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ProSense

(116,464 posts)
Mon Apr 14, 2014, 08:00 PM Apr 2014

New York exceeds Obamacare enrollment expectations by 60 percent, premiums halved

New York exceeds Obamacare enrollment expectations by 60 percent, premiums halved

by Joan McCarter

New York might very well be the most successful of all the states in implementing Obamacare. It had a bit of a head start, since it had already regulated insurers to prevent discrimination against people with existing medical problems. But the whole of New York's remarkable success—more than 900,000 signed up in both private and government plans and premiums cut in half—came with more tough choices in regulating insurers.

The state’s success was no accident. It began with a receptive customer base and the benefit of experience, since New York already had some of the country’s most generous insurance coverage for the poor and sick. Resistance to the health exchange among Republicans in the state may, oddly enough, have helped make it more successful. <…>

(T)he exchange had a rough start. Republicans in the State Senate tried to block it by refusing to support the creation of an independent authority to run it. New York could have followed 36 other states in simply joining the exchange set up by the federal government, whose numerous problems were not yet evident. Instead Gov. Andrew M. Cuomo established the state’s exchange by executive order, deeding it to “seasoned stagehands,” as Mr. Newell put it, in the Health Department.

That Republican opposition meant that the team Cuomo put in charge by executive order to create the exchange was experienced and could craft an exchange that meant tight regulations for consumers and insurers alike, resulting in a successful—though not entirely popular—program. They decided to require all insurers to offer the same type of coverage in the plans they sold off the exchange as those they sold on it. The end result is that none of the state's insurers offered out-of-network coverage for individuals, an effort to keep their costs down. The downside for consumers there is that they're restricted to providers. The upside for consumers is that this means their premiums are greatly reduced: "Individual premiums for Manhattan residents, for instance, dropped from $1,534 for a standard health maintenance organization, or H.M.O., in 2013 to $621 for a comparable exchange plan now."

Benjamin Lawsky, the state’s financial services superintendent, says that after the first year or two of operations, they'll revisit the issue of whether or not to require that insurers also allow out-of-network coverage. But, for now, they've hit on a pretty successful formula.

http://www.dailykos.com/story/2014/04/14/1292034/-New-York-exceeds-Obamacare-enrollment-expectations-by-60-percent-premiums-nbsp-halved

CBO: Obamacare will have lower premiums, insure more, and cost government less than projected
http://www.democraticunderground.com/10024820407

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New York exceeds Obamacare enrollment expectations by 60 percent, premiums halved (Original Post) ProSense Apr 2014 OP
The purpose behind ACA was for everyone to have insurance in which they could afford Thinkingabout Apr 2014 #1
Big liberal states have power IronLionZion Apr 2014 #2
Great news..thanks PS! Cha Apr 2014 #3
BENGHAZI!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!! Takket Apr 2014 #4
More good news! sheshe2 Apr 2014 #5
Doesn't matter Cali_Democrat Apr 2014 #6

Thinkingabout

(30,058 posts)
1. The purpose behind ACA was for everyone to have insurance in which they could afford
Mon Apr 14, 2014, 08:13 PM
Apr 2014

And curtailing the cost current insured was paying because of the uninsured walking their healthcare bills and that cost was passed onto other paying customers. It also limits how much money executives are able to tack on to premiums. Good for New York, hey, OOPS, see what can happen when you do the right thing for the citizens of your state.

IronLionZion

(45,429 posts)
2. Big liberal states have power
Mon Apr 14, 2014, 09:42 PM
Apr 2014

since insurers want those customers, they will put up with extra regulations. Glad its working out for NY.

Nonprofit Co-ops also play a big roll in affecting the lower costs in some states.

Small Health Insurance Co-Ops Seeing Early Success
http://www.democraticunderground.com/10024817408

Takket

(21,561 posts)
4. BENGHAZI!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!
Mon Apr 14, 2014, 09:46 PM
Apr 2014
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