In the states where we have information so far, the number of insurers offering policies on the new Affordable Care Act exchanges will go up next year according to Advisory.com. A big example is New Hampshire which will go from just one insurer on the exchange this year to possibly five next year.
|By: Jon Walker Tuesday August 12, 2014 2:35 pm|
|By: Jon Walker Monday July 28, 2014 10:20 am|
The Affordable Care Act exchanges will allow people to automatically renew the policy they selected last year but the complexity of how affordability tax credits are calculated means that could cause new problems for people.
|By: Jon Walker Wednesday July 16, 2014 12:07 pm|
The more I read about how regular people interact with the new health insurance exchanges created by the Affordable Care Act, the more convinced I’ve become that most people probably aren’t making the optimal decision.
|By: Jon Walker Tuesday July 15, 2014 5:07 pm|
Remember when President Obama repeatedly promised that using the Affordable Care Act exchanges would be as easy as buying stuff on Amazon or Kayak? Well it didn’t quite work out that way.
|By: Jon Walker Monday June 16, 2014 1:05 pm|
To me, the most fundamental problem with the exchanges is that they depend on people being highly knowledgeable health insurance shoppers and that is never going to happen. Kaiser Health News has a good story shows just how bad health literacy is in this country
|By: Jon Walker Friday May 30, 2014 1:00 pm|
Next year is still a unique circumstance. Insurance companies are making a one time adjustment based on how well their predictions lived up to the reality of enrollment this year. In addition, they are still benefiting from the temporary reinsurance and risk corridors programs which will soon disappear. It is too early to learn much one way or the other.
|By: Jon Walker Thursday May 8, 2014 2:29 pm|
It might be possible to make this complex system work relatively well if we aggressively patch each issue as soon as it arises but that would take serious political will and a very responsive Congress, neither of which we have.
|By: Jon Walker Tuesday May 6, 2014 1:10 pm|
There is this idea that Republicans are looking for any excuse to attack Obamacare, but that is not true. They are only interested in highlighting problems which reinforce their world view, so many of the most glaring shortcomings with the design of the Affordable Care Act have received little public debate.
|By: Jon Walker Thursday April 3, 2014 10:38 am|
By “correct” plan I mean the policy which should likely produce the best net financial outcome for them based on their health conditions, subsidies and probability of developing a major illness this year.
|By: Jon Walker Wednesday April 2, 2014 1:12 pm|
Take for example the great press and victory lap President Obama took yesterday for get just over 7 million signups on the exchange. If you take the long view on this one metric they deserve a grade of B-. After all before the website problems Kathleen Sebelius said success looked like “at least 7 million.”
Just barely crossing your minimum benchmark is an acceptable but not stellar performance.