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.
|By: Jon Walker Tuesday April 1, 2014 8:17 am|
Anyone who has been to the post office on April 15th will know that many people tend to wait until the very last minute to do things. Signing up for health insurance on healthcare.gov proved to be no different.
|By: Jon Walker Tuesday March 11, 2014 11:16 am|
Does anyone think Obama would be doing this if the rollout went well, the law was popular, and exchange sign ups were well ahead of expectations at this point? This is not a plan A, it is more of a Hail Mary.
|By: Jon Walker Tuesday January 14, 2014 10:20 am|
A special provision in the Affordable Care Act is forcing many Congressional staffers on to the D.C. exchange and many are not happy with the results.
|By: Jon Walker Tuesday January 14, 2014 8:15 am|
After a very long delay the federal government has finally started releasing demographic data about who is signing up for coverage on the new exchanges. According to Department of Health and Human Services only 24 percent of people who have signed up for coverage on either the state or federal exchanges are between the ages of 18-34.