Wednesday, January 29, 2014

California’s Version of Obamacare a Success? Not by the Numbers

I’m pretty amazed at how long the CA media have gone along with the idea that the state’s version of Obamacare is doing well. I wrote about Covered California in Sunday’s U-T San Diego:
“… the state’s version of Obamacare has reduced the number of Californians with health insurance while doing a terrible job with [Latinos,] the single community that was most in need of health coverage and assistance in navigating the bureaucracy to obtain it. The program also appears likely to be far more costly to taxpayers than previously estimated.
“If this is an Affordable Care Act success story, that’s a profound comment on how badly the rollout is going elsewhere around the nation.”
The lack of Latino participation bodes badly for agency’s need to have a healthy mix of subsidized and non-subsidized enrollees.
“Just 15 percent of those enrolled aren’t eligible for subsidies. If that ratio continues — nearly six subsidized enrollees for every unsubsidized enrollee — then Covered California’s cost to taxpayers will explode.
“And there’s reason to think the ratio will continue: More than half of the Californians without health insurance are Latinos, mostly low-income or unemployed. But they make up only one in five of those who have enrolled with the agency.
“These numbers spurred sharp criticism of Covered California officials last week. The state Legislature’s Latino Caucus disputed agency claims that better marketing would sharply increase Latino participation. Critics said that wouldn’t make up for a poor Spanish-language website, weak outreach and the agency’s failure to understand the Latino community.
“If Covered California corrects these problems, and Latino enrollment surges, that’s good news in terms of the agency’s goals. But then it would be more likely that the highly costly ratio of subsidized to unsubsidized enrollees continues.”

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