Come for the politics, stay for the snark.

Too often we confuse noise with substance. too often we confuse setbacks with defeat.

Republicans don’t want a speaker to lead them; they want a hostage.

This has so much WTF written all over it that it is hard to comprehend.

Jesus watching the most hateful people claiming to be his followers

I swear, each month of 2025 will have its own history degree.

T R E 4 5 O N

“The defense has a certain level of trust in defendant that the government does not.”

If you voted for Trump, you don’t get to speak about ethics, morals, or rule of law.

Trump’s cabinet: like a magic 8 ball that only gives wrong answers.

Hot air and ill-informed banter

The most dangerous place for a black man in America is in a white man’s imagination.

You can’t attract Republican voters. You can only out organize them.

A snarling mass of vitriolic jackals

Too often we hand the biggest microphones to the cynics and the critics who delight in declaring failure.

The arc of history bends toward the same old fuckery.

I’m more christian than these people and i’m an atheist.

When I was faster i was always behind.

Come on, media. you have one job. start doing it.

I did not have this on my fuck 2025 bingo card.

Beware of advice from anyone for whom Democrats are “they” and not “we.”

And now I have baud making fun of me. this day can’t get worse.

“In this country American means white. everybody else has to hyphenate.”

Republicans firmly believe having an abortion is a very personal, very private decision between a woman and J.D. Vance.

We cannot abandon the truth and remain a free nation.

You are here: Home / Anderson On Health Insurance / State based markets did fine

State based markets did fine

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State based marketplaces (SBMs) are the state run exchanges. The outreach is controlled by the state, the plan arrangement is controlled by the state, and the marketing is controlled by the state. There are negative side effects of a general anti-ACA enrollment messaging environment but the SBMs are mostly being run by states with a local elite political consensus towards making the ACA work as well as possible for that state. SBMs held serve or improved total enrollment.

This is in contrast to the Federally Facilitated Marketplaces (FFMs) or the states that used Healthcare.gov. Enrollment on HC.Gov was down this year and it was down last year. In 2017, HC.Gov states were on pace to meet or slightly beat 2016 enrollment until the administrations changed and the messaging changed (I have just submitted a paper on this). Since then the messaging and outreach has been consistently anti-enrollmemt. Good econometricians can try to disentangle enrollment from pricing changes as many states Silver loaded but the comparison of SBMs vs FFMs will point us in the right direction on the impact of the messaging changes.

Reader Interactions

4Comments

  2. 2.

    japa21

    Mixed feelings. Glad to see that the state based are doing well as opposed to Federal. But this feeds into the RW thing of it being better to have all things done at the state level and keeping the feds out of everything. This is only working because those states are committed to doing this well. We know the red states really aren’t committed to that. This specially applies to the whole block grant issue with Medicaid.

  4. 4.

    Neldob

    Would the red states citizens miss their healthcare enough to do something about it? Would they note it is the Republican admin taking it away?

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