Despite (mostly Republican) assertions about “death spirals” of state insurance exchanges created under the Affordable Care Act, the biggest such exchange, Covered California, seems to be doing well in at least one important some way.
The authors of an article in Health Affairs report:
“The most recent open enrollment period for 2017 suggests that Covered California continues to maintain a risk mix of healthy and less healthy individuals that is similar to prior years and, thus, remains stable and strong.”
“More broadly, the statewide ‘raw’ risk score declined from 1.11 in 2016 down to 1.09 in 2017, indicating that the 2017 enrollee population is slightly healthier with respect to chronic conditions than their 2016 counterparts. Combined, these results reveal encouraging news, for amid talk of death spirals, it suggests Covered California continues to attract a healthy mix of enrollees.”
To read the article, please hit this link.