Hawaii

2018 MIDTERM ELECTION

Time: D H M S

Three ACA-related stories which are all interesting but which I don't have a whole lot to add to:

The trouble with trying to sign people up for health insurance when care is already free

It’s hard work trying to get people to sign up for health insurance when their care is mostly free to them. Andrea Thomas is working to get Alaska Natives in Sitka, Alaska, to do just that. She’s the outreach and enrollment manager at SouthEast Alaska Regional Health Consortium (SEARHC), and it’s her job to sign people up for health insurance coverage through exchanges created as a result of the Affordable Care Act.

To get a sense of just how uphill Thomas’s battle is, consider this: Of the more than 100,000 people who live in Alaska and self-identify as Alaska Native or American Indian, only 115 had signed up for health insurance through an Affordable Care Act exchange as of March 31.  Alaska Natives and American Indians are exempt from tax penalties for not signing up for health insurance.

While the technical overhauls/transfers of exchanges in states like Oregon, Nevada, Massachusetts and Maryland have been taking up all of the "ACA tech problem" news (the former two are moving to HC.gov for 2015; the latter two are completely overhauling their own websites), Hawaii's technical woes seem to always have operated in something of a news vacuum. The Hawaii website problems were always just as bad as some of the other states listed, yet not once have I received any indication of whether they were abandoning their software like OR & NV or fixing it like MA & MD.

Over the past couple of weeks, the answer seems to have revealed itself: The Hawaii Health Connector website has been revamped...as a WordPress-based site. However, this appears to only be the "welcome/info" portal; actually clicking the "Enroll" links takes you to a different domain name at ConnectHawaii.com which seems to be the actual HI exchange.

Yes, 49 people is pretty tiny even for a state with as low an uninsured population as Hawaii, but it's still further evidence that the drop in QHP enrollments in the first week or so of July was either a typo or a data entry glitch, as the total has since risen for 2 weeks straight. SHOP enrollments haven't changed since 7/15:

Connector Updates as of July 19, 2014

33,042 Applications completed in the Individual Marketplace
9,724 Individuals and families enrolled in the Individual Marketplace
689 Employers applied to SHOP Marketplace
1071 Employees and dependents enrolled via SHOP Marketplace*

* as of July 15, 2014

Huh. A week ago I posted a Hawaii update which noted that exchange QHPs for Hawaii had actually dropped by 156 people from 6/28 through 7/05. This was quickly followed by similarly huge enrollment drop-off figures out of both Oregon and Minnesota.

However, check it out today...

Connector Updates for July 12, 2014

Total since October 1, 2013

32,991 Applications completed in the Individual Marketplace
9,675 Individuals and families enrolled in the Individual Marketplace
675 Employers applied to SHOP Marketplace
1071 Employees and dependents enrolled via SHOP Marketplace*
* as of July 15, 2014

When we last checked in on Hawaii's ACA exchange on 6/21, the QHP tally stood at 9,586 people, and another 965 SHOP enrollees.

There have been 2 updates from the exchange since then; QHPs went up another 12 over the next week (6/28)...but in the most recent update, the number has dropped down to 9,442...a loss of 156 people:

Connector Updates for July 5, 2014

Total since October 1, 2013

32,959 Applications completed in the Individual Marketplace
9,442 Individuals and families enrolled in the Individual Marketplace

Only 58 more QHPs but, interestingly, 104 more people on SHOP plans...

Connector Updates for June 21, 2014

32,802 Applications completed in the Individual Marketplace
9,586 Individuals and families enrolled in the Individual Marketplace
643 Employers applied to SHOP Marketplace
965 Employees and dependents enrolled via SHOP Marketplace

Total since October 1, 2013

  • 32,654 Applications completed in the Individual Marketplace
  • 9,528 Individuals and families enrolled in the Individual Marketplace
  • 637 Employers applied to SHOP Marketplace
  • 861 Employees and dependents enrolled via SHOP Marketplace

Connector Updates for June 7, 2014
Total since October 1, 2013

32,625 Applications completed in the Individual Marketplace
9,482 Individuals and families enrolled in the Individual Marketplace
631 Employers applied to SHOP Marketplace
846 Employees and dependents enrolled via SHOP Marketplace
 

Every little bit...

Connector Updates for May 31, 2014

32,208 Applications completed in the Individual Marketplace
9,432 Individuals and families enrolled in the Individual Marketplace
629 Employers applied to SHOP Marketplace
851 Employees and dependents enrolled via SHOP Marketplace
 

Not exactly an earth-shattering update, but Hawaii has, interestingly, managed to increase their SHOP enrollments by over 20% in the past week.

Plus, they, along with Oregon and Minnesota, get kudos from me for continuing regular updates regardless of how minor the changes are. Wish NY, CA and HHS would follow their lead on this topic, at least (obviously not so much the technical side of things...)

Total since October 1, 2013

32,114 Applications completed in the Individual Marketplace
9,414 Individuals and families enrolled in the Individual Marketplace
618 Employers applied to SHOP Marketplace
773 Employees and dependents enrolled via SHOP Marketplace

Interestingly, even though we're well past even the extended QHP enrollment period, Hawaii continues to have new enrollments trickle in. I'm not sure if these are clerical corrections from before 4/30 or if these are "Qualifying Life Events", but either way they just added another 111 people to the tally (plus a whopping 5 more people in their SHOP enrollments).

Total since October 1, 2013

32,086 Applications completed in the Individual Marketplace
9,397 Individuals and families enrolled in the Individual Marketplace
604 Employers applied to SHOP Marketplace
636 Employees and dependents enrolled via SHOP Marketplace

In addition, Hawaii's exchange just became a slightly better value, dropping from $23,899 per person enrolled down to $23,617 per person. So, there's that, I guess...

Well, here at ACASignups.net I'm nothing if not comprehensive...Hawaii has added a whopping 69 exchange QHP enrollees and 3 (yes, 3) SHOP enrollees in the past week or so...

Total since October 1, 2013

  • 31,758 Applications completed in the Individual Marketplace
  • 9,286 Individuals and families enrolled in the Individual Marketplace
  • 595 Employers applied to SHOP Marketplace
  • 631 Employees and dependents enrolled via SHOP Marketplace

Looks like last week's claim of 9,800 QHPs was a bit of an error...according to the official exchange update, the combined total of QHPs + SHOP enrollments is around 9,800:

Total since October 1, 2013

31,378 Applications completed in the Individual Marketplace
9,217 Individuals and families enrolled in the Individual Marketplace
588 Employers applied to SHOP Marketplace
628 Employees and dependents enrolled via SHOP Marketplace

Given that they were only at 8,742 just a few days earlier, Hawaii managed to pull off an impressive (relatively-speaking) mini-surge in the final few days:

The Hawaii Health Connector, the online marketplace responsible for implementing President Barack Obama’s Affordable Care Act in Hawaii, enrolled 9,800 residents as of Wednesday’s final deadline for its first year of providing coverage.

The Connector collected 31,310 individual applications as of Saturday but was unable to enroll two-thirds of those applicants despite a push in the final two months.

Hawaii's original CMS target was a piddly 9,000 exchange QHPs...believe it or not, they may just barely squeak over that line after all (although my own target for HI was 11,000, which they're almost certainly not gonna pull off...)

Total through April 26, 2014:

31,310 Applications completed in the Individual Marketplace
8,742 Individuals and families enrolled in the Individual Marketplace
576 Employers applied to SHOP Marketplace
628 Employees and dependents enrolled via SHOP Marketplace

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