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Only 6 people managed to enroll in an insurance plan on Day 1 of Healthcare.gov

washingtonpost.com

11–20 of 77 posts

Re: Only 6 people managed to enroll in an insurance plan on Day 1 of Healthcare.gov

#11
post #8

For reference, only 123 managed to sign up for Romneycare in the first month . There are clearly large technical issues, but early on it seems that people also do a lot of "let's see how much it'd cost" and sign up later.

Link? Would love to read up on that, if in fact it's true.

Re: Only 6 people managed to enroll in an insurance plan on Day 1 of Healthcare.gov

#12
post #4
post #3

> "The first month of the new health law’s rollout reveals an unexpected pattern in several states: a crush of people applying for an expansion of Medicaid and a trickle of sign-ups for private insurance. This early imbalance — in some places nine out of 10 enrollees are in Medicaid — has taken some experts by surprise. The Affordable Care Act, which expanded Medicaid to cover millions of the poorest Americans who co…

I think what they are referring to is the impact of the individual mandate. Sure you'd expect people to rush into the free option, but everyone who is uninsured and doesn't qualify for Medicaid will have have to pay a penalty if they don't buy insurance.

Pay 1.0-2.5% tax penalty for not having Insurance

Pay 10-15% of your pre-tax income for a plan under Obamacare

I don't think it's going to work out that great.

Re: Only 6 people managed to enroll in an insurance plan on Day 1 of Healthcare.gov

#13
post #4
post #3

> "The first month of the new health law’s rollout reveals an unexpected pattern in several states: a crush of people applying for an expansion of Medicaid and a trickle of sign-ups for private insurance. This early imbalance — in some places nine out of 10 enrollees are in Medicaid — has taken some experts by surprise. The Affordable Care Act, which expanded Medicaid to cover millions of the poorest Americans who co…

I think what they are referring to is the impact of the individual mandate. Sure you'd expect people to rush into the free option, but everyone who is uninsured and doesn't qualify for Medicaid will have have to pay a penalty if they don't buy insurance.

The goalposts have already been moved to March 31st, 2014 and could be delayed further. What's the rush?

Re: Only 6 people managed to enroll in an insurance plan on Day 1 of Healthcare.gov

#14
post #4
post #3

> "The first month of the new health law’s rollout reveals an unexpected pattern in several states: a crush of people applying for an expansion of Medicaid and a trickle of sign-ups for private insurance. This early imbalance — in some places nine out of 10 enrollees are in Medicaid — has taken some experts by surprise. The Affordable Care Act, which expanded Medicaid to cover millions of the poorest Americans who co…

I think what they are referring to is the impact of the individual mandate. Sure you'd expect people to rush into the free option, but everyone who is uninsured and doesn't qualify for Medicaid will have have to pay a penalty if they don't buy insurance.

Of course people will enroll eventually, but the first ones will be the ones with the most to gain. It isn't guaranteed that individuals won't eat the penalty and enroll when they need it, but you can guarantee that people who benefit with little or no cost to them will be want their benefits ASAP.

My point was mostly that if their "experts" can't think critically about the incentive system the program creates, what else will they be surprised about? Adverse selection? Insurer bankruptcy and industry consolidation?

Re: Only 6 people managed to enroll in an insurance plan on Day 1 of Healthcare.gov

#15
post #9

Completely separate issue from the technical issues - but how are people expected to find out that they need to do this. I have to assume there's a non-trivial percentage of the population that's not only uninsured but also completely disconnected from news and the internet. Does somebody contact them somehow to get them enrolled?

Like taxes, this will likely be a largely individual endeavor. Maybe there will be PSAs, but their effectiveness is questionable. Many people (and the politicians who signed it!) don't know the enrollment requirements, subsequent responsibilities, and consequences for failure to comply.

Everyone is fighting over the validity and constitutionality of this law, instead of informing the public about what they need to do to avoid financial penalties. The debate will rage on no matter what, but whether or not you agree with this law (and I don't), the priority right now should be to help people make an informed decision about their compliance.

Re: Only 6 people managed to enroll in an insurance plan on Day 1 of Healthcare.gov

#16
Perhaps because of the sticker shock and because, if you can get them, pre ACA plans are cheaper and offer more value. For example if you go to ehealthinsurance.com and compare the lowest cost pre-ACA 2013 plans with ACA-compliant 2014 plans for a healthy individual in their late 20's early thirties you get the following very affordable options pre-ACA...

BlueCross BlueShield; Deductible: $5,000, Co-Insurance: 0%, Doctor Visit: 1-2 $30 co-pay deductible waved, Cost: $98 /month

BlueCross BlueShield; Deductible: $5,000, Co-Insurance: 0%, Doctor Visit: 1-2 $30 co-pay deductible waved, Cost: $66 /month,

The closest ACA compliant option to the above...

BlueCross BlueShield; Deductible: $6,000, Co-Insurance: 0%, Doctor Visit: no charge after deductible, Cost: $130 /month

So in summary you are looking at paying somewhere between 32% and 97% more money, and don't get the benefit of 1-2 low cost doctors visits per year.

Re: Only 6 people managed to enroll in an insurance plan on Day 1 of Healthcare.gov

#17
post #8

For reference, only 123 managed to sign up for Romneycare in the first month . There are clearly large technical issues, but early on it seems that people also do a lot of "let's see how much it'd cost" and sign up later.

Here's a source[1] for the sibling commenter. But there's a key difference - AFAIK Romneycare didn't start having to dig itself out of a hole of millions of people losing coverage as well.

[1]http://www.washingtonpost.com/blogs/wonkblog/wp/2013/10/29/r...

Re: Only 6 people managed to enroll in an insurance plan on Day 1 of Healthcare.gov

#19
post #8

For reference, only 123 managed to sign up for Romneycare in the first month . There are clearly large technical issues, but early on it seems that people also do a lot of "let's see how much it'd cost" and sign up later.

Not a good comparison. Romneycare was implemented in one state, Obamacare is nation wide.

Re: Only 6 people managed to enroll in an insurance plan on Day 1 of Healthcare.gov

#20
post #9

Completely separate issue from the technical issues - but how are people expected to find out that they need to do this. I have to assume there's a non-trivial percentage of the population that's not only uninsured but also completely disconnected from news and the internet. Does somebody contact them somehow to get them enrolled?

There is a $67 million on-the-ground mobilization program, largely the government paying President Obama's political allies to go out and enroll people.

http://www.foxnews.com/politics/2013/10/15/ex-acorn-operativ...

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