An Open Letter to Mitch McConnell:

McConnell says that he supports Kynect because it is just a website.... #kysen

— Joe Sonka (@joesonka) October 14, 2014

Dear Senator McConnell:

In addition to running ACASignups.net, I also happen to be a website developer by trade. I founded my website development company 15 years ago, which makes me an old man in the industry.

Given both of these capacities, I think I'm in a pretty good position to judge what's "just a website" and what isn't.

The kynect "just a website" wouldn't exist without Barack "Yeah, He's Black And He's The President Of The United States, It's Been 5 1/2 Years So Get Over It Already" Obama and the Democratic Party.

Oregon: Most ACA exchange enrollees previously uninsured, most consider themselves healthy:

Those are two of the findings of a survey released today by the Center for Outcomes Research & Education at Providence Health Services. The goals were to understand who enrolled, assess their connection to care before and after enrollment and to understand their health. At the time of the study, 76,569 Oregonians had signed up through open enrollment.

Colorado's official monthly metrics report is out, and shows that while off-season QHP additions have started to drop off as we approach the 2nd Open Enrollment period, they're still within my estimated range of 20-25% of the on-season rate.

Meanwhile, SHOP enrollments have inched above the 2,500 mark to sit at 2,517 covered lives as of the end of September.

Things are definitely tapering off as we come up to the new open enrollment period; Minnesota only added 46 more QHP enrollees in the past week, and just 2,087 more people to either Medicaid or MinnesotaCare. However, this does mean that the MNsure exchange has crossed the 350,000 total milestone:

latest enrollment numbers 

October 7, 2014

Health Coverage Type Cumulative Enrollments
Medical Assistance 219,217
MinnesotaCare 76,275
Qualified Health Plan (QHP) 55,289
TOTAL 350,781

On the one hand, I've been expecting the daily QHP enrollment rate to drop off nationally as we approach November 15th; anyone who isn't truly desperate for coverage is likely to hold off at this point even if they do have a qualifying life event, given the numerous changes in companies, policies and rates which are going to be available. On the other hand, my "9,000 per day" estimate has always been a bit closer to the low end of the range (7,900 - 10,500 per day at the moment), so I have some wiggle room in this final month anyway.

Here's the good news: The "Healthy Michigan" program, Michigan's name for ACA Medicaid expansion, is up to over 415,000 enrollees, or 87% of the total eligible for the program. Hooray!!

Now here's the bad news: If the Republican Party has their way, every single one of those people will have their brand-new coverage yanked away from them...along with an additional 240,000 or more people (including myself) who are enrolled in private policies thanks to the Affordable Care Act.

Healthy Michigan Plan Enrollment Statistics

Beneficiaries with Healthy Michigan Plan Coverage: 415,504
(Includes beneficiaries enrolled in health plans and beneficiaries not required to enroll in a health plan.)

*Statistics as of October 13, 2014 
*Updated every Monday at 3 p.m.

Combine the two, and that's over 650,000 Michiganders who will be royally screwed if Republicans get their way, or over 6.5% of the entire population of the state.

What arglebargle will come out of Mitch McConnell's mouth regarding trying to yank healthcare away from over half a million Kentuckians this evening?

The Big Senate Debate of the day promises to be the showdown in Kentucky between Republican Senate Minority Leader Mitch McConnell and Democratic Challenger (and current Secretary of State) Alison Lundergan Grimes.

According to NBC News, there's a chance, at least, that McConnell may finally have to provide a straight answer as to what he intends to do to provide health insurance to the 527,000 Kentuckians (and counting) who are currently enrolled in either private policies or Medicaid via the Kynect healthcare exchange.

Otherwise known as the Affordable Care Act healthcare exchange.

Otherwise known as the Obamacare healthcare exchange.

For his part, McConnell is likely to face questions about health care.

March 19, 2014:

Health industry officials say ObamaCare-related premiums will double in some parts of the country, countering claims recently made by the administration.

The expected rate hikes will be announced in the coming months amid an intense election year, when control of the Senate is up for grabs. The sticker shock would likely bolster the GOP’s prospects in November and hamper ObamaCare insurance enrollment efforts in 2015.

...The insurance official, who hails from a populous swing state, said his company expects to triple its rates next year on the ObamaCare exchange. 

May 15, 2014:

First Obamacare Premium Notices For 2015 Show Double Digit Increases

Not exactly the most shocking headline, I know.

Around 26,000 Iowans are privately insured via the ACA exchange (assuming the standard 90% paid their first month's premium) , plus another 80K - 100K via Medicaid expansion.

Naturally, Joni "hog castrator" Ernst had bupkes:

 A query from a viewer said he had received health coverage through the Affordable Care Act. To Ernst, he asked, "Have you given any thought to how individuals in my situation won't lose coverage, should repeal occur?"

Ernst called Obamacare a "job killer" in Iowa that is "taking personal health decisions out of our hands and placing them with nameless, faceless bureaucrats in Washington, DC." That is to some degree true, but what about the guy's question? It was a reasonable concern; millions of people are now receiving subsidies to purchase health insurance. If Republicans repeal Obamacare, what happens to them?

Let's fire up the Wayback Machine® and revisit March 19, 2014, shall we?

Don't Feed the Trolls: A Special Entry for a Special Visitor

...A few days ago, I broke the cardinal rule of blogging and social media: I fed a troll. Specifically, I engaged in a back & forth with a guy who insisted that I don't have any clue what I'm talking about, that I "don't cite my sources" (insane, since every one of my sources is meticulously cited, dated and linked to)...and, in particular, that I'm "lying" about the number of California residents who have "fully" enrolled in exchange-based QHPs in California (and by extension, nationally). If you check the recent Disqus comments you'll see him pop up a few times today.

At first, he was arguing the "But how many have PAID???" line, which I've repeatedly addressed.

Interestingly, he was finally willing to (grudgingly) concede that yes, around 85% of "full enrollments" have indeed been paid to date.

However, he still insisted that the number of "full" enrollments only "counts" if the policy has actually been issued:

Me, October 1st:

Kansas: Shocker: Pat Roberts lying about number of policies cancelled

In Kansas, yes, insurance companies were allowed to bump out non-compliant plans by at least a year...and indeed, Blue Cross Blue Shield of Kansas ended up not cancelling "between 9,500 - 10,000" of their policy holders after all.

So...that basically wipes out half of the "20K cancelled" claim already.

...Supposedly Aetna/Coventry and some smaller providers may have originally been planning on cancelling a bunch of plans as well...except that according to this article, Coventry never got around to doing so in the first place...

...That pretty much leaves BCBS KC and the other 10K. Based on the evidence at hand, my guess is that they likely reversed their cancellation decision as well...and if they did, that means that the actual number of Kansans who lost their healthcare policy in 2013 due to ACA noncompliance may have actually been as little as...ZERO.

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