Things weren't looking great eight months ago for Dr. Peter Beilenson and Evergreen Health Co-op, the insurance company he created from scratch.
The brand-new insurance company had been counting on Maryland's health exchange to bring in its first members. But the online marketplace was a nightmare for people trying to sign up. With higher prices and less name recognition than competitors like CareFirst BlueCross BlueShield, Evergreen ended the exchange's open enrollment period with just 400 members.
...Fast-forward to today and business is looking up for Evergreen. The companyshifted focus to small business groupsonce it realized it couldn't rely on the exchange alone. Evergreen lowered its premium prices for 2015 individual plans and is locking in the rates on both its individual and small group plans for two years. About 800 people have signed up for Evergreen health plans through the exchange since it opened in mid-November.
Two of the most heavily Republican states, Utah and Wyoming, appear to be moving closer to an expansion of Medicaid under the Affordable Care Act. Other GOP-dominated states, like Indiana and Tennessee, are also looking more closely at it, despite the hostility of their party’s leaders toward Obamacare.
...Gov. Matt Mead of Wyoming, where Republicans hold 78 of 90 seats in the legislature, acknowledged his opposition to Obamacare but said the statehad to be realistic by embracing Medicaid expansion in one form or another. “I don’t think we can say to those people in Wyoming who are working [and] who cannot get insurance that we’re not going to do anything,” he said.
...While the odds for expansion in Wyoming remain uncertain, Utah seems likely to move in the coming months. There, Gov. Gary Herbert made the case on moral grounds — as a duty to help people he described as “our neighbors, our friends and our family members.”
This is an excellent overview of how healthcare pundits, politicos, reporters and industry folks are keeping a very close eye on the ACA exchanges this weekend, as the December 15th deadline for January coverage approaches (well, for most states, that is; 6 states now have deadlines later than the 15th). It's well worth a read, as it goes into the whole "manual renewal" vs. "autorenewal" issue and a whole mess of other stuff.
However, towards the end are two additional data points:
CMS officials, including Marketplace CEO Kevin Counihan have been reassuring about auto-enrollment, said Martin Hickey, CEO of New Mexico’s co-op health plan. “It’s a stressor, but I haven’t seen him biting his fingernails,” Hickey said of Counihan. “But you never know.” His own health plan has had 3,ooo people sign up as of Dec. 10 through HealthCare.gov and the pace is picking up.
The latest official report from the MD exchange...
Enrollment Report (Thru Dec. 11, 2014)
More than 80,000 Marylanders have enrolled in advance of Dec. 18 deadline for full 2015 health coverage
Overview
As of Dec. 11, a total of 80,354 Marylanders have enrolled in quality, affordable health coverage for calendar year 2015 since the 90-day open enrollment period began Nov. 15.
This includes 45,014 individuals enrolled in private Qualified Health Plans and 35,340 individuals enrolled in Medicaid. Marylanders must enroll or renew their plans by Dec. 18 for insurance that starts New Year’s Day and, if they qualify, to receive an Advanced Premium Tax Credit (APTC) beginning then. Open enrollment for 2015 ends Feb. 15.
Again, for comparison: Last year, Maryland scored a grand total of 67,757 QHP enrollments through the April 19th open enrollment cut-off (6 1/2 months).
This year, they've already reached 2/3 of that in under 4 weeks.
Hmmmmm...MA has switched their weekly reports from Mondays to Fridays, which is fine...except that until now the weekly versions also included actual hard "QHP plans selected" data.
This one...doesn't. It includes all the other weekly stuff but not the actual plans selected (aka "total enrollments" by my lingo). As a result, I'll still have to do an estimate based on the Eligibility Determinations...which in this case is a total of 83,988.
Assuming that the % of QHP determinations which have already led to actual plan selections is up to around 60% per day by now (up from around 52% a week or so ago), that should mean roughly 44,800 QHP selections to date. To be cautious, however, i'll knock it down to an even 44K for now.
And, again, Medicaid (MassHealth) enrollments are already up to 72,175 people.
Unfortunately no breakout between the two yet...hopefully soon...I also don't know what date that number runs through, nor do I know if the QHP tally includes new enrollments only (a la California & Connecticut) or if it also includes renewals as well.
Also, we now have our first official Deadline Extension due to the massive snowstorm in Buffalo/etc recently:
@charles_gaba State also says deadline to enroll for jan. extended to Dec. 20 b/c of "extreme weather"
CEO Mario Schlosser is happy to finally be able to sell. The company started this year’s enrollment period with 17,000 members and grew to “way more than that” in the first week, he says. That represents around $85 million in annual revenue from health insurance premiums, which he says equals “a few hundred million dollars in actual health care spend.”
Oscar’s member count sounds small compared to what people have come to expect for Web startups, where anything shy of 10 million users is a flop. But 17,000 members handily beats the company’s initial goal of 7,500, Schlosser says. Oscar now claims 10% market share for the health care exchange in New York, its home market. Two weeks ago, Oscar began selling in New Jersey. The company has plans to expand into California and Texas in late 2015.
