Decision Resources Group Releases Rating of State Exchanges, Provides Summary of Takeaways and Predictions in Explanatory Executive Briefing
May 5, 2014 — Burlington, Mass. –
About the “State Exchange Report Card”
Decision Resources Group’s updated evaluation of the nation’s healthcare exchanges pulls out key learnings from 2014 open enrollment’s slow start and last-minute sprint. Unique methods of outreach like Connecticut’s retail stores and examples of highly successful user-friendliness, like the simplicity of Kynect’s online functionality, provide a peek into what best practice could look like in the Exchanges—while misadventures, like Oregon’s forced use of paper applications due to the Cover Oregon website failure, provide cautionary tales. Predictions for 2015—especially timely as insurers will have to file exchange rates by the end of May—include New Mexico and Idaho being exchanges to watch as they switch to fully state-run operations.
This final version of the “State Exchange Report Card” incorporates Decision Resources Group’s expert evaluation of each state’s exchange—whether state- or federally-run—on several different criteria, allowing for an objective, like-for-like comparison.
Decision Resources Group’s explanatory Executive Briefing, entitled “Final Grades: Health Exchange Takeaways and Predictions,” summarizes 2014’s rollercoaster enrollment and pulls out key insights, like North Carolina’s innovative nonprofit community using navigator funds to achieve an enrollment ranked among the nation’s highest.
The Briefing also highlights 2015 Predictions, such as exchange competition increasing as carriers decide on 2015 exchange participation in the short window of time before May 31.
Bill Melville, Senior Market Analyst for Decision Resources Group, said: “Looking back at 2014 enrollment, it’s clear that state-run exchanges did not guarantee success—as states from Maryland to Oregon found out the hard way. No two states had similar health exchange experiences. Looking ahead, backlash to limited pharmacy benefits and provider networks in exchange policies could lead to broader policies in exchanges for 2015. Additionally, many markets will have more carriers in the exchange, improving competition.”
David Raiford, Director of Market Access Insights for Decision Resources Group, adds: “Many variables will determine which plans will ultimately come out on top, but a look at past experience of the carriers participating in exchanges and the relative pricing of their health plans can be instructive. For instance, Blue plans will likely be among the leaders in the states where they are dominant and were able to leverage that clout into narrow-network plans with a price advantage over competitors.”
How do state exchanges stack up? Decision Resources Group rates all fifty states plus the District of Columbia on its NEW “State Exchange Report Card.” Download the explanatory Executive Briefing at www.hl-isy.com/state-exchange-report-card