Showing Tag: "marketplaces" (Show all posts)

Health Insurance Marketplaces: Premium Trends, 2014-16

Posted by Timothy McBride on Thursday, May 12, 2016, In : ACA 

There has been a great deal of attention recently to the premiums in the Health Insurance Marketplaces (HIMs), and the potential shape of the marketplaces in 2017. The recent announcements by some insurers that they may pull back from their role in the marketplaces authorized by the Patient Protection and Affordable Care Act (ACA) has fueled this interest, along with the annual period when insurers submit their preliminary bids for premiums in the marketplaces, with fears that the growth in p...


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Is the Sky Falling? Let's Wait

Posted by Timothy McBride on Wednesday, May 27, 2015, In : ACA 
So it's that time of the year on the calendar when private insurers who offer plans in the Health Insurance Marketplaces (HIMs) start to submit their "rate bids" for the next year, and some reporters have obtained information on these bids.  This is leading to some rather hyperbolic headlines, and reaction, about how the marketplaces may be falling apart under a cost explosion.  In fact, this is an annual experience that needs to be calmly understood, and we need more time -- and data -- to u...
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Here is something about the response to the Health Reform (the Affordable Care Act) I don't get...

Posted by Timothy McBride on Saturday, June 28, 2014, In : ACA 
So here is something that has perplexed me for a long time, watching the (largely successful) rollout of health reform (the Affordable Care Act).

For months now, many very bright people (pundits, reporters, Legislators) have been fixated on one part of the Affordable Care Act (ACA)'s rollout and using it as a ruler to measure the law's success: the number of people enrolled in the MARKETPLACES -- whether the law would reach the target of roughly 8 million people enrolled in the "Marketplaces" ...
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Uninsured in States with State-Based Marketplaces Twice as Likely to Obtain Coverage

Posted by Timothy McBride on Thursday, March 20, 2014, In : ACA 

·  ·    The ACA left the important decision of whether to create a state-based marketplace or not up to the states, and the Supreme Court gave states the option to expand Medicaid or not.  

Fifteen states (representing about one-third of the uninsured in the U.S.) have chosen to create state-based marketplaces, 10 states are using the federally-facilitated marketplaces (FFM) but are expanding Medicaid, while the remaining 26 states have chosen to use the federally-facilitated marketplace and...


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Where is Paul Ryan?

Posted by Timothy McBride on Thursday, December 5, 2013, In : ACA 
It has occurred to me that in all the news reports I have seen, with many Republicans out front and center attacking the rollout of the Affordable Care Act (ACA), one person I have not seen speaking about it is Paul Ryan.  I wonder why this is the case.  But I have a hypothesis.

Ryan made a Medicare Exchange the centerpiece of his policy changes to Medicare in his proposal outlined in "Path to Prosperity" (see pages 39-40 of the document at the link).

It has been pointed out before, most notabl...
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A Tale of Three Markets: How ACA implementation by state is affecting the uninsured's ability to obtain coverage

Posted by Timothy McBride on Monday, December 2, 2013, In : ACA 

After passage of the ACA, and the decision by the Supreme Court, states have faced important implementation decisions that will profoundly affect the effectiveness of health reform in reaching the previously uninsured.   As the Affordable Care Act (ACA) is being implemented, it is becoming clear that the experience for those trying to obtain health insurance coverage is influenced by two major decisions made by the states: whether the state chose to operate their own state-based marketplace, ...


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Media narrative on the ACA: is it over the top?

Posted by Timothy McBride on Saturday, November 30, 2013, In : ACA 
It seems we cannot open up a newspaper, or listen to a newscast these days without hearing reference to how troubled the "rollout" of "Obamacare" is.  This seems a dominant media narrative, deserved or not.  

Just for kicks, I did a quick and (I am sure not exhaustive) search on "Lexis/Nexis" to see how many references I could come up with to this.  Using just the parts of the database limited to "all news (English)" and "broadcast transcripts" and limiting the search to articles posted on Oct...
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Interesting preliminary data on age distribution of ACA enrollees

Posted by Timothy McBride on Friday, November 29, 2013, In : ACA 
A Reuters report (link sent to me by Chris Conover; thanks Chris) reports that in four states where they have reports about 20% of new enrollees are 18-34 years old (ranging from 19% in KY to 27% in MD). The report indicates that "The Obama administration is aiming to enroll about 2.7 million 18-to-35 year olds in the exchanges by the end of March, out of 7 million total, or about 38 percent."

The age distribution seems actually better than I might have expected at this early stage.  Many repo...

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Why is media minimizing impact of ACA?

Posted by Timothy McBride on Friday, November 29, 2013, In : ACA 
Persistent reports on the impact of the rollout of the new insurance options for 2014 under the Affordable Care Act (ACA) have fixated on the enrollments in the new Marketplaces, where private plans are being offered. 

Why is it that the media is not reporting widely the TOTAL number of previously uninsured who are obtaining coverage through all sources, including the marketplace plans as well as Medicaid coverage?

The recent updates from Kaiser show that over 741,000 people are now enrolled, a...
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Enrollment in ACA starting to accelerate?

Posted by Timothy McBride on Wednesday, November 20, 2013, In : ACA 
As is being reported in some media outlets, in November the enrollment in the Affordable Care Act (ACA) may be accelerating.  

This is being shown by preliminary data reported by the Kaiser Family Foundation, which is tracking state enrollment where it can get regular updates from the states.

In the three states where Kaiser has new updates since the administration released the nationwide report (of enrollment through November 2), there is a 28% increase in enrollment of 36,641 persons.  It bre...
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State Based Marketplaces Much More Successful in Enrolling People under ACA

Posted by Timothy McBride on Monday, November 18, 2013, In : ACA 
Last week the administration released data on the number of people who have applied for, and been enrolled in, insurance through the Affordable Care Act (ACA).  As has been widely reported, 106,185 people enrolled in the state and federal Marketplaces, and 396,291 enrolled in Medicaid plans, for a total of 502,446 enrolled.

How well are these state-based and federal Marketplaces doing in enrolling people, especially relative to the number of uninsured in the states?  Some overall impressions, ...
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Making sense of Enrollment reports: State Based Marketplaces

Posted by Timothy McBride on Wednesday, November 13, 2013, In : ACA 
There are now several places tracking and reporting numbers enrolled in the state-based Marketplaces.  For example, the New York Times this morning reported on what is happening in the state-based Marketplaces which are generally working better than the much-maligned federal Marketplace (healthcare.gov).  

I have put together a table to compare the estimates from the New York Times, Avalere, and Advisroy Board, all that are reporting numbers on a semi-regular basis.  Just to be clear, not all ...
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Get ready for a wild ready on enrollment numbers

Posted by Timothy McBride on Tuesday, November 12, 2013, In : ACA 
We are starting to see early reports on "enrollment" numbers in the Affordable Care Act (ACA) Marketplaces in various places.  It could be a real wild ride, and as in any reports on data, it could get very confusing.  And, unfortunately, when numbers are confusing, and all over the place, that could lead to a situation where pundits or politicians pick and choose the numbers they want to choose to make the numbers look bad, or good, depending on their point of view.

Officially the federal gove...
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The Health Reform Have- and Have-Not States

Posted by Timothy McBride on Monday, November 11, 2013, In : ACA 
As the press and pundits rush to judgment (apparently) on deciding how "Obamacare" is going they ought to actually stop to ponder that the Affordable Care Act is not just one program, not a federal program, rolling out the same in every part of the country.  In fact, what we are witnessing is essentially 51 different health reforms being rolled out in the 50 states and D.C., and taking on different forms everywhere.

One way to characterize the way this is rolling out is on two major dimensions...
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Press is missing the boat on ACA by not covering State-Based Marketplaces?

Posted by Timothy McBride on Sunday, November 10, 2013, In : ACA 
There has been much hyperbole in the press about the "failure" of "Obamacare" because of the problems with the federal healthcare.gov website.  The focus on this website and perhaps few enrollments through this website and many mentions of this seems odd given that in 17 states individuals will enroll through state-based Marketplaces.

The Kaiser Foundation is reporting preliminary data on these state-based Marketplaces on their website, at least for 15 of these states.  They report that 227,81...
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About Me


Timothy McBride Timothy D. McBride, Ph.D. is a Professor at the Brown School, Washington University in St. Louis. Here you can find musings on health policy and other issues. Opinions are my own, and not those of my employer. Contact: mcbridetd@gmail.com