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 mserafini@allhealth.org (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 Healthcare.gov? , Politco.com, 11/15/2013

Photos

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

 


Uwe Reinhardt Questions Bundled Payment Savings Prospects


Video (2:58)

A new Alliance for Health Reform video features Princeton’s Uwe Reinhardt questioning whether bundling payments for medical services might actually lead to higher – not lower – costs.

"The ACO's, the accountable care organizations, could create local monopolies that could dictate to you what that bundled price would be, and some of us fear that bundled prices might be even more than what the fee-for-service for that bundle would be today. … You really should align all the payers and say, 'Let us jointly negotiate with the ACOs what those bundles should be so that they cannot divide and rule and sort of make us on the buy side weak.'"

FULL TRANSCRIPT

Read More 


Sister Carol Keehan on Health Law Enrollment Challenges this Year


Video 3:00

A new Alliance for Health Reform video features Sister Carol Keehan of the Catholic Health Association of the United States addressing the challenges of quickly enrolling millions of Americans for health insurance this fall. Open season begins October 1 of this year, yet she says that up to 85 percent of those who will be newly eligible for Medicaid or for subsidies to buy private insurance in state-based exchanges don't know it.  FULL TRANSCRIPT

Read More 


Jonathan Blum on CMS Efforts to Keep Medicare Spending Growth Down


Video (2:54)

Jonathan Blum, acting principal deputy administrator and director of the Center for Medicare at the Centers for Medicare and Medicaid Services (CMS), addresses the slower growth of Medicare spending over the last few years, and what his agency is doing to try and continue the trend. “There are promising signs that this strategy to change the payment system, to change the payment models, to focus on waste and abuse, is paying off," he said. "We are taking a whole new approach to addressing fraud in the program. Much more data resources, much more on the ground reaction. We have seen dramatic spending declines in areas of spending, such as home health and durable medical supplies that historically fueled lots of the fraud.”  FULL TRANSCRIPT

Read More 


Two Former Medicare Administrators Discuss How to Save the Program


A new Alliance for Health Reform video features two former Medicare administrators -- Gail Wilensky and Bruce Vladeck -- on their ideas about how to save the program.

Ms. Wilensky, who ran Medicare in a Republican administration, argued for increasing the eligibility age of Medicare for future retirees, while still making the program available at age 65 for those who are disabled.

Watch at http://www.youtube.com/watch?v=GQjsfam9-w0

Read More 


Douglas Holtz-Eakin: Health Care Spending Lull Only Temporary


Video (3:11)

A new Alliance for Health Reform video features Douglas Holtz-Eakin of the American Action Forum, and a former director of the Congressional Budget Office, arguing that recent slower spending growth in health care won’t continue.

"We also saw a slowdown in the mid-90s, and we all declared victory and it came right back. I think next year we’ll see a noticeable uptick. There will be lots of new people entering the insurance markets because of the exchanges and the subsidies that come along with them, and those subsidies are very generous. … These are an invitation for people to get coverage and to buy more health care. I think that’ll place a lot of pressure on spending."

FULL TRANSCRIPT

Read More 

Marketplace Enrollment Helpers Toolkit


Beginning October 1, insurance marketplaces open for enrollment, and millions of people will be eligible to purchase plans. To guide them in the application process, the federal government has invested in programs to train community organizations and hired staff.

Read More 

The Employer Mandate of the Patient Protection and Affordable Care Act


The Toolkit, available here, details the ACA’s employer requirements and penalty. It also includes information about the delay in the mandate to 2015, and analysis about its impact on employer-based coverage.

Read More 

Toolkit: Training the Workforce for a Changing Health System


A new Alliance for Health Reform toolkit addresses concerns about whether newly-trained physicians are adequately prepared for today's evolving health care delivery system. Does training adequately emphasize care coordination, team-based care, costs of care, health information technology, cultural competence and quality improvement? Does it encourage students to practice in a primary care setting?

Read More 

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 

Copyright 1997-2014 Alliance for Health Reform
1444 Eye Street, NW, Suite 910 Washington, DC 20005-6573      202-789-2300      202-789-2233 fax      info@allhealth.org      Sitemap