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May 1—Despite political splits that produced sharply different enrollment efforts, California, Texas, and Florida obtained the largest enrollments in new government-run marketplaces, the latest federal figures show.
The 1.4 million California enrollments comprised more than 17 percent of the 8 million national enrollments in the marketplaces created by the Affordable Care Act (ACA), the U.S. Department of Health and Human Services (HHS) reported Thursday.
The final enrollment figures include the extended enrollment period HHS allowed through April 19, when more than 900,000 of the total signed up. Florida sign-ups totaled more than 983,000, and Texas garnered more than 733,000.
Important caveats on the latest figures include the acknowledgement of the Obama administration that they include an unknown number of applicants who never paid their premiums and whose policies were never activated. The House Energy and Commerce Committee concluded in a new report that one-third of marketplace enrollees failed to pay their premiums, which is more than the 10 to 20 percent found in some other studies. The Obama administration has sharply contested the Republican-led committee’s findings but has declined to obtain the figures from insurers.
Hawaii, North Carolina, and Wyoming had the fewest marketplace enrollments.
Other exchange details that emerged from the latest report included that so-called young invincibles, whom the administration wanted to comprise 40 percent of the marketplaces to strengthen the marketplace risk pools, totaled only 28 percent of sign ups.
Among other findings, higher shares of African-American and Asian applicants qualified for coverage in the federal exchange than as eligible insured, while lower shares of Whites and Hispanics qualified for coverage in the federal exchange. Whites comprised 43 percent of applicants who selected a plan, while 31 percent were “unknown/other.”
Additionally, the Centers for Medicare & Medicaid Services (CMS) announced that more than 4.8 million additional individuals enrolled in Medicaid or the Children’s Health Insurance Program (CHIP) from Oct. 1, 2013, through the end of March 2014. That figure includes previously enrolled beneficiaries and previously eligible people who signed up for coverage in both states that did and did not expand Medicaid eligibility, as allowed by the ACA.
Rich Daly is a senior writer/editor in HFMA’s Washington, D.C., office. Follow Rich on Twitter @rdalyhealthcare.
Publication Date: Thursday, May 01, 2014
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Jeff Chester, senior vice president and chief revenue officer at Availity, shares his thoughts on "Revenue Cycle 2.0" and how to best meet its challenges.
Mitch Morris, vice chair and global leader, healthcare, Deloitte, and Michael O'Rourke, senior vice president and chief information officer, Catholic Health Initiatives (CHI), share perspectives on the need for transformational IT in health care today.
Brian Kueppers, founder and CEO, Apex, discusses the importance of a robust patient payment strategy in boosting organization revenue and enhancing patient satisfaction.
Brian Grazzini, CFO, HealthPort, describes the importance of efficient and compliant information exchange and audit management in helping HIM staff spend less time on paperwork and more on mission-critical projects.
Cindy Matthews, executive vice president, Community Hospital Corporation, discusses how rural and community hospitals can use collaborative partnering to position for success through tough market conditions.
Rick Heise, senior vice president, revenue cycle, at Cerner Corporation, discusses the importance of integrating clinical and financial data to excel in health care’s changing payment environment.
Russ Graney, founder and CEO for Aidin, and John Laursen, head of business development for Aidin, share insights on how to improve care transitions between acute and post-acute care settings and incentivize high-quality patient outcomes.
Scott Elston, strategic accounts manager, GE Healthcare Services, describes how substantial cost reduction in health care requires rethinking business strategy and asset use.
Robert Williams, MD, director, Deloitte Consulting LLP, and Arielle Freiberger, product strategist, ConvergeHEALTH by Deloitte, explain how sophisticated retrospective, real-time, and predictive data analytics can inform decision making to reduce costs and improve care.
Stuart Hanson, director of business development (healthcare solutions) at Citi Retail Services, discusses how improving the payment experience can benefit consumers and healthcare providers.
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