Obamacare rollout status report: central place for updates

[sactoking]

Total enrollment is still a concern. CBO estimated 7 million private plan enrollments for stability, not private plus Medicaid. At just over 2 million private enrollments halfway through open enrollment (and with arguably the more important of the two deadlines passed) it still seems very questionable if the enrollment goal will be hit.

 

[werepossum]

You should start with Congressional pensions first. They should rely on 401k's and Social Security, maybe then they'll care more about financial regulation and the long term fiscal picture.

I agree completely. Besides, if one cannot provide for one's own retirement how the hell is one qualified to run the country?

 

[sportage]

Well ANyway...
Happy 2014 and a big congrads to all the millions that now have long overdue healthcare thru the the national ACA reform, local ACA State exchanges, and medicare expansion.
Seriously... congrads to all of you.

This probably means nothing to most of the negative nannies around here, but finally a hell of a lot of Americans can and now have taken part in securing healthcare for themselves and their families.
And more so to note, folks that never could get healthcare before because or either some pre-exiting condition, and or having been dropped from past plans after someone in the family experienced health issues.
You know... all those millions of canceled people dropped from insurance or blocked from insurance, that damn congressional republicans never gave a rats ass about during those pre-ACA days.

For the millions of newly insured Americans, I rejoice with you and share your happiness that you finally for once, or now once again, have healthcare insurance thru the exchange provided by ACA reform.
As Spock would say, Live long and prosper.
As Tiny Tim would say, God bless us every one.
And as John Boehner would say, F**K F**K F**K. F**K them all.

And for all those that opposed reform, still would never seek coverage, and bought into this notion that having healthcare insurance was some how communistic in nature, well fool you have been had big time.
So after you get your massive hospital ER bill from your next unexpected ER visit, and have no idea in hell how you will pay it, don't pawn your financial burdens off on us.
Send your bill to:
Representative John A. Boehner
United States House of Representatives
1011 Longworth House Office Building
Washington, D.C. 20515-3508

See how far that gets you...

 

[Matt1970]

Well ANyway...
Happy 2014 and a big congrads to all the millions that now have long overdue healthcare thru the the national ACA reform, local ACA State exchanges, and medicare expansion.
Seriously... congrads to all of you.

This probably means nothing to most of the negative nannies around here, but finally a hell of a lot of Americans can and now have taken part in securing healthcare for themselves and their families.
And more so to note, folks that never could get healthcare before because or either some pre-exiting condition, and or having been dropped from past plans after someone in the family experienced health issues.
You know... all those millions of canceled people dropped from insurance or blocked from insurance, that damn congressional republicans never gave a rats ass about during those pre-ACA days.

For the millions of newly insured Americans, I rejoice with you and share your happiness that you finally for once, or now once again, have healthcare insurance thru the exchange provided by ACA reform.
As Spock would say, Live long and prosper.
As Tiny Tim would say, God bless us every one.
And as John Boehner would say, F**K F**K F**K. F**K them all.

And for all those that opposed reform, still would never seek coverage, and bought into this notion that having healthcare insurance was some how communistic in nature, well fool you have been had big time.
So after you get your massive hospital ER bill from your next unexpected ER visit, and have no idea in hell how you will pay it, don't pawn your financial burdens off on us.
Send your bill to:
Representative John A. Boehner
United States House of Representatives
1011 Longworth House Office Building
Washington, D.C. 20515-3508

Congrats to the 2 million who got insurance. To the 10 million kicked off, sorry bout that. As Spock would say, fuck off and die.
Congrats to the few people who has premium reductions. To the rest of us, sorry bout that.
Congrats to the few people who got to keep their doctors. To the rest of us, sorry bout that.

As to all those who thought Obamacare would actually make things better, sorry bout that.

 

[werepossum]

Congrats to the 2 million who got insurance. To the 10 million kicked off, sorry bout that. As Spock would say, fuck off and die.
Congrats to the few people who has premium reductions. To the rest of us, sorry bout that.
Congrats to the few people who got to keep their doctors. To the rest of us, sorry bout that.

As to all those who thought Obamacare would actually make things better, sorry bout that.

Not a fan of Obamacare but I don't think that's completely fair. Probably most of those who lost health insurance due to Obamacare have new insurance, though probably worse in ways they care about. For instance, I am losing my health insurance end of June due to Obamacare, but I will still have health insurance. The only question is what I'll have to give up to pay for the new Obamacare insurance and how much worse it will be.

 

[Matt1970]

Not a fan of Obamacare but I don't think that's completely fair. Probably most of those who lost health insurance due to Obamacare have new insurance, though probably worse in ways they care about. For instance, I am losing my health insurance end of June due to Obamacare, but I will still have health insurance. The only question is what I'll have to give up to pay for the new Obamacare insurance and how much worse it will be.

Maybe, but it's nothing compared to the steaming piles of dog poop sportage keeps leaving.

 

[werepossum]

Maybe, but it's nothing compared to the steaming piles of dog poop sportage keeps leaving.

Sportage is a cheerleader. Sometimes a cheerleader has to cheer the most miserable result because that's all there is to cheer.

 

[spacejamz]

Sportage is a cheerleader. Sometimes a cheerleader has to cheer the most miserable result because that's all there is to cheer.

Wonder what the statistics of those that actually make the premium payments will be...

Or what happens when they have to make that first out of pocket cost/deductible...will they keep paying?

Was there a breakdown of how many young made up the 2 million that have signed up so far?

 

[glenn1]

Sonia Sotomayor halts Obamacare contraceptive rule:

http://www.politico.com/story/2013/12/supreme-court-birth-control-catholic-group-101651.html?hp=f2

 

[ivwshane]

Sonia Sotomayor halts Obamacare contraceptive rule:

http://www.politico.com/story/2013/12/supreme-court-birth-control-catholic-group-101651.html?hp=f2

The emergency order issued Tuesday night applies only to the Denver facility but any further ruling from the court could have wide ranging repercussions. Nearly 100 for-profit and non-profit institutions have filed lawsuits over the Affordable Care Act’s contraception coverage requirement, arguing that it requires them to violate their religious beliefs against the use of contraception.

 

[werepossum]

Wonder what the statistics of those that actually make the premium payments will be...

Or what happens when they have to make that first out of pocket cost/deductible...will they keep paying?

Was there a breakdown of how many young made up the 2 million that have signed up so far?

If I had to guess, I'd say 50% or so. Some will be Lookie Lous just looking to see if the costs reported are accurate. Some others have probably gotten alternative insurance outside the exchanges. Some won't be able to come up with the money. And some are probably thinking to take advantage of the loophole Sactoking explained where they can have insurance for months without paying for it unless they need it.

I haven't seen any breakdowns, but I assume one would exist.

 

[First]

6M more Americans insured because of Obamacare; 2.1M in private plans, 3.9M in Medicaid

[snip]

To further update this point, as someone recently pointed out, those who have been able to stay on their parent's plan up to age 26 account for an additional 3M people, so the actual total now covered as a direct result of ACA is 9M, which far outstrips the (surely grossly inaccurate) 6M figure bandied about regarding cancellations. Good news to hear so many people have been added in the last 4 years, and looking forward to seeing it accelerate through March 31st.

 

[boomerang]

 

[michal1980]

6M more Americans insured because of Obamacare; 2.1M in private plans, 3.9M in Medicaid
.

so we added 2 million of people that maybe will be paying for insurance.

and 4 million that arent.

Thats success?


and those 4 million on medicaid use the ER more then uninsured?

http://www.npr.org/blogs/health/201...nsion-boosted-emergency-room-visits-in-oregon

Who wins here?

 

[First]

so we added 2 million of people that maybe will be paying for insurance.

and 4 million that arent.

Thats success?


and those 4 million on medicaid use the ER more then uninsured?

http://www.npr.org/blogs/health/201...nsion-boosted-emergency-room-visits-in-oregon

Who wins here?

9M.

 

[First]

Ah, looks like a further upward revision based on new numbers and information:

It appears that the 3.9M Medicaid enrollees is actually 4.2M, and doesn't count any December enrollees, which I was unaware of, according to CMS (as alerted to by Bloomberg). However, the 3.9M figure probably is those Medicaid enrollees directly attributable to ACA vs. normal Medicaid enrollment (but I've seen no clarification on this yet).

So, if we were to assume an even distribution in Medicaid growth from October and November in the December numbers (I believe a reasonable spitball estimate), that would be an additional 1.6M Medicaid enrollees for a total of just under 10.6M people covered as a direct result of ACA since March 2010.

Based on current trends, anyone here want to bet we won't see 20M covered by ACA by March 31st?

 

[michal1980]

Ah, looks like a further upward revision based on new numbers and information:

It appears that the 3.9M Medicaid enrollees is actually 4.2M, and doesn't count any December enrollees, which I was unaware of, according to CMS (as alerted to by Bloomberg). However, the 3.9M figure probably is those Medicaid enrollees directly attributable to ACA vs. normal Medicaid enrollment (but I've seen no clarification on this yet).

So, if we were to assume an even distribution in Medicaid growth from October and November in the December numbers (I believe a reasonable spitball estimate), that would be an additional 1.6M Medicaid enrollees for a total of just under 10.6M people covered as a direct result of ACA since March 2010.

Based on current trends, anyone here want to bet we won't see 20M covered by ACA by March 31st?

so now your up to 6 million freeloaders that will use the ER 40% more then before?

awesome.

That will surely save health care.

 

[First]

so now your up to 6 million freeloaders that will use the ER 40% more then before?

awesome.

That will surely save health care.

You're not intelligent.

 

[michal1980]

You're not intelligent.

have anything other then a personal attack to counter facts?

 

[First]

have anything other then a personal attack to counter facts?

You didn't present any, lol.

 

[michal1980]

You didn't present any, lol.

I surely did.

Unless you are making the claim that your post was nonfactual.

 

[First]

I surely did.

Unless you are making the claim that your post was nonfactual.

Nope, you didn't.

 

[werepossum]

Ah, looks like a further upward revision based on new numbers and information:

It appears that the 3.9M Medicaid enrollees is actually 4.2M, and doesn't count any December enrollees, which I was unaware of, according to CMS (as alerted to by Bloomberg). However, the 3.9M figure probably is those Medicaid enrollees directly attributable to ACA vs. normal Medicaid enrollment (but I've seen no clarification on this yet).

So, if we were to assume an even distribution in Medicaid growth from October and November in the December numbers (I believe a reasonable spitball estimate), that would be an additional 1.6M Medicaid enrollees for a total of just under 10.6M people covered as a direct result of ACA since March 2010.

Based on current trends, anyone here want to bet we won't see 20M covered by ACA by March 31st?

Shouldn't the December number be exponentially higher since the federal exchange simply didn't work until December?

 

[werepossum]

Nope, you didn't.

Actually he did, an NPR blog summarizing a study showing 40% higher emergency room use by people enrolling in Medicaid via the ACA. That should surprise no one; people eligible for Medicaid are by defintion poor and/or low income and would have to prioritize medical expenses to important things. Now that we're all paying and with no ER premium to themselves, these people will naturally go more often for less-important health issues.

I doubt it stays 40% though. Besides being more expensive for those paying their own way, the ER is also typically slower for non-emergencies. I believe we'll see a lower increase in ER use as these people acquire family GPs. Even though they pay no ER premium, surely they value their time. We may also see a reduction in very expensive ER visits as these people can get something checked out before it becomes advanced and complicated to treat.

 

[First]

Shouldn't the December number be exponentially higher since the federal exchange simply didn't work until December?

You don't sign up for Medicaid through healthcare.gov.

Actually he did, an NPR blog summarizing a study showing 40% higher emergency room use by people enrolling in Medicaid via the ACA. That should surprise no one; people eligible for Medicaid are by defintion poor and/or low income and would have to prioritize medical expenses to important things. Now that we're all paying and with no ER premium to themselves, these people will naturally go more often for less-important health issues.

I doubt it stays 40% though. Besides being more expensive for those paying their own way, the ER is also typically slower for non-emergencies. I believe we'll see a lower increase in ER use as these people acquire family GPs. Even though they pay no ER premium, surely they value their time. We may also see a reduction in very expensive ER visits as these people can get something checked out before it becomes advanced and complicated to treat.

Isolated study /= fact. Additionally, we don't know the exact additional cost.