunity. Unfortunately, the latter of these went belly-up for a variety of reasons, leaving Coventry the sole provider available on the exchange.
Moderate-income Iowans who want to use Affordable Care Act subsidies to purchase health insurance will still not be able to choose policies from Wellmark Blue Cross & Blue Shield next year, but they should be offered policies from at least two competitors.
Roughly a million Texans with government-subsidized health coverage could see a new label on their health insurance cards, and critics say the designation is akin to a “scarlet letter.”
But instead of Hester Prynne’s infamous “A,” insurance cards for Texans with coverage under the federal Affordable Care Act would bear the letter “S,” for subsidy.
Supporters of House Bill 1514 by state Rep. J.D. Sheffield, R-Gatesville, say it’s necessary to standardize insurance cards and clarify the type of health coverage a patient has.
