The Affordable Care Act (ACA) requires that insurers planning to increase plan premiums submit their rates to the Alabama Department of Insurance for review.
The rate review process is designed to improve insurer accountability and transparency. It ensures that experts evaluate whether the proposed rate increases are based on reasonable cost assumptions and solid evidence. The ACA also requires that a summary of rate review justifications and results be accessible to the public in an easily understandable format. The Federal HealthCare.gov Rate Review website is designed to meet that mandate. For more information, see here.
The information is provided in the tables below. Also attached are links to the redacted actuarial memorandum, which support these changes. The rate changes are being proposed and reviewed by the Alabama Department of insurance (ALDOI). As soon as they are final, they may be purchased on the Federal Exchange or through private agents and brokers. The programs will be effective beginning on January 1, 2022.
Having said that, those who don't get vaccinated will start facing more financial penalties soon anyway...a point which is included in the NY Times article above itself:
In 2020, before there were Covid-19 vaccines, most major private insurers waived patient payments — from coinsurance to deductibles — for Covid treatment. But many if not most have allowed that policy to lapse. Aetna, for example, ended that policy on Feb. 28; UnitedHealthcare began rolling back its waivers late last year and discontinued them by the end of March.
This week brings a major change...which actually doesn't change things that much, at least for the big picture.
With the U.S. Census Bureau finally releasing the official county-level results of the 2020 Census, I've updated the graph to include the official April 2020 populations for every county, parish borough and census area in the 50 United States + the District of Columbia (along with the U.S. territories), as opposed to the Census Bureau's July 2019 estimated populations which I had been using until now.
For most counties/etc. this only makes a minor difference one way or the other; in 2,656 out of 3,114 (over 85% of them), the difference is less than 5% higher or lower.
However, there's 153 counties where the official 2020 population is at least 5% higher than what I had. In fact there's 26 counties where the Census Bureau has the population down as more than 10% higher. There's even 4 counties where it's 25% higher or more.
The biggest discrepancy in this direction is Harding County, NM, where the actual population (657) is a whopping 49% higher than the 2019 estimate (441).
Wolf Administration Commemorates Pennie’s Two-Year Anniversary; Encourages Pennsylvanians to Enroll in Health Coverage
Deadline to Receive 2021 Savings on Health Coverage is August 15
Harrisburg, PA – The Wolf Administration today commemorated the two-year anniversary of Pennie, Pennsylvania’s state-based health exchange. To date, more than 335,000 consumers have enrolled for coverage through Pennie and, because of the American Rescue Plan, average premiums after subsidies have dropped by half since the beginning of the year, down to $86 a month.
I'm gonna be posting mea culpas for a few days for missing important ACA-related announcements over the past few weeks.
As I've noted several times before, the American Rescue Plan includes an extremely helpful provision for any American who received unemployment benefits at any point during 2021. The short version is that if you received UI benefits for even a single week this year and want to enroll in ACA exchange coverage, your household income will be defined as being 133% of the Federal Poverty Level for purposes of ACA subsidy eligibility regardless of how high or low your actual 2021 income ends up being.
This means, in turn, that you're eligible for a fully-subsidized ACA exchange plan...that is, there will be at least one Silver plan available for $0/month in premiums after subsidies are applied.
Last Call for Coloradans to Sign Up for 2021 Health Coverage
After August 15th, you’ll need a qualifying event to enroll
DENVER — Coloradans have until Sunday, August 15th to sign up and save on health coverage through Connect for Health Colorado. Thanks to a new federal law, more Coloradans are eligible to save than ever before. But this is the last chance for people to enroll in a plan that provides coverage this year unless they experience a Qualifying Life Event.
HOWEVER, you can still #GetCovered for the rest of 2021 in a few states (including two of the largest ones), and there are still millions of uninsured Americans nationally who are eligible for ACA-compliant coverage for the rest of this year via other options. Let's review!
2021 ACA Special Enrollment Period (SEP): If you live in California, Connecticut, the District of Columbia, New Jersey, New York or Vermont, the deadline for the "no questions asked" SEP goes beyond 8/15. In CA, DC & NY it actually runs through the end of the year!
My recent obsession with COVID vaccination rates means that I've fallen embarrassingly behind on my annual ACA rate change project, and nothing illustrates this more than the fact that Covered California issued this press release over two weeks ago and I'm just now getting to writing about it:
The American Rescue Plan will continue to provide lower premiums, at levels never seen before, throughout the entire 2022 coverage year.
The new and expanded financial help has led to a record 1.6 million people enrolled in Covered California, which gives the state one of the healthiest consumer pools in the nation for the seventh consecutive year.
The record enrollment and healthy consumer pool were key factors in negotiating a preliminary rate increase for California’s individual market of just 1.8 percent in 2022, and a three-year average of only 1.1 percent (2020-2022).
With expansions of coverage by several carriers and a new carrier in one region, consumers will have even more choice: All Californians will have two or more choices, 94 percent will be able to choose from three carriers or more, and 81 percent of Californians will have four or more choices.
Consumers can sign up now to benefit from the increased financial help provided by the American Rescue Plan, which is lowering premiums and enabling 700,000 people to get covered for only $1 per month.
