Come for the politics, stay for the snark.

Speaking of republicans, is there a way for a political party to declare intellectual bankruptcy?

Thanks to your bullshit, we are now under siege.

I like you, you’re my kind of trouble.

I wonder if trump will be tried as an adult.

rich, arrogant assholes who equate luck with genius

The GOP is a fucking disgrace.

Sadly, there is no cure for stupid.

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

No offense, but this thread hasn’t been about you for quite a while.

Thanks for reminding me that Van Jones needs to be slapped.

Battle won, war still ongoing.

Black Jesus loves a paper trail.

Fuck the extremist election deniers. What’s money for if not for keeping them out of office?

I really should read my own blog.

Fuck these fucking interesting times.

Republicans choose power over democracy, every day.

Russian mouthpiece, go fuck yourself.

Republicans are radicals, not conservatives.

You are so fucked. Still, I wish you the best of luck.

Meanwhile over at truth Social, the former president is busy confessing to crimes.

This fight is for everything.

Take hopelessness and turn it into resilience.

🎶 Those boots were made for mockin’ 🎵

Bad news for Ron DeSantis is great news for America.

You are here: Home / Anderson On Health Insurance / What to expect in the next Open Enrollment

What to expect in the next Open Enrollment

by | 3 Comments

This post is in: 

Open Enrollment for the ACA starts on Thursday morning.  Of the three Open Enrollments that have been partially or fully administered by the Trump administration, this seems likely to be the most boring.  We are in a steady state of predictable policy with few, if any shocks.  Yesterday,  at the Health Affairs blog, I laid out my thinking on the major factors that will drive enrollment changes on Healthcare.gov.

There are some drivers that should increase enrollment.  These include

  • More Silver loading
  • $0 premium plans are available in numerous counties at incomes over 200% FPL.
  • More insurers entering markets
  • Catastrophic plans are increasingly accessible
  • Lower premiums for the non-subsidized due to 1332 waivers
  • More broker engagement

There are also major downward drivers.  Policy has changed.

  • No individual mandate
  • More underwritten plans
  • Compressing the Silver Gap in Philadelphia and other regions with very large gaps in 2018.
  • Less navigator funding

And then there is the background noise.  We know that the federal messaging is fundamentally anti-enrollment.  We know that there will be little positive enrollment comments from senior government officials.  We know that the open enrollment period is six weeks.  We know all of that, and these are constants.  I think these items are baked into the cake from 2018’s open enrollment numbers so I am not expecting too much to change there.

The big tensions will be the removal of the individual mandate driving enrollment down and the continual proliferation of much better deals due to CSR termination for the subsidized population driving enrollment up.

Reader Interactions

3Comments

  1. 1.

    Ken

    What if the judge issues an order in Texas v US granting Trump’s request that community rating and guaranteed issue be invalidated and the court of appeals does not immediately stay the order? I seem to recall at least some contracts between states/feds and insurers concerning exchange access allow insurers to terminate participation upon the occurrence of specified events. If such an order is issued and not stayed, is there a more-than-remote possibility insurers will abandon the exchanges and stop guaranteed issue of community rated policies?

  2. 2.

    David Anderson

    @Ken: That outcome is not a termination clause in the QHP contracts.

    I would be shocked if the ink is dry on a stay request at the Appeals Court when a stay is issued.

Comments are closed.