Enrollments in Healthcare Insurance Exchanges Down

You won’t see much about it in the mainstream media but there’s been an interesting development. Enrollment in the healthcare insurance exchanges has actually declined from its peak:

According to a press release issued by the Centers for Medicare and Medicaid Services on Tuesday, the number of paying Obamacare enrollees fell to 9.9 million by June 30, 2015, thus falling below the 10 million-person enrollment milestone many proponents had cheered. Put another way, roughly 1.8 million people who were enrolled in Obamacare at the end of February had either not paid their bills or were dropped by their insurers.

The CMS suggests that a number of factors could continue to play into this expected degradation in enrollment rates following the end of the open enrollment period. For some it could be as simple as coverage no longer seeming affordable. For others, life changes could affect their need for an Obamacare plan. Landing a new job or getting married could mean that health insurance purchased on an Obamacare exchange is no longer needed. Lastly, the CMS notes that about 423,000 of the 1.8 million consumers had their coverage terminated because sufficient documentation of their citizenship or immigration status could not be verified.

However, the CMS pointed out that even with the expected drop-off in paying customers, the 9.9 million enrollees is still higher than the 9.1 million targeted by year’s end.

I can think of some other explanations. It’s possible that more of those formerly enrolled are now eligible for Medicaid or Medicare. Maybe more are now being covered by employer-based plans.

It does seem to me that it’s a notable milestone. We may have reached as many as can be reached.

6 comments… add one
  • steve Link

    Need more data. Exchange participation will likely be heavily affected by economic conditions, good and bad. IIRC, the original projections were that it would take until 2023 for enrollments to reach some kind of equilibrium.

    Steve

  • BTW, the article to which I linked finally arrives at the point I’ve made for decades: the practical measure of healthcare reform is going to be cost control. It’s the sine qua non of healthcare reform.

  • jan Link

    This IBD article mirrors what the Motley Fool piece said, and more….

    In its latest enrollment report, the Centers for Medicare and Medicaid Services says 9.9 million were still enrolled in ObamaCare exchange plans.

    That’s almost 2 million fewer than the administration claimed in the spring, when it bragged that 11.7 million had signed up, and way below the Congressional Budget Office’s earlier forecast of 13 million. And if this year is anything like last year, that 9.9 million will dwindle further as the year goes on.

    Year-over-year growth isn’t terribly impressive, either. The CBO had figured sign-ups would almost double this year. Instead, they climbed 24%, when you compare the latest figures to those the administration put out in May 2014. Enrollment in big states like California and New York is virtually unchanged.

    It would appear ObamaCare isn’t such a great product after all. And it’s about to get much worse.

    Earlier this year, insurers started putting in rate requests for 2016, and in many cases they were gut-wrenchingly high — with some above 50%. Obama told the public not to worry, that state insurance regulators would knock them down to size.

    But like every other promise he’s made about his namesake law, this one was phony.

    In state after state, insurance commissioners are approving huge rate hikes, based on the fact that the people who’ve signed up for ObamaCare are older and sicker than insurers hoped.

    By one estimate, the average rate hike in Oregon — a state that eagerly embraced ObamaCare — is above 24%. Average approved rates are 20% or higher in Alaska, Idaho, Iowa and Kansas.

    An analysis by Agile Health Insurance found almost a third of all plans being sold through the federal Healthcare.gov exchange — which covers 36 states — had double-digit rate hikes.

    Premiums for every plan offered in South Dakota, Delaware and West Virginia will be up by 10% or more.

    These premium increases — combined with narrow provider networks and big deductibles — are sure to drive down the already low enrollment rates among the younger and healthier, and those who aren’t eligible for ObamaCare subsidies.

    The CBO expects 21 million will enroll in the Obama-Care exchanges next year.

    That’s increasingly looking like a pipe dream.

  • Jimbino Link

    You ain’t seen nothing yet. Wait till Amerikans realize they can soon go to Cuba for full medical and dental treatment that costs less than their deductibles under Obamacare and for abortions that have been legal there for decades.

  • steve Link

    The same people predicted major increases last year. The end result was that, on average, the increases were close to zero. IBD were the folks who said that hawking would be dead if he had to receive care through the British NHS. They are so blindingly ignorant on health care issues that I wouldn’t quote them even if I agreed with them. I would assume I was probably wrong.

    As to cost controls, it seems a bit early to give up on the market mechanisms being employed with the ACA. Maybe insurance companies really will compete with each other and large deductibles drive down costs, and conservatives will be proven correct. When we do move on to cost controls, how we do that will matter a lot IMO. Rather than trying to price control each and every fee, every part of every procedure, I think it will probably be better to head where CMS has already been trailing, towards global fees. Let providers figure out how to divvy up the money, while retaining quality.

    Steve

  • jan Link

    Steve, the IBD article was less an opinion piece than simply quoting enrollment numbers, percentages of insurance premium increases etc. About the only “prediction” made was at the end where it doubted the high water mark CBO expectation of 21 million enrollment not to be met. Considering the fact that enrollment has already dropped, that premiums are expected to increase, that satisfaction with medical options in the exchanges are not great IBD’s gloomy assessment is not entirely without merit, is it? Or, is this publication just making up these figures, trends and assessments out of thin air?

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