Thanks to Esteban B in the comments for the reminder.
This morning I noted a New York Times article regarding a whole bunch of ACA exchange enrollees who either forgot to/didn't realize they had to file a federal tax return in order to keep receiving their Advance Premium Tax Credits or who did file their taxes but forgot to include the subsidy reconciliation form when doing so.
At the time, I was so astonished at the idea that people who are receiving federal tax credits would not only not realize that they had to file a return, but would actually get angry when informed that they had to do so, that I completely missed out on the larger implications.
28,524 additional people were enrolled in July 2015 as compared to June 2015 in the 51 states that reported comparable July and June 2015 data.
Yes, that's right: The net total number of Medicaid/CHIP enrollees went up fewer than 30,000 people in July.
It's worth noting that the improving economy may be a significant part of this. Remember that this is the net number of enrollees; for all I know, 300,000 new people joined the program but 270,000 who were already on it left. Baseline churn is tricky to keep track of.
However, the more likely cause is far simpler: ACA Medicaid expansion has simply finally maxed out in most of the states allowing it, and most of the "woodworker" crowd has presumably finally figured out that they're eligible as well.
The next Open Enrollment period for the Health Insurance Marketplace begins on November 1, 2015 for coverage starting on January 1, 2016. According to an HHS analysis, about 8 out of 10 returning consumers will be able to buy a plan with premiums less than $100 dollars a month after tax credits; and about 7 out of 10 will have a plan available for less than $75 a month. Highlights of the 2016 Marketplace Affordability Snapshot include:
Late last night I posted a quick walk-thru of the all-new 2016 HealthCare.Gov Window Shopping tool. For the most part, it's a major improvement over the 2015 version (which itself was, of course, a massive improvement over the buggy, 78-screen original version launched for 2014 open enrollment).
However, there are a few improvements which can always be made, and for me, one of the biggest ones is right at the beginning. Immediately after entering your Zip Code, the very first question which pops up is "Are you enrolled in a 2015 Marketplace health plan?"
Aside from the fact that some people may not even know whether or not their current plan is "through" the ACA healthcare exchange or not ("Marketplace" is a pretty generic term, after all...) the problem is that if you choose "Yes", here's what pops up:
It asks you to enter your current 14-character Plan ID.
In July, the Internal Revenue Service said 710,000 people who had received subsidies under the Affordable Care Act had not filed tax returns and had not requested more time to do so.
If those people do not return to the marketplace this fall, they may be automatically re-enrolled in the same or similar health plans at full price. And when they receive an invoice from the insurance company next year, they may be shocked to see that their subsidies have been cut to zero.
Erin M. Lackey, 41, of Jacksonville, Vt., was one of many people who received letters from the I.R.S. saying they were at risk of losing their tax credits.
Her mother, Ruth J. O’Hearn, a nurse who helps her daughter with insurance matters, described her own reaction.
...and sure enough, even the Window Shopping experience has changed since last year; here are the new screens, step by step (I'm using fake data here):
Chock-full of negative spin, it's trashing the ACA for the following:
Lower than expected private policy enrollments (ie, exchange QHPs)
Not enough young people to keep the risk pool in check
Problems with the premiums and/or deductibles making exchange QHPs too expensive
the Medical Loss Ratio for 2014 being way too high (ie, some insurers losing money last year)
Now, all four of these attacks are partially valid. Yes, enrollment in private Qualified Health Plans via the ACA exchanges is definitely below expectations. Yes, the risk pool is skewing older than expected. Yes, (full price) premiums (to some degree) and (full price) deductibles (definitely) are a serious issue this year. And yes, some insurers did take a bath and even go belly up due to the first-year premium "blind dart throwing" (especially 9 ill-fated CO-OPs, along with at least one private insurer in Wyoming).
I'm not going to criticize the WSJ for several of their attacks; some are valid and some are outside my area of expertise. HOWEVER, I've found a couple of serious problems with the piece regarding the first bullet point.
I've held off posting an estimate of the weighted average rate increase for the final state on my list, Wisconsin, until now because there's a major gap in the data which likely makes my estimate off by quite a bit.
However, given that open enrollment is coming up a week from today, "window shopping" on HealthCare.gov is (supposedly) going live at any minute and the fact that with 49 other states (+DC) already included, I finally decided to go ahead and post this, along with a major caveat warning.
As y ou can see from the table below, there are two issues here. The first is a minor one: I have no idea what the rate change request from the Common Ground CO-OP is, except that it's under 10%. I also don't know exactly what Common Ground's enrollment figure is, other than "between 30,000-40,000" according to this article from February.
With all the bad news about the Colorado Dept. of Insurance pulling the plug on CO HealthOP a week or so ago, here's some (relatively) good news out of the Centennial State (and yes, I had to look that up to find out what Colorado's nickname is).
Colorado was one of the first states I included in my 2016 Weighted Average Rate Hike Project. At the time, I only had requested rate changes available, and was missing the requests and/or actual enrollment numbers for several insurance carriers. As a result, my estimate of the average requested rate hike came in at 13.1%, but was pretty fuzzy.
Thomas G. Stemberg, who cofounded Staples Inc. and invented the office superstore, died Friday at his home in Chestnut Hill, two years after he was diagnosed with gastric cancer. He was 66.
...With the backing of Bain Capital and its cofounder Mitt Romney, the first Staples store opened in Brighton in 1986. Growing rapidly, Staples took the top spot on the Globe’s 1991 list of the 50 fastest-growing companies in the state, with a sales growth rate of 83 percent. Today Staples is worth more than $8 billion.
...Romney also credited Mr. Stemberg with persuading him to push for health care reform in Massachusetts when he was governor.
