Quantcast

North Bay Business Journal

Thursday, November 21, 2013, 2:04 pm

Covered California declines Obama offer to keep plans

Agency reports 1,570 people enroll in insurance across North Bay

By

Print Friendly Print Friendly    

Share this item

    Covered CaliforniaSACRAMENTO — Covered California today said it would decline President Obama’s offer to let states continue to offer individual health policies that were terminated because they didn’t meet minimum requirements of the Affordable Care Act, joining a handful of states like Washington and Massachusetts in staying the course with its implementation of health care reform.

    The decision by Covered California, the state’s online health exchange established under the federal health overhaul, defied the request of Insurance Commissioner Dave Jones, who last week called on insurance carriers and Covered California to allow the canceled health plans of about 1.1 million consumers to be grandfathered for another year.

    “Covered California’s decision is a disservice to California consumers,” Mr. Jones said at a press conference in response to the exchange’s board voting 5-0 to not allow the old plans. Mr. Jones also disputed the notion that allowing old plans would harm the exchange’s risk pool, saying the Affordable Care Act has “robust features which mitigate the risk of health insurers having a disproportionate share of sick people in their risk pool in 2014.”

    Mr. Jones, a proponent of the Affordable Care Act, pointed to the fact that small businesses are able to renew their policies, so long as they renew early, for plans that similarly don’t meet all requirements of the Affordable Care Act, and that the same extension should be granted to some 1.1 million indvidiual policy holders who are seeing their plans ended effective Dec. 31. 2013.

    But insurance representatives across the state, including the California Association of Health Plans, had urged the exchange to decline the president’s offer, saying the sudden shift in differing policies would put significant pressure on insurers and would be disruptive for a market that has adapted to the reform-driven landscape.

    “Covered California made the best decision for consumers by supporting the success of our new health insurance marketplace” Patrick Johnston, president and CEO of the Association of Health Plans, said in a statement. “Today’s decision comes with a renewed effort to ease the transition  process for consumers in the form of a five-step action plan focusing on extending deadlines and increasing enrollment assistance. “Health plans will work closely with Covered California to ensure consumers fully understand their options, take advantage of subsidies and get the comprehensive health coverage that they need.”

    The exchange also agreed to extend the deadline to Dec. 26 for purchasing coverage effective in the new year, from Dec. 15.

    Mr. Johnston also said California, like several other states that declined to grandfather old health plans and are running their own exchange, is fairing far better than the federal health exchange, Healthcare.gov, which has been beset by glitches and low enrollment figures. The federal exchange is geared toward states that opted not to set up their own online exchanges.

    To that end, Covered California today also said it has enrolled nearly 80,000 individuals across the state as of Nov. 19. In the North Bay, designated as region 2 out of 19, a total of 1,570 people have enrolled in plans across Marin, Sonoma, Napa and Solano counties as of Oct. 31.Of that North Bay total, 245 people qualified for a subsidy. In Sonoma County alone it is estimated there are an estimated 30,000 uninsured people who could quality for coverage under Covered California.

    In region 1, which includes Mendocino, Lake and other northern counties, a total of 1,148 people have enrolled into health plans, including 162 who qualified for a subsidy.

    Across the state, compared with the first week of October, about 700 people a day selected a health plan, the enrollment rate nearly quadrupled by the second week of November, to about 2,700 plan selections per day, according to Covered California.

    Anthem Blue Cross of California, Kaiser Permanente and Blue Shield of California led the way among health plans, likely because they’re available in every region. As of Oct, 31, Anthem had enrolled 8,658 people, of which 1,591 were eligible for subsides. Kaiser had enrolled 8,250 total people, of which 858 were eligible for subsidies. Blue Shield had enrolled 7.903 people into health plans, of which 1,558 were eligible for subsides.

    In region 2, the following plans HMOs are offering coverage through Covered California: Anthem, Blue Shield, Kaiser Permanente and Western Health Advantage.

    Sacramento-based Western Health Advantage, which is only offering plans in regions 2 and 3, has enrolled 69 total people, including 13 who were eligible for subsidies.

    Covered California also said the increase is mirrored by Medi-Cal, both through the exchange and by applications processed by county health agencies. In October, county human services agencies processed 270,670 applications, a 30 percent increase over the previous month.

    Covered California said younger residents are enrolling at a steady clip, which officials say is an important means of spreading the risk more evenly among the uninsured. A total of 10,278 Californians aged 18-25 are exchange eligible. So far, 2,344 have enrolled, or 8 percent of those eligible. That number is likely to be low because, as part of the Affordable Care Act, residents up to the age of 26 can remain on their parents plan, unless coverage is offered through employment.  For residents aged 26-34, a total of 4,580 have enrolled, or 15 percent of 18,177 who are exchange eligible.

    By contrast, those aged 45-54 have enrolled at a far higher rate — 6,865 out of 20,067 exchange eligible residents, or 22 percent, while residents between 55 and 64 years old account for the highest level of enrollment, at 9,290 enrolled out of 26,833, or 34 percent.

    “The tremendous interest in Covered California’s health coverage options has been a positive influence to motivate those who are uninsured to take advantage of their new coverage options,” Toby Douglas, director of the Department of Health Care Services, said in a statement. “It is very encouraging to see that the rate of approvals for Medi-Cal continues to increase.”

     

    Copyright © 1988–2014 North Bay Business Journal
    View the policy for linking to website content.

    Print Friendly Print Friendly    

    Submit Your Comments

    Required

    Required, will not be published

    Comments are moderated and generally will be posted if they are on-topic and not abusive. For more information, please see our Comments and Letters Policy. To share this item by email or social media, use the links above.

    Do not use this form to contact people, companies or organizations mentioned in this story. Contact them directly. Private messages left here will be deleted.