Exchanges’ Achilles Heel: Health Literacy

By: 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


Average Exchange Premiums to Increase by 13 Percent in Ohio

By: 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.

Large Employers Could Game the Exchanges for Big Savings

By: 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.

The Debate We Should be Having About Exchanges

By: 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.

How Many Selected the Correct Plan on the Exchange?

By: 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.

Grading Obamacare on a Curve

By: 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.

Last Minute Surge Gets Obamacare to 7 Million Registration Goal

By: 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 proved to be no different.

This is How Desperate Obama is to get Young People to Sign Up for Coverage

By: 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.

It Is Bittersweet That 90% of Congressional Staffers Are Unhappy With Exchange Coverage

By: 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.

Young People Aren’t Flocking to Obamacare Yet

By: 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.

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