For Immediate Release: September 4, 2014

Washington Healthplanfinder Gains News Enrollees, Current Customers Transition

Early “Churn” Trends Taking Shape between Apple Health and Qualified Health Plans OLYMPIA, Wash.

Washington Healthplanfinder today announced 11,497 Washingtonians have taken advantage of special enrollment periods since March 31 that allow them to enroll through wahealthplanfinder.org if they have a qualifying life event outside of the standard open enrollment period. The next open enrollment period starts on Nov. 15, 2014 for coverage beginning in 2015.

Data also shows that nearly 700,000 residents are now enrolled in new free or low-cost health coverage options, with more than 147,000 customers currently enrolled in Qualified Health Plans. Including customers who are renewing their existing Medicaid coverage, more than 1.28 million residents have enrolled in health coverage through wahealthplanfinder.org.

“We are experiencing the normal fluctuations of any health insurance risk market,” said Richard Onizuka, CEO for the Washington Health Benefit Exchange. “As people’s incomes change, we will see current customers transitioning on a monthly basis due to changes in their eligibility.”

Updated enrollments and dis-enrollment totals are included below:

Currently Enrolled
Qualified Health Plans

147,888

Medicaid Newly Eligible Adults

352,386

Medicaid Previously Eligible but not Enrolled

199,631

Medicaid Redeterminations

583,765

Total

    1,283,670

 

QHP – No Longer Enrolled
Disenrolled due to Nonpayment

8,310

Voluntarily Ended Coverage

7,735

No Longer Eligible for Qualified Health Plan

8,027

Total

24,072

*Note: These numbers reflect QHP enrollments and Medicaid enrollments through July 31.

Additionally, the Exchange has analyzed preliminary data related to customer “churn,” which means the enrollee has transitioned between Washington Apple Health (Medicaid) or a Qualified Health Plan due to a change in their eligibility and income. Results show a fairly even transition between both categories.

For example, since January, more than 8,000 customers transitioned from a Qualified Health Plan with tax credits to a plan on Washington Apple Health. Other customers were dis-enrolled from a Qualified Health Plan due to nonpayment or voluntarily chose to dis-enroll.

churn_graph_0904.png

“The first few months of churn data illustrates the system is working as designed,” said Onizuka. “By providing one single marketplace for Apple Health and Qualified Health Plans, customers will experience a more seamless transition to a plan that continues to meet their needs, which will greatly improve their health care outcomes.”

As a reminder, those who qualify for Washington Apple Health (Medicaid) may enroll at any point during the year, as well as American Indians/Alaskan Natives and Indians eligible for services through an Indian health care provider.

Residents who may qualify for a special enrollment period should visit www.wahealthplanfinder.org.

Application Status Legend

  • Qualified Health Plans: Includes individuals who have selected and submitted payment for a qualified health plan (private health plan).
  • QHP Disenrolled due to Nonpayment: Includes individuals whose coverage has been cancelled due to nonpayment.
  • QHP Voluntarily Ended Coverage: Includes individuals who voluntarily cancelled their insurance coverage.
  • No Longer Eligible for Qualified Health Plan: Includes those who are no longer eligible for tax credits (including those now eligible for Medicaid).
  • Medicaid Newly Eligible Adults: Includes newly eligible individuals who have qualified and enrolled in a Medicaid plan under the Medicaid expansion and does not include those who have transitioned from other Medicaid programs.
  • Medicaid Previously Eligible but not Enrolled: Includes individuals (children, pregnant women, low-income families) who are newly enrolling but were eligible under old Medicaid eligibility rules.
  • Medicaid Redeterminations: Includes individuals who were already enrolled in a Medicaid program and have had their eligibility status converted, re-determined or renewed through Washington Healthplanfinder as opposed to newly determined.

About Washington Healthplanfinder

Washington Healthplanfinder is a new online marketplace for individuals, families and small businesses in Washington to compare and enroll in health insurance coverage and gain access to tax credits, reduced cost sharing and public programs such as Medicaid. The next open enrollment period for Washington Healthplanfinder begins on Nov. 15, 2014 for health insurance coverage beginning on Jan. 1, 2015. The open enrollment period will extend through Feb. 15, 2015.

About the Washington Health Benefit Exchange

The Washington Health Benefit Exchange is a public-private partnership established in accordance with the Patient Protection and Affordable Care Act of 2010 (ACA) to implement a new health insurance marketplace for individuals and small businesses. The Exchange is separate from the state and governed by an independent 11-member board. For more information, visit www.wahbexchange.org.

About Health Care Authority

The Health Care Authority includes the two largest state health care purchasing programs – Apple Health (Medicaid) and Public Employees Benefits system, which handles state employee benefits. Under Medicaid expansion, income eligibility guidelines increased to 138% of the federal poverty level effective Jan. 1, 2014, increasing state Medicaid rolls by an estimated 328,000 individuals.

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