Alabama's Republican governor says he is considering expanding Medicaid under ObamaCare in his state.
"We are looking at that,” Gov. Robert Bentley said Thursday, according to The Associated Press. “We have not made a final decision on that yet, exactly how that would work.”
Bentley indicated that expanding Medicaid, the government health insurance program for the poor, could help get more doctors into rural parts of the state.
"I am concerned about the plight of the working poor,” he said. “If doctors are not paid for seeing those patients, doctors will not go to rural Alabama, because you can't expect a doctor to go to rural Alabama and lose money.”
The Republicans in two dozen states thought they were playing smart politics (with people's lives, but screw them, right?) when they denied Medicaid expansion, but this has since blown up in their faces, and has now become a potent issue for Democrats in several GOP-held states. I think I know why they thought this...and why it didn't work out the way they figured.
As far as I can tell, the Republican mindset was this: Poor people don't vote. Therefore, screwing over poor people = brownie points from the GOP base without any potential downside.
However, I think they forgot something important: Regular Medicaid might only apply to poor people, but the Medicaid expansion provided for by the ACA applies to many lower-middle class people...and they do vote (at least in greater numbers than the "dirt poor" anyway).
Of the 543,000 people who submitted applications and chose plans, 34% were new customers and 66% were re-enrolling, CMS said. Nearly 1.2 million people submitted applications for coverage.
Health and Human Services Secretary Sylvia Mathews Burwell called the numbers a "solid start." But she warned that It’s difficult to directly compare this year to last year's start of open enrollment as it started on Nov. 15 last year.
"We know from past experience that people are deadline driven, so we don’t expect to see deadline effects for a few weeks," she said.
Massachusetts' #OE3 enrollment numbers have to be handled a little carefully. Unlike most exchanges which mainly report the number of Qualified Health Plan (QHP) selections (ie, placed in cart & checked out), the Massachusetts Health Connector is very careful to specify how many of those are actually entered into the system and have paid their first monthly premium.
More than 57,000 people enrolled in health coverage through MarylandHealthConnection.gov during the first nine days of 2016 open enrollment, more than double the enrollment traffic during a comparable span a year ago.
Of the 57,213 who enrolled from Nov. 1 through Nov. 9, 10,867 were in private qualified health plans; 45,402 were in Medicaid and 944 were in stand-alone dental plans. The large Medicaid total included previous Medicaid enrollees who were in Maryland's former legacy system and were "redetermined" into the new web-based system.
Assuming roughly a 25% QHP selection increase this year (at least, that's what I'm assuming), that would translate into around 750K nationally, 570K of which would be via HealthCare.Gov, but I'll be a little cautious and drop it back to at least 720,000 QHPs in Week One nationally, 550,000 via HealthCare.Gov.
November 12, 2015
By: Sylvia Mathews Burwell, HHS Secretary
In the first week of the third Open Enrollment, more than 540,000 people selected a health insurance plan through the HealthCare.gov platform and more than 1.15 million consumers were included on applications submitted to the Marketplace. Even more signed up through their State-based Marketplaces.
[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%.
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.
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!
