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Open Enrollment

Final Open Enrollment Numbers Confirm Staying Power of ACA

Washington, D.C. – As the Centers for Medicare and Medicaid Services released the final open enrollment numbers for 2018, which showed that 11.8 million people nationwide bought Affordable Care Act marketplace coverage, Protect Our Care Campaign Director Brad Woodhouse released the following statement:

“Millions of Americans rely on the Affordable Care Act for quality, affordable coverage, and today’s confirmed enrollment numbers provide clear evidence of the law’s critical importance in American health care. But for over a year, the Trump Administration has been carrying out an unprecedented sabotage campaign designed to undermine the law and make it fail. Nowhere was this more apparent that the Administration’s attacks on open enrollment, which included cutting the advertising budget by 90 percent, halving the enrollment time, and denying help for people trying to get coverage. But the American people rejected this partisan scaremongering, and now we know that 11.8 million people signed up for marketplace coverage, almost matching last year’s total enrollment despite the many obstacles the Trump Administration placed in their way. While this is heartening news, these 11.8 million people and millions more are living in fear that the Republican war on health care will hike their rates and make care prohibitively expensive or unavailable to people with pre-existing conditions.

“The American people don’t want to go back to a time when insurers could deny them health care for having a pre-existing condition or be priced out of the market based on their age, gender, or medical history. The Affordable Care Act is a lifeline for millions of Americans, and Republicans’ continuing attempts to undermine the law are being met with resistance through enrollment, protests, and at the ballot box as the American continue to say: enough is enough – it’s time for Republicans to end their war on our care.”

“Consumers Really Want Coverage”: Nearly 12 Million Americans Sign Up For Marketplace Plans Despite Rampant Obstacles

Meta Capitol

Despite more than a year of sabotage from President Donald Trump, his Administration, and Congressional Republicans, it was announced today that 11.8 million Americans purchased 2018 health insurance through Affordable Care Act marketplaces — 96% of last year’s total. These Americans did so in the face of rampant obstacles put in their way, from a shortened sign-up period to the President declaring the law ‘dead,’ and did so for one reason: they want and need quality, affordable coverage.

Overall, the open enrollment period this year was a resounding success that proved the skeptics wrong. Don’t believe us? Take a look for yourself…

NBC News: “Despite Trump, Obamacare Records Strong Enrollment.” [NBC News, 2/7/18]

Josh Peck, Former HealthCare.Gov CMO: “Without The Trump Administration’s Efforts To Undermine Enrollment, National Enrollment Would Have Exceeded 12.9 Million Enrollments Or Roughly 1.1 Million Additional People Would Have Enrolled.” [Get America Covered, 2/8/17]

Kaiser Family Foundation: 11.8 Million People Signed Up “Amid Steep Reductions In Federal Funding For Outreach In Navigators, An Enrollment Period Half As Long, And A Climate Of Political Uncertainty Surrounding The Law.” “11,760,418 people signed up for 2018 health insurance coverage on the ACA individual marketplaces, amid steep reductions in federal funding for outreach and navigators, an enrollment period half as long, and a climate of political uncertainty surrounding the law. The federal government also terminated cost-sharing subsidy payments to insurers in advance of the open enrollment period, leading to increases in premiums but also increased premium subsidies for many consumers that in some cases led to reductions in what they had to pay for coverage.” [KHN, 2/7/18]

Los Angeles Times: The Numbers “Suggest Surprising Strength In Many Markets Across The Country.” “Almost 12 million Americans signed up for 2018 health coverage through marketplaces created by the Affordable Care Act, according to a new tally that indicates nationwide enrollment remained virtually unchanged from last year despite President Trump’s persistent attacks on the 2010 health law. The new enrollment numbers — which include totals from California and other states that operate their own marketplaces, as well as states that rely on the federal HealthCare.gov marketplace — offer the most detailed picture to date of the insurance markets. And they suggest surprising strength in many markets across the country, with consumers steadily signing up for health plans even as Trump and his Republican congressional allies derided the markets as crumbling and unaffordable.” [Los Angeles Times, 2/7/18]

Bloomberg: “President Donald Trump Has Frequently Been Accused Of Trying To Undermine Obamacare, His Predecessor’s Signature Health Law. New Data Show That By At Least One Measure He Didn’t Do A Particularly Good Job Of It.” President Donald Trump has frequently been accused of trying to undermine Obamacare, his predecessor’s signature health law. New data show that by at least one measure he didn’t do a particularly good job of it. Enrollment in individual health-insurance plans under the Affordable Care Act fell 3.7 percent in 2018 to 11.8 million, from 12.2 million a year earlier, according to data compiled by the National Academy for State Health Policy, which calls itself a nonprofit, nonpartisan association of state health-policy makers. That’s a far smaller drop than some health-policy watchers had foreseen, after the Trump administration halved the enrollment season and cut marketing and enrollment-assistance efforts. Trump himself declared the law ‘dead.’” [Bloomberg, 2/718]

Trish RIley, National Academy For State Health Policy Executive Director: “This Shows Consumers Really Want And Need Coverage.” “‘This shows that consumers really want and need coverage,’ said Trish Riley, executive director of the National Academy for State Health Policy, which compiled the nationwide enrollment tally. ‘These are stable markets and a stable program,’ she said.”  [Los Angeles Times, 2/7/18]

Allison O’Toole, MNSure Chief Executive: “We Had The Best Open Enrollment Period We Have Ever Had.” “‘We had the best open enrollment period we have ever had,’ said Allison O’Toole, chief executive of Minnesota’s insurance marketplace, known as MNsure, which saw enrollment surge nearly 6% this year. Elected officials in Minnesota developed their own reinsurance system to help control premiums this year.” [Los Angeles Times, 2/7/18]

Washington Post: “Enrollment Was Surprisingly Resilient.” “With the Trump administration taking steps to undercut these marketplaces and congressional Republicans having spent much of last year trying unsuccessfully to dismantle large parts of the ACA, leaders of state insurance exchanges and other health-policy experts said that enrollment was surprisingly resilient.” [Washington Post, 2/7/18]

The Hill: The Numbers “Show The Obamacare Remains Stable In The Face Of ‘National Uncertainty.’” “Experts and advocates of ObamaCare had expected a bigger drop in enrollment, mainly due to attacks on the system from the Trump White House. The administration slashed the advertising budget for open enrollment by 90 percent and also cut funds for local groups that help people sign up for coverage.  Experts also worried that multiple attempts by congressional Republicans to repeal and replace the law could cause confusion and deter consumers from signing up… The final numbers released Wednesday, however, show the ObamaCare remains stable in the face of ‘national uncertainty,’ says the National Academy for State Health Policy (NASHP), the group that released the numbers. ‘For the first time we now have the full national picture of how the individual marketplaces did this year and it is a picture of remarkable stability,’ said Trish Riley, executive director of NASHP.” [The Hill, 2/7/18]

Associated Press: “Enrollment Remained Remarkably Stable Despite President Donald Trump’s Disdain For ‘Obamacare,’ And Repeated Efforts By The Republican-led Congress To Repeal The Program.” “Enrollment remained remarkably stable despite President Donald Trump’s disdain for ‘Obamacare,’ and repeated efforts by the Republican-led Congress to repeal the program. The Trump administration also cut the sign-up window in half, slashed the ad budget, and suddenly stopped a major subsidy to insurers, which triggered a jump in premiums.” [AP, 2/7/18]

Larry Levitt, Kaiser Family Foundation: “If You Had Asked Me A Year Ago Whether Enrollment For 2018 Would Be Almost Equal To 2017, I Would Have Laughed At You.” “‘If you had asked me a year ago whether enrollment for 2018 would be almost equal to 2017, I would have laughed at you,’ said Larry Levitt, who follows health law for the nonpartisan Kaiser Family Foundation. ‘So long as lots of people are still getting insurance it becomes much harder to take that away.’” [AP, 2/7/18]

Washington Times: “Interest In The Exchanges Outpaced Last Year On A Day-To-Day Basis.” “Based on its figures, the 11 states — plus D.C. — that ran their own exchanges matched last year’s signups. In fact, there was a tiny increase of 0.09 percent, compared to a 5.3-percent drop among the 34 states that solely relied on HealthCare.gov. Five states that run their own exchanges, yet use the federal website, saw a minuscule increase of 0.2 percent, according to the academy. Mr. Trump slashed the enrollment season in half this year, meaning consumers in HealthCare.gov states had to sign up by mid-December, though hurricane-battered areas got extra time. Interest in the exchanges outpaced last year on a day-to-day basis.” [Washington Times, 2/7/18]

San Diego Union Tribune: States “Generally Attributed The Reduction To The Trump Administration’s [Actions].” “States with larger enrollment declines have generally attributed the reduction to the Trump administration’s decision to cut back on marketing efforts and shorten the 2017 open-enrollment period which ended more than a month earlier than it did in California. Double-digit premium increases in many states are also blamed for decreasing enrollment in many locations. The president’s late 2017 executive order to eliminate special “cost sharing reduction” payments directly to health insurance companies are blamed for the price hikes.” [San Diego Union Tribune, 2/7/18]

Mark Hall, Wake Forest University Professor Of Law And Public Health: “Despite The Trump Administration’s Effort To Undermine The Affordable Care Act, Its Basic Structure Remains Solid.” “Mark Hall, a professor of law and public health at Wake Forest University, said the report ‘shows that, despite the Trump administration’s effort to undermine the Affordable Care Act, its basic structure remains solid. This is a testament to its fundamental soundness. In North Carolina, enrollment dipped, but not as much as some people feared.’” [Winston-Salem Journal, 2/7/18]

Protect Our Care Statement on 11.8 Million Final Open Enrollment Total

Meta Capitol

After final confirmation that 11.8 million people nationwide purchased 2018 health insurance through the individual insurance marketplaces created by the Affordable Care Act, meaning that despite a year of aggressive sabotage by the Trump Administration, overall enrollment equaled 96% of last year’s total, Protect Our Care Campaign Director Brad Woodhouse released the following statement:

“The American people are our own best health care advocates, and today’s enrollment total shows that we keep on beating the odds. This year’s open enrollment succeeded thanks to an untold number of enrollment assisters, community activists, health care professionals, and volunteers who did what their government refused to and helped their fellow Americans get covered.

“Despite everything the Trump Administration threw in their way, the high number of people who bought comprehensive insurance through the individual insurance marketplaces this year, 11.8 million, shows that the marketplaces are an essential component of the American health care system. Enrollment could have been even higher this year, but unfortunately, the cumulative effect of Trump’s year of sabotage was that too many Americans faced higher prices or fewer choices, as well as new hurdles to enrollment.

“The millions of people who bought coverage deserve a Congress that will protect and improve their access to care, but instead, their own Republican elected officials continue to sabotage the Affordable Care Act. They have already spiked next year’s premiums double digits by repealing the individual mandate and will do even more damage if they refuse to address and fix President Trump’s administrative sabotage.

“Along with Medicaid expansion, the marketplaces are how the Affordable Care Act succeeded in driving the American uninsured rate down to historic lows. Clearly Americans want and need to shop on their own for coverage in a marketplace where they can’t be denied for having a pre-existing condition or priced out based on their age, gender, or medical history.

“Despite the odds, this year’s enrollment total was 96% of last year’s. When you look at the numbers, it’s clear that with nurturing instead of sabotage, these marketplaces could keep expanding access to coverage and help reverse the increase in the uninsured rate that’s being caused by President Trump and his Republican allies’ war on our care.”

This Week In the War on Health Care — January 29 – February 2, 2018

While Washington focused on the State of the Union, the Trump Administration continued its unprecedented assault on the American health care system. Here’s what happened this week in Republicans’ war on health care – and why they’re losing battles to the American people:

LIES FROM THE LECTERN

During his State of the Union address, President Trump doubled down on the war on health care his administration and his Republican allies in Congress waged last year, saying he “repealed the core of disastrous Obamacare” — a widely debunked lie. He also failed to mention that:

The President then pivoted to the opioid crisis, attempting to take credit for addressing the epidemic. But in reality, Trump has done nothing to facilitate treatment for Americans struggling with addiction. In fact, his attacks on critical federal health care and opioid response programs stand to make the situation worse:

  • His public health emergency declaration speech freed up just $57,000, pathetically short of the billions experts say are desperately needed.
  • His Administration sabotaged Medicaid, which pays for one-fifth of all substance abuse treatment nationwide.
  • He proposed a 95% cut to the Office of National Drug Control Policy, which coordinates the federal opioid response – and he did so for the second year in a row.

Sadly, the Trump Administration is not only offering a pathetic response to the nation’s most urgent public health crisis, it’s actively sabotaging communities that are fighting to turn the tide on this deadly epidemic.

A NEW GENERAL TAKES HIS OATH

On Monday, former Big Pharma lobbyist Alex Azar was sworn in as the new secretary of Health and Human Services. Azar lied about the Trump Administration’s sabotage throughout his confirmation process, choosing to embrace the Republican agenda that takes coverage from millions of Americans, raises costs for millions more, and protections for people with pre-existing conditions.

Whether Azar upholds the oath he swore will soon be tested because of…

IDAHO’S ATTEMPT TO FLOUT FEDERAL LAW

Negative reactions continued as experts digested Idaho Governor Butch Otter’s illegal proposed assault on the Affordable Care Act. University of Michigan law professor and former Department of Justice attorney Nicholas Bagley called such an action “crazypants illegal,” noting that Idaho, “appears to be claiming they do not have to adhere to federal law.”

What Secretary Azar does with this will be an excellent indicator of whether he plans to truly support the health of the American people, like he claimed, of if he will merely be another foot soldier in the Administration’s war on health care.

COSTS FOR SENIORS CONTINUE TO RISE

A new report from the Kaiser Family Foundation highlights massive increases in out-of-pocket medical costs for Medicare beneficiaries – costs that are projected to keep skyrocketing.

While President Trump has claimed he wants to lower costs, the reality is the opposite: he has consistently supported proposals making health care more expensive, from repeal legislation allowing insurance companies to charge people over 50 an ‘age tax’ with rates five times higher to the GOP tax scam set to raise premiums double digits. Seniors should rightly be furious, as are…

HEALTH CARE PROTESTS IN WEST VIRGINIA

As GOP Members of Congress retreated to West Virginia, they were greeted by protesters furious about the ongoing war on health care:

OPEN ENROLLMENT NUMBERS BLOW EXPECTATIONS OUT OF THE WATER

And finally, yesterday was the scheduled final day of open enrollment. Despite the widespread attempts at sabotage by the Trump Administration, from cutting the sign-up period in half to dropping advertising by ninety percent, we have already reached 96% of last year’s enrollment total:

  • Nearly 8.8 million people signed up for coverage through HealthCare.gov.
  • Demand from new consumers outpaced new enrollments every single week of last year, with 2.5 million new people signing up for coverage.
  • Almost 6.3 million returning consumers actively renewed their coverage or were automatically re-enrolled compared to 6.2 million people last year.

Protect Our Care Statement on What Should Have Been the Last Day of Open Enrollment

After the states that stuck with the original Open Enrollment schedule wrapped up strong enrollment seasons last night, Protect Our Care Executive Director Brad Woodhouse released the following statement:

“If President Trump hadn’t sabotaged Open Enrollment by cutting the signup period in half for the 36 states using HealthCare.Gov, yesterday could have marked the end of the annual sign-up season nationwide. But here’s the good news: despite the Trump Administration’s sabotage, millions of Americans again signed up for comprehensive coverage. Before the final numbers come in, we have already reached 96% of last year’s enrollment total nationwide. This year’s enrollment season succeeded thanks to thousands of enrollment assisters, community activists, and volunteers who banded together to do what the Trump Administration refused to: help their fellow Americans get covered. It’s time for Republicans to stop their war on health care, which stopped even more people from signing up by driving up unsubsidized premiums, because it’s clearer than ever that Americans want and need quality, affordable coverage.”

 

 

The Plot Against Americans: Bombshell Report Reveals Trump Admin’s Master Strategy to Rip Apart Our Health Care System

WASHINGTON, DC – After Politico released a late-night bombshell report revealing that the Trump Administration left a paper trail of their plans to sabotage health care, Protect Our Care Campaign Chairman Leslie Dach released the following statement:

“President Trump left behind a smoking gun in this newly revealed document, and now Americans can see beyond a shadow of a doubt that the Republican plot to sabotage our care started on Day One of this Administration. This newly revealed document confirms what we knew all along – Republicans never had any plan to improve health care for Americans; they always intended to rip apart affordable coverage and vital insurance protections root and branch. After today, President Trump and Congressional Republicans can no longer deny the truth: from the outset, they were hell-bent on waging a spiteful war against Americans’ health care.”

The Facts Are In: Despite ACA Popularity, The Trump Administration’s Sabotage Will Deny Affordable Health Coverage to Large Numbers of Americans

This is what health care sabotage looks like.

As open enrollment ends tomorrow, people are starting to notice that the Trump Administration’s extensive sabotage – shortening the enrollment period, eliminating outreach and TV  advertising, cutting funding for navigators – means less people will get health care coverage than would have otherwise.

See for yourself …

Washington Post: ACA Enrollment “Almost Sure To Fall Short In The End Because Of A Compressed Enrollment Season.”  

Kaiser Family Foundation: ‘If not for the pronouncements of its death, and steps taken to hobble it, the ACA marketplace would actually seem, well, alive,’ Larry Levitt, senior vice president of the Kaiser Family Foundation said.

NBC News: “The Total Number Is Likely To Fall Short Of Last Year, Which Featured Both A Longer Enrollment Period And A Far More Robust Outreach Campaign.”

Huffington Post: “Another Reason Experts Expect An Enrollment Decline Is The Trump Administration’s Management Of The Program, Which Has Included Neglect And Outright Sabotage.”

Reuters: “The Trump Administration Has Worked Hard To Undercut” Enrollment.

The Hill: “The Trump administration’s abbreviated enrollment period has left advocates acknowledging the numbers are almost surely going to be lower than the 9.2 million who signed up on HealthCare.gov at the end of the last open enrollment season.”

Bloomberg BNA: “Major Changes Made By The Trump Administration – Such As Cutting Funding For Outreach – Are Making It Challenging To Get As Many People Signed Up This Year.”

Protect Our Care Statement On Paul Ryan’s Inability To Accept The Truth

In response to the news that House Speaker Paul Ryan (R-WI) told reporters that lawmakers need to “revisit” the Affordable Care Act, Protect Our Care Campaign Director Brad Woodhouse released the following statement:

“Like a zombie, the GOP repeal agenda and their lies on the Affordable Care Act simply won’t go away,” said Woodhouse. “It’s not enough that Paul Ryan and Congressional Republicans have snuck health care repeal into the tax bill to rip coverage away from 13 million Americans and increase premiums by double digits on millions more, they are continuing to insist they will return to repeal in 2018 and they will lie through their teeth in the process. No, Speaker Ryan, the Affordable Care Act is not failing – in fact, it’s succeeding despite the GOP agenda of repeal and sabotage. Every county in the country has coverage, plans are affordable and despite the efforts by the Trump Administration to sabotage open enrollment millions of Americans are shopping for and enrolling in plans.

“Speaker Ryan, your party is in a downward political spiral because of your repeal and sabotage agenda on health care. It was reported today that you might retire at the end of the current Congress in 2018. Mr. Speaker, if you continue efforts to repeal the ACA and deny Americans affordable access to health care the issue of your retirement may well be decided for you.”

Trump Administration Failing at Open Enrollment Outreach

Protect Our Care Blasts Trump for Bare Bones Outreach Efforts as Open Enrollment, Which Runs From Nov. 1 to Dec. 15, Begins

Washington, D.C. — As open enrollment for coverage through HealthCare.gov began yesterday, the Washington Post reported that the Trump administration is continuing its campaign of sabotage, having sent 20 million fewer outreach notices than in previous years. This follows the administration’s slashing of the outreach budget by 90 percent.

“Donald Trump is hell-bent on sabotaging American health care no matter how many people it harms,” said Protect Our Care Campaign Director Brad Woodhouse. “Open enrollment is the best opportunity for people without health insurance to get the coverage they need. It’s critical that consumers know what’s available to them, how low costs can be and that it’s time to sign up. But the Trump administration is too busy trying to undermine the law, and this half-baked attempt at open enrollment is sabotage.”

The administration’s bare-bones emails explain the absolute minimum to consumers: open enrollment start and end dates, a warning that the enrollment period is shorter this year and a statement that people “can confirm, change or update” a plan. The emails do not include information on the affordability of many plans on the marketplace or about the availability of cost-sharing reductions, not the fact that marketplace plans for less than $75 per month are available to 8 in 10 people.

Furthermore, the administration is not sending emails to millions of consumers who were previously insured through the marketplace or had explored the HealthCare.gov website.

“The American people already blame President Trump and congressional Republicans for the uncertainty around health care, and Americans oppose their efforts at repeal and sabotage,” continued Woodhouse. “Open enrollment is a critical component of ensuring the health care law succeeds. If this administration insists on sabotaging open enrollment and undermining the health care of the American people, you can bet President Trump and Republicans in Congress will be held accountable.”

Protect Our Care Statement on Trump Administration’s Continued Health Care Sabotage

Washington, D.C. — During a webinar this afternoon, HHS announced that HealthCare.gov would be offline 5 out of the 6 Sundays during the upcoming open enrollment period. This means that during the shortest open enrollment period ever, HealthCare.gov will be down for 3 full days. Today’s announcement follows recent decisions by the administration to cut navigator funding by 40 percent and the outreach and advertising budget by 90 percent.

“This is outrageous. It’s clear that even if Republicans continue to fail to repeal the Affordable Care Act that the Trump administration will go to any lengths to sabotage the law,” said Brad Woodhouse, Campaign Director for Protect Our Care. “From destabilizing the health care market by threatening not to pay cost sharing reduction payments to undermining open enrollment, the Trump Administration will pursue every tactic to undermine health care no matter how many Americans it hurts. The American people are sick of it — they oppose repeal and they will hold President Trump and Republicans in Congress accountable for sabotaging their health care.”