Tuesday, October 22, 2013

October 22nd Visit with Armstrong and Getty re: Death Spiral in Exchanges & Medicaid Enrollment

If the website is not fixed by about Thanksgiving the ObamaCare Exchange adverse selection death-spiral might be enough to blow things up permanently.  Right now the only people who have the patience and time to get through on the Exchanges and buy a policy are the sickest, oldest and poorest among us.

It also appears that as many as 90% of the "new applicants" in the Exchanges are nothing more than Medicaid folks who did not know they were likely already eligible for Medicaid.  I.e. there are no new dollars rolling in and nothing is being sold.  We've just launched a multi-billion dollar marketing platform to bestow the benefits of Medicaid.