When I was crunching the numbers to come up with my rough estimate of the weighted average rate increase requests for Florida yesterday, I had a revelation: While Healthcare.Gov's Rate Review database, frustratingly, only includes rate requests higher than 10% (thus ignoring dozens of requests of under 10%, or even rate reductions in some cases), it does still at least provide guidance as to what the maximum average could possibly be.

For instance, let's say that there's a state with 4 insurance carriers, each of which has exactly 10,000 enrollees. Two of them are asking for a 20% and 15% increase respectively. Since those are both above 10%, they'll both show up on the Rate Review site:

In addition to the normal off-season "Qualifying Life Events" which allow roughly 7,500 people to select a private policy nationally every day, it looks like up to 100K additional people might be added to either the QHP or Medicaid tally over the next month or so:

• CMS To Let Thousands Affected By Income Glitch Re-Enroll On FFM

CMS will offer a special enrollment period to thousands of Healthcare.gov enrollees who were incorrectly told that they qualified for fewer subsidies than they should have received or none at all, due to a Social Security-related glitch in the eligibility system that inflated household income.

...Tricia Brooks, a senior fellow at Georgetown University's Center for Children and Families who frequently writes on the issue, estimates that the glitch affects around 40,000 households.

Not sure how this slipped by me earlier today...I've been so busy trying to figure out the 2016 rate increases for each state that I missed this report from HHS about the 2015 premium and competition changes at Healthcare.Gov (this doesn't include the state-based exchanges, but still covers 2/3 of the states and 3/4 of total private enrollments):

Competition and Choice in the Health Insurance Marketplace Lowered Premiums in 2015

The Health Insurance Marketplace established by the Affordable Care Act allows consumers to compare health insurance plans based on key factors, such as covered services, providers, and importantly, price. According to a report released today, choice and competition increased in the 2015 Marketplace and consumers benefitted as new issuers entered and price competition intensified. In 2015, 86 percent of Marketplace-eligible consumers could choose from at least three issuers, up from 70 percent in 2014.

The Rate Review database at Healthcare.Gov is a very useful tool for any insurance company requesting rate increases above 10%, but it's completely useless for requests below 10%. As such, I have hard data on the requested increases for about 600,000 Florida residents:

If Florida's entire ACA-compliant individual market was only 600K people, that would be the end of the story.

However, Florida actually has 16 different insurance companies selling individual policies...and the other 9 are all asking for lower than 10% hikes. After poking around the Florida Office of Insurance Regulation website as well as contacting the department directly, I've been able to pull together covered lives data for all 16, and requested rate change data for 3 more of them...2 of which are actually requesting rate decreases. When I add those 3 companies into the mix, the picture changes like so:

Back in June, I was both geeked and severely disappointed at the same time by Healthcare.Gov's brand-new Rate Review searchable database for listing the policy premium change requests by the hundreds of insurance companies operating both on and off of the ACA exchanges.

On the plus side:

The Office of the Inspector General released a big report today which confirms what most healthcare/ACA observers have known for awhile now: The CO-OP organizations established by the ACA across 2 dozen states to help increase competition and keep the private, for-profit insurance companies (somewhat) honest...haven't been doing very well overall.

One of these (CoOportunity, which operated in Iowa and Nebraska) seemed to be kicking ass in 2014...but ended up being liquidated by the end of the year. A second, operating in Louisiana, just announced that they're shutting down operations by the end of this year. As the OIG report notes, most of the 21 other CO-OPs nationally aren't doing so hot...and they used an absurdly long title (with an absurdly New York Post-style font size) to say so:

• OREGON: Judge rips Oracle's claims: Cover Oregon not sunk by Kitzhaber advisers

A judge has blasted a California software giant's claim that a cabal of campaign advisers are to blame for the decision to tank the state's $300 million Cover Oregon website project.

Oracle in February sued five campaign advisers and consultants to former Gov. John Kitzhaber, who resigned in February. Oracle argued the exchange was ready to roll out in February 2014, but said advisers led by Patricia McCaig pulled the plug on the project for political reasons.

On Monday, Multnomah Circuit Court Judge Henry Kantor issued a written opinion ripping Oracle's legal arguments using language that went far beyond his earlier e-mailed notice of the decision. He called Oracle's arguments "totally unsupported by the evidence provided."

Earlier today I posted about a mountain of data being released by the New York State of Health ACA exchange, including, among many other data points, the rough market share breakdown of the 19 insurance carriers operating on the exchange this year, like so:

Assuming my ballpark estimate of appx. 7,500 Off-Season QHP Selections Per Day is accurate, the grand total nationally should be breaking the 13 million milestone right about...now-ish (or at least sometime this week).

I should note that thanks to this morning's New York update, the confirmed total has now officially broken the 12.1 million mark. The other 900,000 or so haven't been reported yet, and are mostly via Healthcare.Gov, of course.

Right on top of the Humana SEC filing I just wrote about comes this Q2 earnings conference call with Joe Swedish of Anthem (formerly WellPoint), which is an even larger insurance company nationally:

Our growth continues to be balanced so far in 2015 as we added 571,000 Medicaid members, 331,000 national members, 51,000 individual members and 16,000 local group members. As a reminder, we closed on the Simply Healthcare acquisition in February of this year, which contributed 209,000 members. These results have been supported by strong operating cash flow of $2.8 billion year-to-date, which represents 1.6 times net income.