Charles Gaba's blog

Some Guy, October 26, 2015:

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:

Presented without comment: (strike that...with plenty of comment; see below)

Date: November 19, 2015
From: Center for Consumer Information & Insurance Oversight (CCIIO), Centers for Medicare & Medicaid Services (CMS)
Subject: Risk Corridors Payments for the 2014 Benefit Year

On October 1, 2015, the Centers for Medicare & Medicaid Services (CMS) announced that for the first year of the three year risk corridors program, qualified health plan (QHP) issuers will pay charges of approximately $362 million, and QHP issuers have requested $2.87 billion of 2014 payments, based on current data for the 2014 benefit year. 1 Consistent with prior guidance, assuming full collections of risk corridors charges for the 2014 benefit year, insurers will be paid an amount that reflects a proration rate of 12.6% of their 2014 benefit year risk corridors payment requests.2 The remaining 2014 risk corridors payments will be made from 2015 risk corridors collections, and if necessary, 2016 collections.

"Get him out of my sight, Lou! I want him in town, though. He's still under contract. I want you in town, Fink...and out of my sight." --Barton Fink

The big ACA story Thursday morning was about UnitedHealthcare announcing that while they're still available across half the country for 2016, they may drop out of the ACA exchanges next year (2017). Furthermore, they're cutting their marketing/promotional efforts for the exchanges and, in an additional exclusive tidbit from myself, they've also informed their commission-based brokerage network that they'll be slashing their commission rates by as high as 80% for exchange-based enrollments. On top of that, they've even supposedly deliberately disabled various database tools used specifically by brokers to assist in helping people sign up for UHC policies through the exchanges.

The monthly Access Health CT board meeting is taking place right now; they've posted a few key data tweets. I'll update if anything else relevant is tweeted out:

James Michel, Director of Operations, has shared that 13,300 new accounts have been created & 5,470 individuals have enrolled in QHP plans.

— Access Health CT (@AccessHealthCT) November 19, 2015

Total QHP enrollments as of 11/17: 99,127. #AHCTBoDMeeting

— Access Health CT (@AccessHealthCT) November 19, 2015

UPDATE: I've gotten the OK from my source, Joshua Dickerson, to give him a public should-out for the heads up.

Regular readers know that although I do spend a lot of time updating this website, I do still have to do my day job running a website development firm. As a result, I'm simply not able to keep up with every healthcare-related hot tip which comes my way.

So, when the following link was forwarded to me a few days ago, while I did find out more details from the sender, I didn't happen to get around to actually posting anything about it before today:

UnitedHealthcare Announces Changes to 2016 Exchange Sales and Compensation

Over the past few months, we've seen an acceleration of changes in the health insurance market. UnitedHealthcare is continually evaluating all aspects of the evolving exchanges so that we can provide coverage options that best meet consumers' health care and financial needs.

Remember a few weeks ago when the right-wing Heritage Foundation published a study which tried to claim that only 3% of the net increase in Americans with healthcare coverage due to the first year of the Affordable Care Act exchanges was via private individual policies, with a crazy-high 97% of it allegedly coming from Medicaid expansion?

Remember how the only basis for this argument was an extremely shaky claim that employer-sponsored insurance had supposedly dropped by 4.5 million people from 2013 to 2014 (which supposedly cancelled out all but 260,000 of the private policy gains)??

Finally, remember how I completely obliterated this argument with a mountain of solid, reliable evidence proving pretty damned conclusively that their "3%" claim was nonsense, and that the actual ratio--while still weighted heavily in Medicaid's favor--was more like 2:1, or 70/30 at most?

Today was a big day for enrollment updates. Not only did the Week Two Big One come out (HealthCare.Gov, which covers 38 states in one shot), but there were also official state-level updates from Rhode Island, Minnesota and California (although the CA update is partial, only covering new enrollees, not renewals of currently-enrolled individuals). In addition, there's also the recent updates from Maryland and Colorado.

Plug 'em all in ad you have the following: 1.17 million QHP selections confirmed nationally from 43 states out of around 1.76 million estimated nationally to date.

Covered California has a slightly annoying policy (they did this last year as well) of not publicizing how many current QHP enrollees have renewed their policies (or switched to a different exchange-based one) until well after the December deadline has passed.

Unfortunately, this means that today's enrollment report figure is very misleading, as it only includes new enrollees added:

As of Nov. 17, approximately 6,000 new enrollees had elected to purchase a family dental plan at the time of enrollment. In addition, more than 27,000 current members had chosen to purchase a family dental plan at the time of renewal.

Covered California also announced Wednesday that more than 34,000 new consumers had selected a health insurance plan through the exchange since open enrollment began.

Some Guy, 11/12/15:

By my reckoning, total national QHP selections should hit around 1.33 million by the end of Week Two, of which around 1.07 million should be via HealthCare.Gov. I the expect around 1.9 million in Week Three, around 2.4 million by Thanksgiving, and then start ramping up to around 6.3 million by the 12/15 deadline for most states.

CMS Dept., just moments ago:

Health Insurance Marketplace Open Enrollment Snapshot: Week 2: November 8 – November 14, 2015

The second week of Open Enrollment for Marketplace coverage saw millions more Americans exploring their health insurance options by calling the call center, attending enrollment events, or visiting HealthCare.gov or CuidadoDeSalud.gov.

MNsure, the Minnesota ACA exchange which has gone through a lot of political ping-pong but is still standing, just released their first official 2016 #OE3 enrollment report:

OK, that's 6,864 QHP selections in 17 days, or 404 per day so far.

Minnesota only accounted for 0.5% of total QHP selections for 2015; extrapolated nationally at the same ratio, this would suggest around 1.37 million QHPs nationally through yesterday...which is a little lower than I'm currently estimating, but in the right ballpark.

Pages

Advertisement