Health Insurance Marketplaces: The First 8 Weeks

November 22, 2013

Health insurance marketplaces, or exchanges, opened October 1, and while states have released some enrollment data, and much of the attention has been on the initial technical challenges, there has been less information about overall consumer experience.

Who is trying to access the marketplace websites, and how many have successfully enrolled? Of those who shopped but did not enroll, why not? Do they plan to sign up later? What kinds of people are enrolling? Are they older and sicker, and will that make coverage more expensive for everyone? Why has early enrollment tilted more toward Medicaid, as opposed to private insurance, and will that trend continue?

Sara Collins, vice president for the health care coverage and access program at the Commonwealth Fund, shared the results of a recent Commonwealth survey on experiences in the marketplaces.

Mila Kofman, executive director of the DC Health Benefit Exchange Authority, discussed early experiences in the Washington, DC marketplace.

Dan Schuyler, director of exchange technology at Leavitt Partners, and former director of technology for Utah’s health insurance exchange, addressed technology and other challenges that marketplaces are facing.

Matt Salo, executive director of the National Association of Medicaid Directors, discussed the status of Medicaid enrollment, which has outpaced private insurance enrollment.

Katy Caldwell, executive director of Legacy Community Health Services, a federally-qualified health center in Houston, explained her clinic’s efforts to actively help patients with enrollment.

Ed Howard of the Alliance and Sara Collins of Commonwealth co-moderated.

Contact: Marilyn Serafini (202) 789-2300

Follow the briefing on Twitter: #ACAmarketplace

The event was sponsored by the nonpartisan Alliance for Health Reform and The Commonwealth Fund.


Full Transcript (Adobe Acrobat PDF)

Speaker Presentations

Katy Caldwell Presentation (Adobe Acrobat PDF)
Sara Collins Presentation (Adobe Acrobat PDF)
Mila Kofman Presentation (Adobe Acrobat PDF)
Matt Salo Presentation (Adobe Acrobat PDF)
Dan Schuyler Presentation (Adobe Acrobat PDF)
Full Presentation (Adobe Acrobat PDF)

Event Details

Agenda (Adobe Acrobat PDF)
Speaker Biographies (Adobe Acrobat PDF)

Event Resources