Matthew Eyles, Avalere
"According to a new Avalere Health analysis, 17 of the 26 states that did not expand Medicaid in the first three months of 2014 still reported growth in Medicaid enrollment, ranging from 0.1 percent in Texas to 10.1 percent in Montana. Since these states had decided not to expand Medicaid eligibility levels under the Affordable Care Act (ACA), these numbers show the impact of the “woodwork effect,” which is when individuals who were previously eligible, but not enrolled in Medicaid, newly sign up as a result of increased outreach and awareness. These enrollees may place a strain on state budgets, since states are required to contribute to the cost of their coverage based on traditional Medicaid matching rates."
Caroline F. Pearson, Avalere
The federal government will bear a disproportionate burden of premium increases in states with high rates of subsidized enrollees. Double digit premium increases are likely in many markets in 2014. Age distribution among enrollees varies by state, which may influence plans’ interest in each market.
Caroline F. Pearson, Avalere
"A new analysis from Avalere Health finds that exchange enrollment meets or exceeds expectations in 22 states (44%), even after accounting for any attrition due to nonpayment of premiums. Assuming 15 percent of enrollees do not take the final enrollment step and pay their premiums, over 6.8 million people who enrolled through April 19 will have coverage effective as of May 1."
Jay Angoff, Mehri & Skalet
"By combining the HHS data on enrollment through the Exchanges through March 31,
2014 with the HHS data on Exchange funding through March 31, 2014, the attached chart
calculates a cost-per-enrollee for each state’s Exchange."
Linda J. Blumberg, John Holahan, and Matthew Buettgens, RWJ Foundation & Urban Institute
"Our analyses as well as that of others find that eliminating the employer mandate will not reduce insurance coverage significantly,
contrary to its supporters’ expectations. Eliminating it will remove labor market distortions that have troubled employer groups
and which would harm some workers. However, new revenue sources will be required to replace that anticipated to be raised
by the employer mandate."
Tony Pugh, McClatchy DC
"A new investor report predicts that Standard & Poor's 500 companies could shift 90 percent of their workforce from job-based health coverage to individual insurance sold on the nation's marketplaces by 2020."
Tevi D. Troy & D. Mark Wilson, American Health Policy Institute
"The Affordable Care Act (ACA) has served as a catalyst to an ongoing national debate on the cost of health care in the United States. An important aspect of this question is the cost impact of the new law on the employer community. Employers spend $578.6 billion annually in providing health coverage for 170.9 million employees, retirees, and dependents. If the law leads to significant cost increases for them, this would affect the behavior of employers, which could in turn affect how—and even whether—they provide health care for their employees."
Emily Egan, American Action Forum
"The Affordable Care Act’s (ACA) Employer Shared Responsibility provision,
commonly referred to as the Employer Mandate, requires all employers
with 50 employees, or 50 Full Time Equivalents (FTEs), to provide health
insurance coverage beginning in 2014. Similar to the law’s individual
mandate to carry health insurance, noncompliance carries a fine, levied to
help offset the cost of providing insurance coverage in the ACA’s state
based insurance exchanges."
Amy Anderson, The Heritage Foundation
"An estimated 30 million Americans are expected to gain health insurance through the Affordable Care Act (ACA), and a healthy and sizable workforce will be needed to meet the increased demand. The health care workforce is already facing a critical shortfall of health professionals over the next decade. The ACA breaks the promises of access and quality of care for all Americans by escalating the shortage and increasing the burden and stress on the already fragile system. The ACA’s attempts to address the shortage are unproven and limited in scope, and the significant financial investment will not produce results for years due to the training pipeline. With the ACA’s estimated 190 million hours of paperwork annually imposed on businesses and the health care industry, combined with shortages of workers, patients will be facing increasing wait times, limited access to providers, shortened time with caregivers, and decreased satisfaction.
David Hogberg, National Center for Public Policy Research
"Many supporters of ObamaCare insisted that the health insurance exchanges created by the law would result in consumers having a greater choice among insurance policies and lower prices.
This study tests those claims by examining policies on the exchanges in metropolitan areas across 45 states for a single 27-year-old and a 57-year-old couple. It then compares those with the policies available in those same areas on eHealthInsurance.com (eHealth) and Finder.healthcare.gov (Finder) in 2013."