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View Diary: ACA Signups: Maryland update, New Mexico SHOP and an important update to the Off-Exchange tally! (7 comments)

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  •  Excuse my ignorance, but how are off exchange (0+ / 0-)

    enrollments counted?

     I mean since the beginning of time (or the beginning of insurance companies :) ) people have bought plans, changed plans, added family members and companies have brought group plans, added people or switched carriers how do we know that the "off exchange" numbers are indeed directly because of the mandate and/or the ACA in general?

      Are these off exchange enrollment numbers people and/or companies who were completely previously uninsured and that's how we know or are we just counting anyone who signed up for a plan since Oct 1 as an "off exchange" enrollees?  What about companies who get group plans?  Are these companies who never offered insurance before to anyone or are the number reflective of any company who has switch carriers and/or added groups since Oct 1?

    •  In this particular case it's a brand-new company (2+ / 0-)
      Recommended by:
      itskevin, Vatexia

      It's a Co-Op set up specifically for the ACA. In the case of WellPoint, of course, it's a bunch of existing for-profit health insurance companies (Anthem, BCBS, etc).

      However, that's not the point. The point of the off-exchange enrollments is that they're all 100% ACA-compliant (even if they're being sold to people who already had insurance before). In other words, these are NOT the "junk policies" etc. that have been given a 1-year extension; these are fully ACA-compliant.

      More importantly, however, this goes to battle the "OMG! 5M Cancelled!!" meme.

      The Exchange enrollment tally is at around 3.1 million, right?

      Let's suppose that 5 million people did have their policies cancelled. Let's further suppose that none of them moved over to Medicaid/etc.

      So, if you stop there, it makes it look like 3.1M - 5M = NEGATIVE 1.9 LOOKS like almost 2 million fewer people have health insurance than did before.

      However, let's suppose that, say, 3 million of those "5M lost!" simply moved directly from their old policy to a new, ACA-compliant policy directly through the insurance company? Guess what, all of a sudden it's no longer "5M lost!" but only "2M lost!"...which means we're at a net gain of 1.1 million.

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