Fourteen insurers request average 7.16% rate increase for 2023 individual health insurance market
OLYMPIA, Wash. – Fourteen health insurers filed an average requested rate increase of 7.16% for Washington's individual health insurance market. The plans and proposed rates are currently under review and final decisions will be made this fall.
"More than two hundred thousand people in Washington state get their health coverage through our individual market,” said Insurance Commissioner Mike Kreidler. “It’s critical they have choices for meaningful and affordable coverage. Fourteen insurers have filed plans for next year, and while the choices vary depending on where you live, our market is thriving. I know that premiums and cost-sharing are still high for many, especially those who don’t qualify for subsidies, and we need to do more to address the underlying costs drivers of health care.”
Salem – Oregon consumers can get a first look at requested rates for 2023 individual and small group health insurance plans, the Oregon Department of Consumer and Business Services announced today.
In the individual market, six companies submitted rate change requests ranging from an average 2.3 percent to 12.6 percent increase, for a weighted average increase of 6.7 percent. In the small group market, nine companies submitted rate change requests ranging from an average 0 percent to 11.6 percent increase, for a weighted average increase of 6.9 percent. Our initial review has found that insurers have identified inflation, medical trend, and enrollment changes as factors in the proposed increases. See the attached chart for the full list of rate change requests.
Health Carriers Propose Affordable Care Act Premium Rates for 2023
Public Invited to Submit Comments
BALTIMORE – The Maryland Insurance Administration (MIA) has received the rate filings containing the proposed 2023 premium rates for Affordable Care Act (ACA) products offered by health and dental carriers in the Individual, Non-Medigap (INM) and Small Group (SG) markets.
The carriers’ requested increases are reviewed by the MIA and rates must be approved by the Commissioner before they can be used. Before approval, all filings undergo a comprehensive review of the carriers’ analyses and assumptions. By law, the Commissioner must disapprove or modify any proposed premium rates that appear to be excessive or inadequate in relationship to the benefits offered, or are unfairly discriminatory. The MIA will hold a public hearing on the ACA proposed rates in July and expects to issue decisions in September 2022.
I've been posting weekly looks at the rate of COVID-19 cases & deaths at the county level since the point at which every U.S. adult could theoretically have received 2 COVID vaccination doses nearly a year ago, broken out by partisan lean (i.e, what percent of the vote Donald Trump received in 2020), as well as by the vaccination rate of each county in the U.S. (nonpartisan).
For a long time I used July 1st, 2021 as my start point, but in December I decided to back this up to May 1st, 2021 instead. Pinning down an exact date for this is a bit tricky since a) different populations were made eligible at different points in 2021, and b) it takes 3-4 weeks after getting your first vaccination dose before you can get the second one, but May 1st is what I've finally settled on. This doesn't really change things much, however.
I go by county residents who have received the 2nd COVID-19 shot only (or 1st in the case of the J&J vaccine).
I base my percentages on the total population via the 2020 U.S. Census including all ages (i.e., it includes kids under 12).
For most states + DC I use the daily data from the Centers for Disease Control, but there are some where the CDC is either missing county-level data entirely or where the CDC data is less than 90% complete at the county level. Therefore:
The final Senate compromise, which was adopted as part of the ACA, largely reinforces the Hyde Amendment, which has been included in annual Congressional appropriations legislation since the 1970s and prohibits the use of federal funds for abortion services unless the pregnancy is a result of rape or incest, or would endanger the woman’s life (non-Hyde abortions).
The ACA allows the coverage of abortion services through the marketplaces but includes a number of restrictions and requirements that insurers must follow before covering non-Hyde abortions. Many, though not all, of these restrictions are outlined in Section 1303 of the ACA, which includes specific rules related to the coverage of abortion services by Qualified Health Plans (QHPs) and has been the subject of previous litigation. In particular, Section 1303:
One of the most inane restrictions of the ACA in my view, as I noted in my "If I Ran the Zoo" wish list back in 2017, is that it doesn't allow undocumented immigrants to enroll in ACA marketplace health plans ("Qualified Health Plans" or QHPs).
I don't just mean that they aren't eligible for federal financial subsidies--that's a prohibition which I can at least understand, even if I don't agree with it. I mean that they aren't allowed to enroll in ACA exchange-based QHPs even at full price, as noted in Section 1312(f)(3):
(3) Access limited to lawful residents.--If an individual is not, or is not reasonably expected to be for the entire period for which enrollment is sought, a citizen or national of the United States or an alien lawfully present in the United States, the individual shall not be treated as a qualified individual and may not be covered under a qualified health plan in the individual market that is offered through an Exchange.
Every year, I spend months painstakingly tracking every insurance carrier rate filing for the following year to determine just how much average insurance policy premiums on the individual market are projected to increase or decrease.
Carriers tendency to jump in and out of the market, repeatedly revise their requests, and the confusing blizzard of actual filing forms sometimes make it next to impossible to find the specific data I need. The actual data I need to compile my estimates are actually fairly simple, however. I really only need three pieces of information for each carrier:
Under the ACA, most states have expanded Medicaid to people with income up to 138 percent of the poverty level. But people with incomes very close to the Medicaid eligibility cutoff frequently experience changes in income that result in switching from Medicaid to ACA’s qualified health plans (QHPs) and back. This “churning” creates fluctuating healthcare costs and premiums, and increased administrative work for the insureds, the QHP carriers and Medicaid programs.
Hot on my announcement that I've been asked to join the board of directors of Doctors For America, I have some less pleasant personal news to report as well: After dodging it for nearly 2 1/2 years and obsessively tracking cases & fatalities connected to it for most of that time, I finally tested positive for COVID-19 myself a few days ago.
I actually started feeling slightly off about two weeks ago, but I also happened to get my 4th vaccination shot (or 2nd booster, if you prefer) right around the same time, so for the first few days I just assumed I was having stronger-than-usual side effects from the shot.
By last Wednesday, it was clearly something more serious, but a home-based COVID test came back negative so I figured it was just a really nasty head cold + seasonal allergies. By Friday my wife was also experiencing symptoms and she ended up having a miserable Mother's Day weekend...while I was starting to recover.
Doctors for America mobilizes doctors and medical students to be leaders in putting patients over politics on the pressing issues of the day to improve the health of our patients, communities, and nation.
Today, the Centers for Medicare & Medicaid Services (CMS) announced that Tennessee and South Carolina can begin offering Medicaid and Children’s Health Insurance Program (CHIP) coverage for 12 months postpartum to an estimated 22,000 and 16,000 pregnant and postpartum individuals, respectively, through a new state plan opportunity made available by the American Rescue Plan.
Tennessee and South Carolina join Louisiana, Michigan, Virginia, New Jersey, and Illinois in extending Medicaid and CHIP coverage from 60 days to 12 months postpartum. CMS is also working with another nine states and the District of Columbia to extend postpartum coverage for 12 months after pregnancy, including California, Indiana, Kentucky, Maine, Minnesota, Oregon, New Mexico, Pennsylvania, and West Virginia. As a result of these efforts, as many as 720,000 pregnant and postpartum individuals across the United States could be guaranteed Medicaid and CHIP coverage for 12 months after pregnancy.
As noted a couple of weeks ago, I've decided to ease up on my obsessive COVID vaccination & death rate tracking. I'm not abandoning it entirely, mind you; I'm just dropping the updates from weekly to monthly.
There's two reasons for this: First, the weekly updates have been monopolizing my time & energy, making me fall behind on a whole mess of other important healthcare policy stuff; after all, this is ACASignups.net not COVIDTracker.net. Secondly, I think it's fair to say that after meticulously tracking the data for nearly two years (in the case of COVID deaths) or one year (in the case of vaccination rates), I've more than made my point.
However, there's one other important factor which I haven't delved into...because I never had access to the data, at least not at the county level: Excess deaths. For this, I've enlisted the assistance of Andrew Stokes, Asst. Professor at the Boston University School of Public Health, to the point that I'm giving him co-author credit for this entry.
New Reports Show Record 35 Million People Enrolled in Coverage Related to the Affordable Care Act, with Historic 21 Million People Enrolled in Medicaid Expansion Coverage
Today, Health and Human Services Secretary Xavier Becerra released the following statement on the heels of a Politico report, claiming to include a draft Supreme Court opinion on Roe v. Wade --
Patients make their own decisions about their own bodies. That’s their right.
I strongly believe in protecting and promoting access to health care — that includes sexual and reproductive health care, and that includes safe and legal abortion care.
Abortion remains legal today and patients can access care. The laws we have seen coming out of states that deny care are dangerous.
HHS has taken several meaningful actions under the Biden-Harris Administration to protect and bolster reproductive health, rights, and justice, including:
