Factoid

Percentages of Persons Under Age 65 Who Had Public Health Plan Coverage, by State Medicaid Expansion Status States Moving Forward With Medicaid Expansion Public Health Plan Coverage 2008 19.4% 2009 20.7% 2010 21.8% 2011 23.1% 2012 23.1% 2013 (Jan.-Sept.) 23.9% States Not Moving Forward With Medicaid Expansion 2008 19.1% 2009 21.3% 2010 22.1% 2011 22.7% 2012 24.0% 2013(Jan.-Sept.) 23.0% Source: CDC/NCHS, National Health Interview Survey

FACTOID

According to a recent study of Emergency Department (ED) visits in Massachusetts during 2004 to 2009, the implementation of health care reform in 2006 was associated with an increase of between 0.2% and 1.2% in ED visits per year during reform and 0.2% and 2.2% after reform, compared with the period before reform. Source: "Increased Use of the Emergency Department After Health Care Reform in Massachusetts," Annals of Emergency Medicine, abstract only, March 24, 2014, http://www.annemergmed.com/article/S0196-0644(14)00121-8/abstract

Percentage Under 65 Enrolled in a High-Deductible Health Plan (HDHP) Without a Health Savings Account (HSA), or in a Consumer-Directed Health Plan (CDHP), Among Those with Private Health Insurance Coverage CDHP (HDHP with HSA) HDHP no HSA Total 2008 5.2% 14.1% 19.2% 2009 6.6% 15.9% 22.5% 2010 7.7% 17.6% 25.3% 2011 9.2% 19.9% 29.0% 2012 10.8% 20.3% 31.1% 2013 (Jan.-Sept.) 11.7% 21.7% 33.4% Source: CDC/NCHS, National Health Interview Survey

INSIGHT

According to a recent survey, some of the strategies that are currently being used to reduce hospital readmissions include: • home health collaborations (79%) • medication reconciliation (73% ) • use of telephonic monitoring (71%) • aim programs at individuals already assessed at high risk for readmission (47%) Source: "6 Strategies Help Stem Hospital Readmissions, Streamline Processes and Care Transitions," Health Intelligence Network/Blog, February 27, 2014, http://hin.com/blog/category/reducing-readmissions/

FACTOID

According to a recent report, 49% of employers indicate they are extremely or very likely to make a high-deductible health plan their only health insurance option. Source: "Despite delayed key provision, health care reform triggers benefits action among employers," Prudential News Release, March 3, 2014, http://news.prudential.com/article_display.cfm?article_id=6788

Today's Datapoint

20.3% of eligible people have enrolled in insurance exchanges operated by states, compared to 12.4% in states with federally facilitated exchanges, according to an analysis released March 25 by the University of Pennsylvania’s Leonard Davis Institute of Health Economics.

Open Enrollment Ends March 31 – Just 5 Days Left to Apply

Blog Posted March 26, 2014 By Julie Bataille, Director of Communications, Centers for Medicare & Medicaid Services Open Enrollment for the Health Insurance Marketplace ends in only 5 days. There are just 5 days left for consumers to apply for and enroll in quality, affordable coverage. If you don’t have health insurance and don’t begin to sign up by the deadline—you can’t get coverage again until next year. Right now we are seeing a surge in consumers coming to HealthCare.gov and calling call centers. We’re working hard to ensure that our systems can handle record-high consumer demand over the next few days. HealthCare.gov continues to perform well in terms of response time and error rates, even with traffic that is similar to what the site experienced at the end of December, the deadline for consumers who wanted their coverage to begin on January 1. There were over 1.2 million visits to the website and more than 390,000 calls received at our call center yesterday, which confirms that there is tremendous interest in signing up for coverage before the March 31 deadline. We’ve completed the last rounds of system upgrades, including hardware, for this open enrollment period. The site is prepared to accommodate approximately 100,000 concurrent users. Additionally, we’ve resolved the software issues affecting the experience of most consumers. While we are encouraging folks to sign up early, we know many people wait until the last minute. If many consumers come all at once, we’ve built an advanced queuing system that will allow consumers to leave an email and be invited back when there are fewer customers to be helped or to join our system’s virtual waiting room. Beyond the website, we’ve geared up for a surge across our entire operation. Our Call Center is ready with as many as 14,000 customer service representatives, including 800 who speak Spanish. The Call Center also has a queuing mechanism – if wait times get to be too long, we will offer consumers the convenient option to skip the wait and leave their contact information so we can get back to them and help them enroll. We are ready for consumers. It’s now time for you to check out your options and signup by March 31. And don’t worry, for those consumers who are in line by the March 31st deadline to complete enrollment—either online or over the phone – we’ll make sure you get covered. Just like Election Day, if you are in line when the polls close, you get to vote. We won’t close the door on those who tried to get covered and were unable to do so through no fault of their own. So, those who were in line or had technical problems with the website can quickly come back and sign up as soon as possible. Millions of Americans have gotten health coverage through the Marketplace in the last five months. We’re doing all we can to ensure that every American who wants to enroll in affordable coverage by the end of the open enrollment period—March 31, 2014—is able to do so. It is our commitment: we’ll work hard to ensure that all Americans enjoy the security and peace of mind that comes with having quality health coverage. Above Blog is posted here: http://www.hhs.gov/healthcare/facts/blog/2014/03/open-enrollment-ends-march-31.html A consumer fact sheet is posted here: http://marketplace.cms.gov/getofficialresources/publications-and-articles/sep-complex-cases.pdf Two assister fact sheets are posted here - http://marketplace.cms.gov/help-us/assisting-consumers-march-31.pdf http://marketplace.cms.gov/help-us/complex-cases-sep.pdf The in line policy guidance is posted here – http://www.cms.gov/CCIIO/Resources/Regulations-and-Guidance/Downloads/in-line-SEP-3-26-2014.pdf The complex cases guidance is posted here - http://www.cms.gov/CCIIO/Resources/Regulations-and-Guidance/Downloads/complex-cases-SEP-3-26-2014.pdf The Treasury Domestic Violence fact sheet is posted here - http://www.treasury.gov/press-center/press-releases/Pages/jl2334.aspx New HealthCare.gov content is live here: https://www.healthcare.gov/sep-list/