Thursday, April 17, 2014
FAIRFIELD-SUISUN, CALIFORNIA
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Most states lag in health insurance sign-ups

Kathleen Sebelius

FILE - In this Feb. 3, 2014 file photo, Health and Human Services Secretary Kathleen Sebelius greets visitors after a news conference on enrollment in affordable health coverage in Cleveland. The Obama administration says about 1 million Americans signed up for private insurance under the president’s health care law in January, extending a turnaround from early days when a dysfunctional website frustrated consumers. New numbers released Tuesday show nearly 3.3 million people signed up through Feb. 1. Although enrollment is gaining ground, the government’s initial target of 7 million by the end of March still seems like a stretch. (AP Photo/Mark Duncan, File)

By
From page A1 | February 13, 2014 | 3 Comments

WASHINGTON — Most states are still lagging when it comes to sign-ups under President Barack Obama’s health care law, but an Associated Press analysis of numbers reported Wednesday finds a dozen high-achievers getting ahead of the game.

Huge disparities are emerging in how well states are living up to federal enrollment targets, and that will help determine if the White House reaches its unofficial goal of having 7 million signed up by the end of March, six weeks away.

Connecticut is the nation’s top performer, signing up more than twice the number of residents it had been projected to enroll by the end of January. Massachusetts, which pioneered the approach Obama took in his law, is at the bottom of the list having met only 5 percent of its target.

Six Republican-led states – Florida, Idaho, Maine, Michigan, North Carolina, and Wisconsin – are on pace or better. Residents are signing up despite strong political opposition to the health care law in some of those states.

The administration said Wednesday about 1 million people signed up for private insurance under the health law in January, extending a turnaround from early days when a dysfunctional website frustrated consumers.

January marked the first time since new health insurance markets opened last fall that a national monthly enrollment target was met.

All in all, from Oct. 1 through Feb. 1, nearly 3.3 million people have signed up.

“It’s very, very encouraging news,” said Health and Human Services Secretary Kathleen Sebelius. “We’re seeing a healthy growth in enrollment.” Still, the goal of 7 million by the end of March seems like a stretch.

Also, officials are unable to say how many of those who signed up were previously uninsured – the ultimate test of Obama’s hard-fought overhaul. And they don’t know how many have sealed the deal by paying their premiums.

The numbers showed an uptick in the number of young adults signing up, now 25 percent of the total. Officials expect a last-minute surge of 18-34 year olds before the end of open enrollment on Mar. 31. Their premiums are needed to help with the cost of care for older adults.

Overall, 4 in 5 of those signing up were eligible for financial assistance with their premiums or out-of-pocket expenses.

“Enrollment will continue to increase because it’s easier to sign up,” said Lynn Blewett, director of the State Health Data Access Assistance Center at the University of Minnesota. “What everybody hopes is that we see more young people and families with young children enrolling, to give the insurance pools a healthy mix of younger and older people.”

While the national numbers are improving, the latest report raises questions about what’s going on in the states. Ultimately Obama’s law will play out differently in each state, since insurance premiums are set at the local level.

The AP’s analysis compared the latest cumulative sign-up numbers for each state with targets spelled out in a Sept. 5, 2013 memo to Sebelius that the AP obtained months ago.

In the memo, HHS experts projected that 4.4 million people would have signed up by the end of January. But that was before the disastrous launch of the federal enrollment website on Oct 1. Though it has been repaired, the website was out of commission most of its first month. Several states running their own websites are still having technology problems.

Nationally, the nearly 3.3 million enrolled represent 75 percent of the signups that HHS had originally hoped to have by the end of January.

Among the states meeting or exceeding expectations, New York was the biggest. Its 211,290 sign-ups represent more than 1 1/2 times its goal. Other populous states among the top performers included Florida, Michigan, and North Carolina.

California, which leads all the states in enrollment, had met 90 percent of its goal with 728,086 signed up.

Texas, which has the highest proportion of uninsured residents of any state, was subpar. It met 53 percent of its goal.

Blewett said the federal website appears to be outperforming portals run by the states. States where the feds are in charge met 80 percent of their enrollment targets, compared with 70 percent for states running their own insurance markets.

Surprisingly, the worst performers include four jurisdictions where Obama’s law has strong support: Maryland, Massachusetts, Oregon and the District of Columbia. The three states on that list have all had problems with their enrollment websites.

“Maybe it’s time for the feds to send some SWAT teams and resources and help turn the corner on technological glitches,” said Blewett.

The Associated Press

The Associated Press

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Discussion | 3 comments

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  • Mr. PracticalFebruary 13, 2014 - 6:06 am

    "Also, officials are unable to say how many of those who signed up were previously uninsured – the ultimate test of Obama’s hard-fought overhaul." The Covered California number is only 17 percent were previously uninsured. The percent of young, healthy enrollees is only up from 23 percent to 25 percent. This means the exchanges will have to raise rates next year, or the Feds will have to continue the carrier bailouts at taxpayer expense.

    Reply | Report abusive comment
  • Teach5thFebruary 13, 2014 - 6:48 am

    In addition - signed up doesn't mean paid up. How many of the signees have paid their premiums? Jay Carney said yesterday that that number must come from the insurance companies, and as yet, those numbers aren't available. Smoke and mirrors from the Obama administration. If the law is working better as some news reports suggest, is it because more people who never had insurance are now getting insurance or because Obama illegally keeps changing the rules? H-m-m-m

    Reply | Report abusive comment
  • Mr. PracticalFebruary 13, 2014 - 6:58 am

    Teach5th, at some point the administration will have to admit that the law is an abject failure and that the end result is we will have less people insured that we did prior to October 1 and a higher premiums than we did before Jan 1. We now have over 400,000 less people insured in California then we did before the exchange opened. In the meantime, we have to suffer with those increased costs, the job loss and massive disruption in the marketplace. The laws defenders are hanging on by a thread.

    Reply | Report abusive comment
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