Charles Gaba's blog

Yay! The DC exchange has issued their first OE4 enrollment report of the year! Boo! It doesn't include renewing enrollees (either active or passive):

DC Health Link Enrollment up Nearly 50% at First Deadline for 2017 Coverage  •  60% of new enrollees are 34 years old and younger

Washington, DC­­ – Today, the DC Health Benefit Exchange Authority (HBX) released preliminary individual marketplace data for the fourth open enrollment period for DCHealthLink.com, the District’s online health insurance marketplace for individuals, families and small businesses.

These preliminary data show that through December 19, 2016:

From Aaron Blake of the Washington Post:

Donald Trump's campaign and its supporters spent a good portion of the 2016 campaign arguing that Hillary Clinton was secretly very ill and not up to the task of being president.

Trump's doctor, by contrast, isn't too worried about his patient dying in office — at least, not when it comes to the future of the country.

“If something happens to him, then it happens to him,” Harold Bornstein says. “It’s like all the rest of us, no? That’s why we have a vice president and a speaker of the House and a whole line of people. They can just keep dying.”

BRILLIANT!

Why didn't anyone else ever think of this? No need to worry about "going to the doctor" or "receiving medical care"...it's much easier and more cost-effective for all of us to simply die!

If you're married or have children, no worries; you'll have a whole line of successors to pick up where you left off!

Me, November 15th:

IMPORTANT: I cannot guarantee accurate federal data after 1/20/17.

...HOWEVER, their bosses...the HHS Secretary and, I presume, the head of CMS...will be appointed by Donald J. Trump and confirmed by a 100% Republican-controlled Senate.

Given Trump's long, disturbing history of flat-out misstatements (aka "making sh*t up out of whole cloth"), and the type of sycophants he's likely to put into place, I can't guarantee with 100% certainty that the numbers spouted off by them are going to bear any connection with reality. Maybe they'll be accurate. Maybe they'll be off slightly. Maybe they'll be completely removed from any actual numbers. Who the hell knows?

Earlier today it was reported that Ben Carson was being considered for HHS Secretary. Then the rumor mill turned to Bobby Jindal. At the moment, I'm hearing it could be Rep. Tom Price, who (like pretty much every other GOP member of Congress) despises the ACA. That doesn't guarantee that he'll Make Sh*t Up, of course, but under a Trump regime, anything's possible. Anything.

I noted a couple of weeks ago that Massachusetts has a unique methodology for reporting their ACA exchange enrollments. For one thing, they only officially count people who sign up for policies as "enrollees" after they've made their first monthly premium payment. In addition, like some other state exchanges, they "pre-renew" their current enrollees before the December deadline, and then reduce the official number from there as some people choose not to renew their coverage. As a result, instead of their "QHP selection" tally increasing, it actually starts out huge and then drops a bit as the enrollment period continues.

As a result, instead of 260,275 QHP selections, their number is a bit lower today:

Through Sunday, the 18th: 224,211 2017 enrollments. Plus, an additional 26,868 plans selected but unpaid at this point.

3/22/17: Now that the GOP is apparently going to try and cram through killing off Essential Health Benefits and so forth in the #Trumpcare bill after all, it seems like a good time to repost this.

George Orwell, 1984:

But actually, he thought as he re-adjusted the Ministry of Plenty’s figures, it was not even forgery. It was merely the substitution of one piece of nonsense for another. Most of the material that you were dealing with had no connexion with anything in the real world, not even the kind of connexion that is contained in a direct lie. Statistics were just as much a fantasy in their original version as in their rectified version. A great deal of the time you were expected to make them up out of your head.

I actually missed this press release because it wasn't posted on their website in the usual spot, but someone at Your Health Idaho just forwarded this to me:

December 16, 2016 • Enrollment Numbers Up at Idaho Health Insurance Exchange

Business as Usual at Your Health Idaho as Enrollment Numbers Climb

BOISE, Idaho - Early enrollment numbers show a record number of Idahoans are enrolling for health insurance through the state-based health insurance exchange, Your Health Idaho. Over 98,000 Idahoans have selected a 2017 health insurance plan since open enrollment began on November 1, 2016. The numbers were announced at today's board of directors' meeting.

Nearly 85 percent of Idahoans currently enrolled in a plan on the exchange receive a tax credit to help offset monthly premium costs. Your Health Idaho is the only place in the state offering individuals premium tax credits.

Hot off the presses from the Colorado exchange (CO is one of six states which stuck with the original January enrollment deadline):

DENVER — More than 144,000 Coloradans selected healthcare coverage for 2017 through the state health insurance Marketplace through Sunday, December 18, a rate 18 percent ahead of signups one year ago, according to new data released today by Connect for Health Colorado®.

“We have seen a definite increase in the pace of sign-ups during the first half of this Open Enrollment period,” said Connect for Health Colorado CEO Kevin Patterson.  “These Coloradans have protected their health and their finances with healthcare coverage next year. I encourage anyone who does not yet have health insurance for 2017 to go to our site, Connectforhealthco.com, check to see if they qualify for financial assistance, review the available plans, and complete an enrollment. They can have coverage in place February 1 if they act by January 15.”

This Just In...(Minnesota was one of the few states which stuck with the original 12/15 deadline for January coverage):

ST. PAUL, Minn.— MNsure has enrolled 54,586 Minnesotans in private health care coverage, far outpacing the approximately 27,000 who had enrolled at a similar stage of open enrollment last year.

Additionally, since the start of open enrollment, 14,020 Minnesotans have eligibility determinations in MinnesotaCare and 43,327 in Medical Assistance.

The 2015-2016 open enrollment period set a record for the most Minnesotans enrolled in private health plans, but the 2016-2017 period has been even more brisk. By December 28, 2015, the deadline for January 1 enrollment last year, about 27,000 had enrolled, meaning enrollment numbers are twice what they were at the same time last year.

"You got to have some insurance. They shouldn't even call it insurance. They just should call it ''in case shit.'' l give a company some money in case shit happens.

... That's right, man, you better have some medical insurance, or you gonna die. That's right, everybody. You got to eat right and exercise. No, you don't, you need some coverage. Coverage will save your life. That's right, we all gonna die, but at least if you got some coverage... you will die on a mattress. That's right.

About a decade ago, there was an excellent animated TV series on Nickelodeon called Avatar: The Last Airbender:

Avatar: The Last Airbender takes place in a world that is home to humans and hybrid animals, adjacent to a parallel Spirit World. Human civilization is divided into four nations: the Water Tribes, the Earth Kingdom, the Fire Nation, and the Air Nomads. Each has a distinct society, wherein people known as "benders" have the ability to manipulate and control the element of their nation using the physical motions of martial arts. The show's creators based each bending style on an existing Chinese martial art, leading to clear visual and physical differences in the techniques used by Waterbenders (tai chi), Earthbenders (Hung Ga kung fu), Firebenders (Northern Shaolin kung fu) and Airbenders (Baguazhang).

...At any given time, only one person in the world is capable of bending all four elements: the Avatar, who serves as an international arbiter. When the Avatar dies, the Avatar spirit is reincarnated into the next one of the four nations in the Avatar Cycle: the Fire Nation, Air Nomads, Water Tribe, Earth Kingdom, in order.

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