The Health Care Numbers Are Out, And They're Disappointing | WAMU 88.5 - American University Radio
Filed Under:

The Health Care Numbers Are Out, And They're Disappointing

Play associated audio

The Obama administration released its much anticipated enrollment numbers for the first month of the troubled HealthCare.gov website Wednesday. And as predicted, the numbers were disappointing.

Just over 100,000 people managed to navigate the process and choose a health plan between Oct. 1 and Nov. 2 — 106,185 people, to be precise.

But barely a quarter of those, 26,794, enrolled through the federal website that's signing up people in 36 of the states. The rest enrolled through state marketplaces.

Earlier this week, people were leaking numbers that suggested that the number who enrolled via the federal exchange was about 40,000; 26,794 is even lower than that. On the other hand, what it really tells us is that the HealthCare.gov website wasn't working, so people couldn't choose a plan. That's not exactly breaking news.

On the state side, some states have been reporting their enrollment numbers all along. The one state we hadn't heard from was California. On Wednesday, federal officials reported that 35,000 people had enrolled in California — nearly half of the 76,391 total for the 11 states included in this report.

Questions remain, of course, including exactly what the administration is counting in these numbers.

In order to be formally counted as enrolled in a health plan, at least by an insurance company, you have to pay the first month's premium. But coverage doesn't begin until Jan. 1 at the earliest. Very few people are going to sign up in October and front out money three months in advance. So the administration is counting what are being called "shopping cart" people. They are those who have completed the enrollment process and chosen a plan but have not necessarily paid their first month's premium.

We now know that a lot of people are qualifying for Medicaid coverage or the Children's Health Insurance Program; 396,261 people have been deemed eligible for these programs so far. About 213,000 have enrolled through the state exchanges, and 183,000 on the federal exchange.

That's probably because in some states there was a big outreach effort to find people eligible for Medicaid or children's insurance. Also, the part of the state and federal exchanges that determines eligibility for Medicaid was working pretty well in October, compared with the part on the federal website that determines subsidies.

Just about every health care analyst points out that you shouldn't expect a lot of people to sign up during the first month of a six-month sign-up period. So the numbers probably would have been pretty small even if everything had been working just fine.

What this does tell us, however, is that there will be more pressure on the system, particularly the federal website, as we go forward. That's especially true if there's a surge of people who want to have insurance that begins Jan. 1. They have to sign up by Dec. 15.

And if that website isn't working as promised by the end of this month — or even if it is — there could be a huge demand that could very well overwhelm the system.

Copyright 2013 NPR. To see more, visit http://www.npr.org/.

NPR

Louis C.K. Reflects On 'Louie,' Loss, Love And Life

C.K. won an Emmy for outstanding writing in a comedy series for an episode on his FX show Louie. In 2011, C.K. told Fresh Air about making his comedy special and his relationship with other comedians.
NPR

Lizards And Worms Should Not Be On The School Lunch Menu

India wins praise for providing free lunches to 120 million of its poorest children. But lax supervision has led to lapses that have sickened and even killed youngsters.
NPR

After Inspector General Report, Veterans Want More Than Promises

The report said it couldn't be proven that anyone had died because of wait times at the medical center in Phoenix. On Tuesday, President Obama pledged to do better by vets and announced initiatives.
NPR

Science Crowns Mozzarella The King Of Pizza Cheese

Why do some cheeses melt and caramelize better than others? Researchers used high-tech cameras and special software to figure it out.

Leave a Comment

Help keep the conversation civil. Please refer to our Terms of Use and Code of Conduct before posting your comments.