The affordable care act s marketplaces results from the first three months
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Sara R. Collins, Ph.D. Vice President, Health Care Coverage and Access The Commonwealth Fund SABEW: The Business of Health Care New York, NY January 22, 2014. THE AFFORDABLE CARE ACT’S MARKETPLACES Results From The First Three Months.

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THE AFFORDABLE CARE ACT’S MARKETPLACES Results From The First Three Months

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The affordable care act s marketplaces results from the first three months

Sara R. Collins, Ph.D.

Vice President, Health Care Coverage and Access

The Commonwealth Fund

SABEW: The Business of Health Care

New York, NY

January 22, 2014

THE AFFORDABLE CARE ACT’S MARKETPLACES Results From The First Three Months


The affordable care act s marketplaces results from the first three months

Exhibit 1. Trends in Cumulative Number of Individuals Who Have Selected a Marketplace Plan Through the Federally-facilitated Marketplace (FFM), October 1 to December 28, 2013

Source: Health Insurance Marketplace: January Enrollment Report, For the Period: October 1, 2013 – December 28, 2013, ASPE Issue Brief, U.S. Department of Health and Human Services, January 13, 2014, http://aspe.hhs.gov/health/reports/2014/MarketPlaceEnrollment/Jan2014/ib_2014jan_enrollment.pdf.


The affordable care act s marketplaces results from the first three months

Exhibit 2. More than 2 Million People Have Selected or Enrolled in Marketplace Plans, as of Dec. 28, 2013

*People who have selected a marketplace plan may or may not have paid their premiums, and thus finalized their enrollment.

Source: Health Insurance Marketplace: January Enrollment Report, For the Period: October 1, 2013 – December 28, 2013, ASPE Issue Brief, U.S. Department of Health and Human Services, January 13, 2014,http://aspe.hhs.gov/health/reports/2014/MarketPlaceEnrollment/Jan2014/ib_2014jan_enrollment.pdf; and state websites.


The affordable care act s marketplaces results from the first three months

Exhibit 3. Ten States Have Reached or Exceeded Their Three Month Marketplace Enrollment Target as of Dec. 28, 2013

Percent of three month enrollment target reached by 12/28/2013

NH

WA

VT

ME

MT

ND

AK

MN

OR

NY

WI

ID

MA

SD

RI

WY

MI

CT

PA

IA

NJ

OH

NE

NV

DE

IN

IL

MD

UT

WV

VA

CO

DC

CA

KS

MO

KY

NC

TN

OK

SC

AZ

AR

NM

GA

AL

MS

HI

LA

TX

FL

<50%

75%-<100%

100%+

50%-<75%

Source: Memo from Marilyn Tavenner, CMS Administrator, Projected Monthly Enrollment Targets for Health Insurance Marketplaces in 2014, September 5, 2013, http://waysandmeans.house.gov/uploadedfiles/enrolltargets_09052013_.pdf; Health Insurance Marketplace: January Enrollment Report, For the Period: October 1, 2013 – December 28, 2013, ASPE Issue Brief, U.S. Department of Health and Human Services, January 13, 2014, http://aspe.hhs.gov/health/reports/2014/MarketPlaceEnrollment/Jan2014/ib_2014jan_enrollment.pdf


The affordable care act s marketplaces results from the first three months

Exhibit 4. Trends in Cumulative Number of Young Adults Who Have Selected a Marketplace Plan Through the Federally-facilitated Marketplace (FFM), October 1 to December 28, 2013

Source: Health Insurance Marketplace: January Enrollment Report, For the Period: October 1, 2013 – December 28, 2013, ASPE Issue Brief, U.S. Department of Health and Human Services, January 13, 2014, http://aspe.hhs.gov/health/reports/2014/MarketPlaceEnrollment/Jan2014/ib_2014jan_enrollment.pdf.


The affordable care act s marketplaces results from the first three months

Exhibit 5. Distribution of Marketplace Visitors and Marketplace Enrollees by Age

Adults who selected a marketplace plan

Adults ages 19–64 who are uninsured or have individual coverage and went to marketplace

45-54

22%

35-44

15%

35–49

31%

19–34

41%

18-34

24%

55-64

33%

50–64

28%

<18

6%

Note: Segments may not sum to 100 percent because of rounding.

Source: The Commonwealth Fund Affordable Care Act Tracking Survey, Dec. 2013 and Health Insurance Marketplace: January Enrollment Report, For the Period: October 1, 2013 – December 28, 2013, ASPE Issue Brief, U.S. Department of Health and Human Services, January 13, 2014, http://aspe.hhs.gov/health/reports/2014/MarketPlaceEnrollment/Jan2014/ib_2014jan_enrollment.pdf.


The affordable care act s marketplaces results from the first three months

Exhibit 6. More than Three-Fourths of Visitors Report Being in Excellent, Very Good, or Good Health

Health status

35–49

31%

Very good

37%

Good

23%

19–34

41%

Fair

17%

Excellent

17%

Poor

6%

50–64

28%

Don’t know or refused

1%

Adults ages 19–64 who are uninsured or have individual coverage and went to marketplace

Note: Segments may not sum to 100 percent because of rounding.

Source: The Commonwealth Fund Affordable Care Act Tracking Survey, Dec. 2013.


The affordable care act s marketplaces results from the first three months

Exhibit 7. By Dec. 2013, More Adults Who Visited the Marketplaces Found It Easy to Compare Plan Benefits and Premiums

How easy or difficult was it to compare the … of different insurance plans?

Very difficult or impossible

Somewhat easy

Very easy

Somewhat difficult

58

30

Benefits covered

51

43

37

52

Premium costs

42

51

51

34

Potential out-of-pocket costs*

54

38

Percent

Adults ages 19–64 who are uninsured or have individual coverage and went to marketplace

Note: Bars may not sum to 100 percent because of “don’t know” responses or refusal to respond; segments may not sum to subtotals because of rounding.

* Potential out-of-pocket costs from deductibles and copayments.

Source: The Commonwealth Fund Affordable Care Act Tracking Surveys, Oct. 2013 and Dec. 2013.


The affordable care act s marketplaces results from the first three months

Exhibit 8. Adults Who Visited the Marketplaces Continued to Report Difficulties Finding a Plan with the Type of Coverage They Needed

How easy or difficult was it to find…?

Very difficult or impossible

Somewhat easy

Very easy

Somewhat difficult

A plan with the type of coverage you need

56

38

60

36

61

30

A plan you could afford

58

37

Percent

Adults ages 19–64 who are uninsured or have individual coverage and went to marketplace

Note: Bars may not sum to 100 percent because of “don’t know” responses or refusal to respond; segments may not sum to subtotals because of rounding.

* Potential out-of-pocket costs from deductibles and copayments.

Source: The Commonwealth Fund Affordable Care Act Tracking Surveys, Oct. 2013 and Dec. 2013.


The affordable care act s marketplaces results from the first three months

Exhibit 9. Marketplace Plan Selection by Metal Level and Financial Assistance Status, October 1 to December 28, 2013

Percent of individuals who selected a plan

Yes

No

Platinum

Bronze

Silver

Gold

Catastrophic

Source: Health Insurance Marketplace: January Enrollment Report, For the Period: October 1, 2013 – December 28, 2013, ASPE Issue Brief, U.S. Department of Health and Human Services, January 13, 2014, http://aspe.hhs.gov/health/reports/2014/MarketPlaceEnrollment/Jan2014/ib_2014jan_enrollment.pdf.


The affordable care act s marketplaces results from the first three months

Exhibit 10. A Majority of Adults Who Have Visited the Marketplaces Rate Their Experience as Fair or Poor

Overall, how would you describe your experience in trying to get health insurance through the marketplace in your state?

Percent

Adults ages 19–64 who are uninsured or have individual coverage and went to marketplace

Source: The Commonwealth Fund Affordable Care Act Tracking Surveys, Oct. 2013 and Dec. 2013.


The affordable care act s marketplaces results from the first three months

Exhibit 11. A Majority of Adults Who Visited the Marketplaces Went More Than Once; Three of 10 Said Their Experience Improved Over the Course of Their Visits

How many times did you visit the marketplace—did you visit once, or more than once?

From your first visit to your last visit, did your experience in trying to get health insurance through the marketplace in your state…?

Improved

29%

Stayed about the same

52%

Once

39%

More than once

59%

Got worse

18%

Don’t know or refused

2%

Adults ages 19–64 who are uninsured or have individual coverage and went to marketplace more than once

Adults ages 19–64 who are uninsured or have individual coverage and went to marketplace

Source: The Commonwealth Fund Affordable Care Act Tracking Survey, Dec. 2013.


The affordable care act s marketplaces results from the first three months

Exhibit 12. A Majority of Adults Potentially Eligible for Coverage Who Have Not Yet Enrolled Say They Are Likely to Shop for Coverage by March 31, 2014

The enrollment period for health insurance in the marketplaces ends on March 31, 2014. How likely are you to go to/go back to the marketplace by March 31, 2014, to enroll in a health plan or find out if you are eligible for financial help to pay for your plan or for Medicaid?

Very unlikely

Somewhat likely

Somewhat unlikely

Very likely

37

59

Age

39

58

32

61

40

55

Health Status

55

41

28

67

Percent

Adults ages 19–64 who are uninsured or have individual coverage* and who have not gone to marketplace, or went to marketplace but did not apply or did not enroll

Notes: Bars may not sum to 100 percent because of “don’t know” responses or refusal to respond; segments may not sum to subtotals because of rounding.

* Respondents with individual market coverage who said they had received an offer from their insurance carrier to renew their plan for 2014 and said they planned to keep their policies were excluded from this analysis.

Source: The Commonwealth Fund Affordable Care Act Tracking Survey, Dec. 2013.


Acknowledgements

Acknowledgements

Tracy Garber

Senior Policy Associate

Health Care Coverage and Access

David Blumenthal

President

Michelle Doty

Vice President

Survey Research and Evaluation

Petra Rasmussen

Senior Research Associate

Health Care Coverage and Access


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