The Missouri Insurance Dept. has posted their preliminary 2024 single risk pool filings for the individual and small group markets.

Not a whole lot stands out to me other than Cigna apparently dropping out of the states indy market and Humana pulling out of the small group market. Otherwise, neither market has rate changes which seem terribly surprising--they come to a weighted average increase of 4.3% for individual market plans and 6.6% for the small group market.

As always, these are subject to state regulatory review and approval.

Via the Colorado Department of Regulatory Agencies (I accidentally deleted the original blog post so I'm recreating it using the graphics below).

The most noteworthy developments below are that in addition to Friday, Oscar and Bright Health Plans all leaving the Colorado market (as documented/reported on several times earlier this year), it looks like Anthem is reducing its offerings on the individual market, while Aetna and Humana both appear to be dropping out of the states small group market.

Update: Correction, apparently I misread that about Anthem; they have the same total number of plans available after all...not sure how I messed that up; apologies. Their Rocky Mountain division is offering off-exchange policies only, abut aren't listed on CO DARA's summary for whatever reason.

In any event, the weighted average increase being requested is 9.8% on the individual market and 10.6% for the small group market.

Back in February, I wrote about how the state of Georgia, in an eyebrow-raising move, announced that they were moving from the federal ACA exchange (HealthCare.Gov) onto their own state-based ACA exchange.

While numerous other states have already done the same thing (and several more are in the process of doing so as well), Georgia's move to their own enrollment platform was especially noteworthy for two reasons:

First, because it represents as complete 180-degree policy turn from their prior attempts (over the course of several years) to eliminate any formal ACA exchange (federal or state-based) in favor of outsourcing it to private insurance carriers & 3rd-party web brokers.

Secondly, because of the timeframe involved:

via the Idaho Dept. of Insurance:

Each year, the Idaho Department of Insurance posts rate changes of individual and small group health insurance products so consumers can review and provide comments on the proposed increases.  Insurance companies submit proposed rates for the upcoming calendar year to the Department, along with descriptions and justifications for why the rates are reasonable and not excessive.  

The Department of Insurance is seeking public input for rate changes of individual and small group health insurance products to improve insurer accountability and transparency.  By following the links below, the public can access a summary of the increase amounts and the carrier justifications for the rates.  Please submit any comments to the Department for consideration.

Preliminary Rates - 2024

Please choose one of the categories to proceed:

Back in March, after years of failed and stalled attempts to get it passed, the North Carolina legislature finally pushed ACA Medicaid expansion over the line to be signed into law by Democratic Governor Roy Cooper.

As for when the program would actually go into effect, however...that's been something of a mystery for awhile now. Apparently the wording of the legislation ties it in with it being included in the general state budget, which hasn't happened yet. As a result, no one seems to be sure whether NC Medicaid expansion will kick off in October, November, December or January of next year.

However, the state's Health & Human Services Dept. has decided to take a proactive, optimistic stance:

State Takes Action To Start Medicaid Expansion Oct. 1; Launch depends on General Assembly acting by Sept. 1

via New York State of Health:

  • Nearly Three Quarters of New Yorkers Enrolled in Medicaid, Child Health Plus or the Essential Plan Have Renewed Their Coverage by the June Deadline; Renewal Strategies Are Working; Others Still Have Time to Act
  • New York Outperforming National Average as Reported by KFF
  • Monthly Dashboard Tracks Renewal Status, Demographics, and State Program Transitions During Public Health Emergency Unwind  

ALBANY, N.Y. (July 18, 2023) – The New York State Department of Health today released the first issue of New York’s Public Health Emergency Unwind Dashboard, a monthly report reflecting data on renewal status, demographics, and program transitions for public health insurance enrollees, which shows renewal outreach strategies are working.  The report indicates that roughly 72 percent of New Yorkers enrolled in Medicaid, Child Health Plus or the Essential Plan renewed their coverage before the June deadline to re-enroll and those who haven’t still have time to act to avoid potential lapses in coverage. As reported by KFF, the national renewal rate for states reporting data is 59 percent.

I thought I had finally posted the last entry regarding the Friday Health Plans debacle, but there's still some mopping up left to do in a few states.

via Connect for Health Colorado:

Friday Health Plans Coverage Ending August 31

DENVER— Today, the Colorado Division of Insurance (DOI) announced that they have asked the courts to move Friday Health Plans of Colorado into liquidation, which will end coverage for Friday Health Plans customers on August 31, 2023. 

Chief Executive Officer of Connect for Health Colorado, Kevin Patterson, released the following statement: 

UPDATE: It turns out that this is not a "new" study; it's the final, peer-reviewed version of the same pre-print study from last fall by the same researchers, which makes a lot more sense.

Yesterday morning a new study was published at the Journal for the American Medical Association (JAMA) Network website:

Excess Death Rates for Republican and Democratic Registered Voters in Florida and Ohio During the COVID-19 Pandemic

Jacob Wallace, PhD; Paul Goldsmith-Pinkham, PhD; Jason L. Schwartz, PhD

If this study title and its authors sound vaguely familiar, it's because the same three researchers (from the Yale School of Public Health/Management) published a similar study last fall...which I wrote about at the time:

Last year I went pretty off-topic with a lengthy, in-the-weeds post about my experience shopping for, buying and driving an electric vehicle for the first time which received a decent level of attention.

I didn't actually get around to writing up the post until June, but I actually bought the car, a 2022 Kia Niro EV, in early March 2022. My write-up included my experience taking a road trip from my home in a suburb north of Detroit, Michigan to Washington, DC and back.

Well, it's 16 months later, I've driven over 10,000 miles in the new car, and I just got back from another road trip to DC & back.

As I noted in my last update from March of this year, the EV industry and market have both gone through some tumultuous changes since I first bought my car, including (but not limited to):

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