In yesterday's KHA Health e-News, there was an Op-ed by Tom Jones that appeared in Monday's Lexington Herald. Mr. Jones is a managed care insurance consultant in Hopkinsville. In the op-ed, Jones explains the nature of many critical factors that will be a deciding factor in whether or not Kynect will be successful. These include the sheer number of unhealthy and poor Kentuckians; the insufficient number of doctors to serve the population; the lack of primary-care physicians, and therefore, the likelihood that patients will continue to seek care as they always have--in the local hospital's emergency department.
Every Kentucky hospital administrator should read the op-ed available via the hyperlink above.
Open Enrollment is the time when people can apply for a 2015 Marketplace plan, keep their current plan, or pick a new one.
Below are the key dates for the next Health Insurance Marketplace Open Enrollment Period in Kentucky:
Over the past several months, the Department of Health and Human Services has been busy issuing rules and guidance for the 2015 plan year for the Affordable Care Act (ACA) health insurance marketplaces and Medicare Advantage. These are complex rules and guidance, and the implications for hospitals and hospital systems as caregivers, employers and, in some cases, insurers will vary.
The American Hospital Association has issued a Regulatory Advisory which features a compendium of the key rules and guidance. It provides a brief summary, identifies key hospital-related issues and includes web links to associated regulatory documents.
According to Governor Steve Beshear's website, 321,932 Kentuckians have enrolled via the state health insurance exchange, kynect, as of March 21. Eighty percent of those enrollees (257,477) however will be added to the Medicaid program and not purchasing private insurance.
Only 64,455 people have signed up for private health insurance so far. Of those, the most popular plan level is Silver (41 percent) – the level of coverage tied to federal subsidies. The second most popular level is Platinum (28 percent), which provides the most coverage. Seventeen percent of enrollees chose the Gold level and 11 percent chose Bronze.
View the kynect Enrollment Data for details of individuals enrolled by county.
Post Office Box 436629
Louisville, Kentucky 40253-6629