Monday, April 11, 2016

Obamacare Exchange/Marketplace Updates, 2016

  • The Congressional Budget Office sharply reduced estimates on Marketplace/Exchange enrollment from 21 million to 13 million. 
    • 11 million are expected to receive a subsidy. 
    • The average enrollee has 72% of his/her premium subsidized. 
    • On average, subsidies are $272 per month or $3,264 per year. 
  • 1.6 million of those taxpayers ultimately had to pay money back to the government because their actual incomes were higher than they had projected when they signed up for a plan on the Marketplace. The average amount repaid was about $800.
  • Centers for Medicare and Medicaid Services has begun to limit Special Enrollment Period (SEP) entry – SEP individuals are utilizing 55% more services than open enrollment counterparts. 
  • The largest U.S. health insurer, United Health Care, said it has suffered major losses on policies sold in the Marketplace and is contemplating an exit. 
  • Some state-run exchanges are seeing large rate increases by Blue Cross/Blue Shield plans –
    • 47% in Minnesota, 
    • 36% in Tennessee. 
  • The average deductible for individual and family silver plans on the Marketplace is $2,927 and $6,010. 
    • A study by the Kaiser Family Foundation found that less than one-fifth of low-income families can afford their high deductibles and 
    • only about half of middle-class families can.
  • Employers are sticking with plans – 
    • in 2015, only 7% of employers with 50-499 said likely to terminate plans within five years (vs. 21% in 2013); 
    • 5% of employers with 500+ said likely to terminate.