Open Enrollment: Answers to your Top 5 Questions

Happy Open Enrollment Day! November 1st marks the start of the forth open enrollment period for President Obama’s Health Insurance Marketplaces. That means from today until January 31st, an estimated 10 million Americans who had coverage in 2016 will be able to renew their health plans online and an additionally 3.5 million Americans that still …

The Curious Case of Hialeah

January 2016 marks the 3rd year of the Health Insurance Marketplaces, a key provision of the Affordable Care Act designed to help millions of Americans buy affordable, quality healthcare. In those three years, enrollment has grown to well over 12 million people. Thus far, 3 million new Americans enrolled in 2016. 35% of those enrolled …

Top 10 of 2015: #9 CO-OPs

#9: CO-OPs – Half empty or Half Full? In 2013, the Briefing Room reported on the potential pitfalls of launching Consumer Operated and Oriented Plans (CO-OPs) in every state. In less than two years, the warnings are now coming to fruition. 12 out of the 23 CO-OPs have closed their doors and will not exist in 2016 …

An Exchange by any other Name…

In Shakespeare’s play Romeo and Juliet, Juliet surmises that, “Romeo would, were he not Romeo call’d, retain that dear perfection which he owes without that title.” So in the same sense would not Health Exchanges by any other name still be just as confusing? “’Tis but thy name that is my enemy” A recent survey …

How Much Does Free Healthcare Cost?

Health exchanges intend to provide affordable coverage to a group of consumers who otherwise, for various reasons, have been historically uninsured. Each health exchange will use advanced premium tax credits (APTCs) or “subsidies” pegged at a person’s salary to help defray the cost of health insurance. To be eligible for these subsidies, a consumer (and/or …

Lessons “Unlearned” from Healthy NY

Like many other New York State programs, Healthy New York aims to offer services for the most vulnerable, susceptible, and disenfranchised citizens of the state. It is a state-sponsored health insurance program uniquely designed to offer cheap, affordable coverage to those most exposed to what is known as the “health insurance gap”. In layman’s terms, this …

Christie/Obama: Is it Politics or Policy?

[polldaddy poll=6752248] Is Christie’s decision about politics or policy? Answer our poll. You decide. Saying “No” Again New Jersey Governor, Chris Christie vetoed the latest Health Exchange bill sent to his desk by Democratic legislators on Thursday moving New Jersey one step closer to a federally facilitated Health Exchange. If the Governor does not come …

“Healthcare…It’s On Aisle 7”

In 2014, almost everyone must buy health insurance or face tax penalties. Health Exchanges serve as the vehicle for consumers to buy health plans via a state-run website. New York recently shared their intentions for their State-based Health Exchange website. It looks very similar to the user experience of a Travelocity.com or Expedia.com. A user can enroll with a log …

GOP to Obama – “Congratulations Mr. President, But We Need More Time”

After congratulating President Obama on his election win and committing to work with his Administration, 31 Republican Governors representing 62% of the country asked Obama for an extension for creating their state’s Health Exchange. That’s because November 16th is the deadline for states to submit a letter of declaration for a state-based exchange and as of today: Only …

Health Exchanges – Part III

Understanding Your Operational Readiness In Part I of Building a Health Exchange Strategy the discussion centered on how payers will have to be more consumer centric in their approaches to delivering health care. Part II focused on being aware of the political climate and how that will impact strategic decisions on whether to enter a …