Sign Up for Email Alerts Visit us on Twitter Visit us on Facebook Visit us on YouTube Subscribe to RSS Feeds

Home > Past Briefings > Briefing Detail Page

Briefing Detail Page

Change Text Size:   Smaller Text Size   Larger Text Size   Default Text Size    

Health Insurance Marketplaces: The First 8 Weeks

Friday, November 22, 2013

Health insurance marketplaces, or exchanges, opened October 1, and while states have released some enrollment data, and much of the attention has been on the initial technical challenges, there has been less information about overall consumer experience.

Who is trying to access the marketplace websites, and how many have successfully enrolled? Of those who shopped but did not enroll, why not? Do they plan to sign up later? What kinds of people are enrolling? Are they older and sicker, and will that make coverage more expensive for everyone? Why has early enrollment tilted more toward Medicaid, as opposed to private insurance, and will that trend continue?

Sara Collins, vice president for the health care coverage and access program at the Commonwealth Fund, shared the results of a recent Commonwealth survey on experiences in the marketplaces.

Mila Kofman, executive director of the DC Health Benefit Exchange Authority, discussed early experiences in the Washington, DC marketplace.

Dan Schuyler, director of exchange technology at Leavitt Partners, and former director of technology for Utah’s health insurance exchange, addressed technology and other challenges that marketplaces are facing.

Matt Salo, executive director of the National Association of Medicaid Directors, discussed the status of Medicaid enrollment, which has outpaced private insurance enrollment.

Katy Caldwell, executive director of Legacy Community Health Services, a federally-qualified health center in Houston, explained her clinic’s efforts to actively help patients with enrollment.

Ed Howard of the Alliance and Sara Collins of Commonwealth co-moderated.

Contact: Marilyn Serafini (202) 789-2300

Follow the briefing on Twitter: #ACAmarketplace

The event was sponsored by the nonpartisan Alliance for Health Reform and The Commonwealth Fund.


Transcript, Event Summary and/or Webcast and Podcast

Transcript: Full Transcript (Adobe Acrobat PDF), 11/22/2013
Full Webcast/Podcast: Full Video from C-SPAN

Speaker Presentations

Caldwell Presentation (Adobe Acrobat PDF), 11/22/2013
Collins Presentation (Adobe Acrobat PDF), 11/22/2013
Kofman Presentation (Adobe Acrobat PDF), 11/22/2013
Salo Presentation (Adobe Acrobat PDF), 11/22/2013
Schuyler Presentation (Adobe Acrobat PDF), 11/22/2013
Full Presentation (Adobe Acrobat PDF), 11/22/2013

(If you want to download one or more slides from these presentations, contact us at info@allhealth or click here for instructions.)

Source Materials

Agenda (Adobe Acrobat PDF), , 11/22/2013
Material List (Adobe Acrobat PDF), , 11/22/2013
Source List (Adobe Acrobat PDF), , 11/22/2013
Speaker Biographies (Adobe Acrobat PDF), , 11/22/2013

Offsite Materials (briefing documents saved on other websites)

Reflecting on Reform - The Marketplace Experience: Month One, The Commonwealth Fund, 11/4/2013
Letter to State Insurance Commissioners (Adobe Acrobat PDF),Center for Medicare and Medicaid Services, 11/14/2013
Americans' Experiences in the Health Insurance Marketplaces: Results from the First Month, The Commonwealth Fund, 11/4/2013
Health Insurance Exchanges, Alliance for Health Reform; Robert Wood Johnson Foundation, 10/1/2013
Helping Consumer Understand Their Coverage Options, from Coast to Coast, The Commonwealth Fund, 11/1/2013
Under Pressure: An Update on Restrictive State Insurance Marketplace Consumer Assistance Laws, The Commonwealth Fund, 10/31/2013
How Will You Fare in Obamacare Exchanges, The Heritage Foundation, 10/16/2013
Health Insurance Marketplace: November Enrollment Report (Adobe Acrobat PDF),Department of Health and Human Services, 11/13/2013
CHIP Roll Out and Early Enrollment - Implications for the ACA, First Focus, 10/23/2013
Looking Beyond the Technical Glitches: A Preliminary Analysis of Premiums and Cost Sharing in the New Health Insurance Marketplaces, Breakaway Policy Strategies; Robert Wood Johnson Foundation, 11/5/2013
Patient Protection and Affordable Care Act, Alliance for Health Reform; Robert Wood Johnson Foundation, 10/1/2013
State-by-State Estimates of the Number of People Eligible for Premium Tax Credits Under the Affordable Care Act, Kaiser Family Foundation, 11/1/2013
Why New Medicaid Enrollment is Soaring, Stateline, 11/6/2013
Reflecting on Health Reform: Buckeye Bellwether?, The Commonwealth Fund, 10/30/2013
Covering Young Adults Under the Affordable Care Act: The Importance of Outreach and Medicaid Expansion, The Commonwealth Fund, 8/21/2013
Pros and Cons of the President's Policy Fix for Health Plan Cancellations, The Commonwealth Fund, 11/18/2013
Implementing the Affordable Care Act: Key Design Decisions for State-Based Exchanges, The Commonwealth Fund, 7/11/2013
Measuring the Outcomes of Healthl Reform: Opportunities for Federal and State Policymakers, Health Affairs, 10/28/2013
In States' Hands: How the Decision to Expand Medicaid Will Affect the Most Financially Vulnerable Americans, The Commonwealth Fund, 9/5/2013
Marketplace Enrollment Helpers (Adobe Acrobat PDF),Alliance for Health Reform; Robert Wood Johnson Foundation, 9/27/2013
Outspoken Group Bears Brunt of Canceled Health Insurance Policies, Wall Street Journal, 11/1/2013
Who Needs ,, 11/15/2013


Dan Schuyler

It’s not easy to compare prescription drug costs and doctors covered by each plan on the health insurance marketplaces, Katy Caldwell, executive director of Legacy Community Health Services, stated at a November 22 Alliance briefing, Health Insurance Marketplaces: The First 8 Weeks.

Matt Salo

In the DC exchange, when the proposed rates became public, some insurers lowered rates and added new plans to be more competitive, Mila Kofman, executive director of the DC Health Benefit Exchange Authority, stated at a November 22 Alliance briefing, Health Insurance Marketplaces: The First 8 Weeks.

Sara Collins


Toolkit: Emergency Preparedness in the U.S.: The Ebola Threat

Is the U.S. prepared for a potential virulent pandemic? This new Alliance toolkit examines public health infrastructure, funding and policy levers that deal with these kinds of health crises in America.

Read More 

Mike Leavitt Video: Consolidation and Control-The Evolving Health Care System

Mike Leavitt, chairman of Leavitt Partners and former HHS secretary, addresses the aggressive repositioning of players in the evolving health care system in a new Alliance for Health Reform video.

Read More 

Telemedicine Toolkit: The Promise and Challenges

The integration of technology and health care is on the rise. Although evidence shows that telemedicine has improved access to health care and resulted in lower costs in rural and underserved areas, challenges to expansion include reimbursement policies and acceptable security measures. A new Alliance for Health Reform Toolkit, “Telemedicine: The Promise and Challenges,” addresses the effectiveness of telemedicine as a tool for communication, as well as the expected outcomes and challenges ahead.

Read More 

Toolkit on Long-Term Services and Supports (LTSS)

The aging of the baby boomers and the increase in the number of old-old persons (those 85 and older) are predictors for the increasing need for long-term services and supports (LTSS). Among persons age 65 and over, an estimated 70 percent will use LTSS. A new Alliance for Health Reform toolkit, “Long-Term Services and Supports: Changes and Challenges in Financing and Delivery,” provides a background on LTSS and discusses policy issues surrounding the topic.

Read More 

Experts Discuss Workplace Wellness Programs

In a new interview video, Karen Pollitz, senior fellow, private insurance and health reforms, The Kaiser Family Foundation and Dan Newton, vice president, product/solutions development and behavior economics, Anthem Care Management discuss the impact of workplace wellness programs. They address questions about regulations and program design and analyze the scope of wellness programs.

Read More 

Alliance Search for New CEO

WASHINGTON, DC (Aug. 3) – Edward F. Howard, founding executive vice president and CEO of the Alliance for Health Reform in Washington, DC, will retire in March 2016. A nationwide search is underway for his successor.

Over the years, the Alliance has presented hundreds of seminars on Capitol Hill and elsewhere, has organized briefings for reporters around the country and has prepared dozens of issue briefs and “toolkits,” as well as a series of highly-regarded sourcebooks for reporters on health policy topics.

Dr. Robert Graham, Chairman of the Board, noted that the search for a new CEO is being coordinated by Association Strategies of Alexandria, Va. Those interested in learning more about this opportunity should email or call 703/ 683-0580. You can also view the position profile on their website. The deadline for applications is Monday, October 12. 

Read More
Position Profile

Read More 

Toolkit on Biosimilars

The Alliance for Health Reform has released a new toolkit, “Biosimilars: Unpacking Complex Issues.”

The Affordable Care Act created an expedited licensure pathway for biosimilars, and, in March 2015, the U.S. approved the first biosimilar, leaving policy makers, regulators, providers and stakeholders to grapple with regulatory and financial questions.

Biosimilars are similar – but not identical – to biologic drugs, and cost less. Unlike traditional pharmaceuticals, biologic drugs are derived from living organisms and tissues, making them more complex and expensive to produce.

Read More 

Toolkit on Connection Between Health and Housing

A new Alliance toolkit, “The Connection between Health and Housing: The Evidence and Policy Landscape,” provides a detailed look into federal, state and local initiatives, as well as cost implications for health and housing programs.

Attempts to tie health and housing policy are gaining momentum, amid evidence that housing, a social determinant of health, is an important factor in the health status of various populations. More than 610,000 people experience homelessness in the U.S., and over 250,000 individuals within that population have a severe mental illness or a chronic substance use disorder, according to the Department of Housing and Urban Development.

Read More 

Video from Reporter Roundtable on Open Enrollment III

On October 5, speakers at a reporter roundtable held at the National Press Club on open enrollment III provided the latest information about premium trends and drivers, health plan availability and new comparison tools for consumers to use in choosing health plans. They discussed trends in the role of navigators and brokers, and increasing consumer expectations, particularly around the ease of the process.

Click here for video.

Read More 

Copyright 1997-2015 Alliance for Health Reform
1444 Eye Street, NW, Suite 910 Washington, DC 20005-6573      202-789-2300      202-789-2233 fax      Sitemap