Charles Gaba's blog

This just in from HealthSource RI:

PROVIDENCE – HealthSource RI (HSRI) has released certain enrollment, demographic and volume data through Saturday, January 31, 2016 for Open Enrollment.

INDIVIDUAL AND FAMILY ENROLLMENT • As of January 31, 2016:

  • 34,670 individuals are enrolled in 2016 coverage through HSRI, paid and unpaid.
  • The majority of these individuals are 2015 HSRI enrollees that were auto-renewed into a 2016 plan.
  • 7,538 of the 34,670 individuals have selected a plan for 2016 coverage and are new to HSRI this year or returning after being enrolled with HSRI at some point during a prior year.

32,286* of the 34,670 individuals are enrolled in 2016 coverage through HSRI, and have paid their first month’s premium.
*The number of paid enrollments is expected to increase as individuals pay for March coverage through the February 23 payment deadline. 

Back in November, one of the big ACA stories was UnitedHealthcare, shortly after releasing third quarter financial results which made it sound like all was well with their ACA exchange business, dropping a bombshell only a month later stating that they were losing hundreds of millions of dollars on the exchanges and were very likely to drop out next year.

This caused all sorts of shockwaves among the insurance industry, and of course gave ACA critics more ammunition with which to attack Obamacare as a whole, calling it evidence of the system being a failure, etc etc...even though several other major insurance carriers on the exchanges didn't seem to be complaining (or at least weren't making it out to be nearly as dire of a situation as UHC).

At the end of December, UnitedHealthcare (along with some other carriers) complained about CMS publicly posting their proposed rate increases:

UPDATE: OK, the live stream was over hours ago. I can no longer embed the entire hearing, but here's a direct link to watch it over at C-SPAN's website.

However, just to give you a taste of how jaw-dropping this hearing was, watch Rep. Elijah Cumming's question period with the head of Michigan's Dept. of Environmental Quality:

For a full write-up of the hearing, visit Eclectablog.

Isaac Bashevis Singer is famous for, among other things, his collection of Yiddish folk tales about The Wise Men of Chelm, a town in Poland which, according to the folk tales, was populated entirely by fools.

One of the stories about the people of Chelm was about a playground located near the top of a cliff. Every once in awhile, a child would fall off the cliff and injure themselves on the ground below.

The Wise Men of Chelm came up with an ingenious solution to the problem: They built a hospital at the bottom of the cliff. That way, the children could be rushed into the emergency room quickly for medical treatment.

I was reminded of this story when reading the following AP article posted moments ago:

LANSING, Mich. (AP) — Michigan Gov. Rick Snyder will propose $30 million in state funding...

(thanks to Hector Solon for the tip)

OK, as far as crimes and/or stupidity by the Michigan GOP goes, this is pretty small potatoes these days. Even so...

So, you may have heard that the Republican-controlled Michigan state legislature recently passed (and Governor Rick "Leadfoot" Snyder signed) a dead-of-night bill which, for absolutely no reason whatsoever...

...bans any public body or public official, except for “an election official in the performance of his or her duties,” from using public funds to issue any kind of communication that “references a local ballot question, and is targeted to the relevant electorate where the local ballot question appears on the ballot,” in the 60-day run-up to an election.

Sorry, I had to clip my toenails today, so I completely forgot...

After the meeting in which the president tries to find areas of possible agreement with GOP leaders, [Republican Speaker of the House Paul] Ryan will hold another vote on repealing the Affordable Care Act. TheWashington Post reported:

The House is scheduled to vote Tuesday on overturning President Obama’s veto of legislation to repeal Obamacare and defund Planned Parenthood. The vote, appropriately scheduled for Groundhog Day, is expected to fail, leaving conservatives to gear up for a final year of budget fights with the president.

Asked about today’s events, White House Press Secretary Josh Earnest told reporters, “Republicans are poised to host another vote in the united states congress today for the 60th time to repeal Obamacare. It’s almost like it’s Groundhog Day, except today it is actually Groundhog Day and they’re doing it again.”

OK, this was actually sent out on January 29th, but since it sounds like CMS won't be revealing the final OE3 tally until Thursday or Friday, this will have to tide everyone over:

By the Numbers: Open Enrollment

Since Open Enrollment for the Health Insurance Marketplace began on November 1, about 11.6 million people have signed up for or renewed a health plan (2.7 million through State-based Marketplaces through December 26 and over 8.9 million through HealthCare.gov or CuidadodeSalud.gov through January 23) that meets their needs and fits their budget.

Note: Obviously these numbers are a bit out of date; I've confirmed 11.86 million nationally, or around 260,000 more via the state-based exchanges than CMS has officially reported so far.

...This fact sheet provides a point-in-time estimate as of January 28, except where noted, of the many numbers behind the 2016 Open Enrollment period.

The Washington State ACA exchange has been very good about providing enrollment updates over the final couple of weeks of open enrollment, although the numbers have been included as part of general press releases rather than detailed demographic breakdowns.

They hit 190,000 as of January 29th, and it looks like they managed to rack up over 10,000 more in just the final two days, which is pretty impressive.

OLYMPIA, Wash. — The Washington Health Benefit Exchange today announced that more than 200,000 Washingtonians selected a Qualified Health Plan through Washington Healthplanfinder by the close of open enrollment on Jan. 31. The number of plans selected is nearly 25 percent higher than those selected in open enrollment last year, with approximately 39,000 more customers signed up for coverage this year than in 2015.

UPDATE 2/05/16: Unfortunately, I got swamped this week with the actual enrollment wrap-up stuff and never got a chance to write up the Part II promised at the end of this. I might have to re-think how I do this. I'll leave this post online, but might ot be referencing back to it for awhile longer than I expected. Sorry about that.

A couple of weeks ago, I made a YUUUGE mistake: I dipped my toe into the Hillary/Bernie/Single Payer fuss. Actually, the mistake wasn't so much my post, but cross-posting it over at Daily Kos, where it caused a bit of a fuss, which in turn led to my getting embroiled in the so-called "Bernie Bros Brouhaha" (Bro-Ha-Ha?), and so on.

Christ, it even turned into a bit of an M.C. Escher drawing, with Glenn Greenwald using the personal attacks on me by Bernie supporters to defend Bernie supporters, while Parker Molloy went from (indirectly) defending me (and other victims of "Bernie Bro" attacks) to actually accusing me of "Bernie Bro" behavior myself...because I made the mistake of responding to her Medium story via Twitter before I had actually read the entire story. (Note: I immediately realized my error and apologized, but she has yet to respond).

Better yet: This, in turn, led to another hostile encounter with another extreme Bernie supporter...a female one in this case, who was off her rocker, which in turn kind of proved Molloy's point about "Bro" not neccessarily having to be male. Additional irony: In both cases, I had actually been attempting to defend, or at least smooth over, the "Bernie Bro" insanity. And so it goes.

In any event, I had made a couple of other mistakes in my original post: While the title of the piece mentioned "siding with Hillary on healthcare", the post itself was really more about a) the problems I have with Bernie's plan and b) my own idea about how to eventually get to a single payer system...not what Hillary's plans actually are. In response, the following day I posted another piece which looked into what Hillary Clinton's ideas on healthcare policy actually are. On the one hand, they're far more detailed than Bernie's, which is a very good thing. On the other hand, even if every one of them were to be fully implemented, they'd significantly improve the current system but no, they still wouldn't bring about either single payer or universal coverage by themselves.

The last Colorado update, which ran through January 15th, had their numbers at 139,579 private policies (QHPs), 23,017 standalone dental plans, 45,100 in Medicaid and 2,771 in the SCHIP program.

I've just learned that Colorado's final tally as of the January 31st deadline stands at 153,583 QHPs, 25,604 dental, 54,447 Medicaid and 3,549 SCHIP, which means they added just over 14,000 in the final 16 days.

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