{"id":1794,"date":"2014-04-11T14:37:49","date_gmt":"2014-04-11T18:37:49","guid":{"rendered":"http:\/\/blogs.bu.edu\/ellisrp\/?p=1794"},"modified":"2014-04-11T14:42:16","modified_gmt":"2014-04-11T18:42:16","slug":"1794","status":"publish","type":"post","link":"https:\/\/blogs.bu.edu\/ellisrp\/2014\/04\/1794\/","title":{"rendered":"Employer Sponsored Insurance Also Surged in MA in 2007."},"content":{"rendered":"

There has been a great deal of surprise expressed in the media over the RAND\u2019s latest report<\/a> suggesting that more people have become insured through employer sponsored insurance (ESI) than through either Medicaid or the Exchanges under the ACA. One example is Adrianna McIntyre on The Incidental Economist<\/a> who posted on Wednesday:<\/p>\n

“I can\u2019t overstate how stunning this finding is if it\u2019s true; CBO expected that ESI gains and losses would pretty much break even in 2014 and that employer coverage would decline modestly in future years (p. 108<\/a>).”<\/p>\n

This result is precisely NOT stunning if you study the Massachusetts health reform.
\nIn Massachusetts the expansion in ESI coverage ALSO led the total increase during the first year and half. Below is a\u00a0 table summarizing the early returns in MA from a Massachusetts Division of Health Care Finance and Policy study in 2011.<\/p>\n

http:\/\/www.mass.gov\/chia\/docs\/r\/pubs\/11\/2011-key-indicators-may.pdf<\/a><\/p>\n

Notice how growth in ESI dominated both Medicaid and the Exchange in the first two years, before being surpassed by these other two.<\/p>\n

I speculate that part of the reason so many Massachusetts employers dropped their plans in 2010 was because they knew they were not
\ncompliant with the ACA new higher standard, but that is speculation. There was also a serious recession that affected employment and enrollment.<\/p>\n\n\n\n\n<\/colgroup>\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n
Massachusetts Health Reform<\/td>\n<\/td>\nhttp:\/\/www.mass.gov\/chia\/docs\/r\/pubs\/11\/2011-key-indicators-may.pdf<\/a><\/td>\n<\/tr>\n
Insured Population by Insurance Types, 2006-2010<\/td>\n<\/td>\n<\/td>\n<\/td>\n<\/td>\n<\/tr>\n
Excluding Medicare<\/td>\n<\/td>\n<\/td>\n<\/td>\n<\/td>\n<\/td>\n<\/td>\n<\/tr>\n
Insured Population by Insurance Type, 2006-2010<\/td>\n<\/td>\n<\/td>\n<\/td>\n<\/td>\n<\/tr>\n
<\/td>\n<\/td>\n<\/td>\n<\/td>\n<\/td>\n<\/td>\n<\/td>\n<\/tr>\n
<\/td>\nJune 30 2006<\/td>\nDec 31 2006<\/td>\nDec 31 2007<\/td>\nDec 31 2008<\/td>\nDec 31 2009<\/td>\nDec 31 2010<\/td>\n<\/tr>\n
Private Group<\/td>\n4,333,014<\/td>\n4,395,136<\/td>\n4,457,157<\/td>\n4,474,466<\/td>\n4,358,867<\/td>\n4,315,040<\/td>\n<\/tr>\n
Individual Purchase<\/td>\n40,184<\/td>\n38,718<\/td>\n65,465<\/td>\n81,073<\/td>\n114,668<\/td>\n117,514<\/td>\n<\/tr>\n
MassHealth<\/td>\n705,179<\/td>\n740,663<\/td>\n764,559<\/td>\n780,727<\/td>\n848,528<\/td>\n898,572<\/td>\n<\/tr>\n
Commonwealth Care<\/td>\n0<\/td>\n18,327<\/td>\n158,194<\/td>\n162,725<\/td>\n150,998<\/td>\n158,973<\/td>\n<\/tr>\n
<\/td>\n<\/td>\n<\/td>\n<\/td>\n<\/td>\n<\/td>\n<\/td>\n<\/tr>\n
Total Members<\/td>\n5,078,377<\/td>\n5,192,814<\/td>\n5,445,375<\/td>\n5,498,991<\/td>\n5,473,061<\/td>\n5,490,099<\/td>\n<\/tr>\n
<\/td>\n<\/td>\n<\/td>\n<\/td>\n<\/td>\n<\/td>\n<\/td>\n<\/tr>\n
<\/td>\n<\/td>\n<\/td>\n<\/td>\n<\/td>\n<\/td>\n<\/td>\n<\/tr>\n
Change since 6\/30\/2006<\/td>\nJune 30 2006<\/td>\nDec 31 2006<\/td>\nDec 31 2007<\/td>\nDec 31 2008<\/td>\nDec 31 2009<\/td>\nDec 31 2010<\/td>\n<\/tr>\n
Private Group<\/td>\n<\/td>\n62,122<\/td>\n124,143<\/td>\n141,452<\/td>\n25,853<\/td>\n-17,974<\/td>\n<\/tr>\n
Individual Purchase<\/td>\n<\/td>\n-1,466<\/td>\n25,281<\/td>\n40,889<\/td>\n74,484<\/td>\n77,330<\/td>\n<\/tr>\n
MassHealth<\/td>\n<\/td>\n35,484<\/td>\n59,380<\/td>\n75,548<\/td>\n143,349<\/td>\n193,393<\/td>\n<\/tr>\n
Commonwealth Care<\/td>\n<\/td>\n18,327<\/td>\n158,194<\/td>\n162,725<\/td>\n150,998<\/td>\n158,973<\/td>\n<\/tr>\n
<\/td>\n<\/td>\n<\/td>\n<\/td>\n<\/td>\n<\/td>\n<\/td>\n<\/tr>\n
Total Members<\/td>\n<\/td>\n114,437<\/td>\n366,998<\/td>\n420,614<\/td>\n394,684<\/td>\n411,722<\/td>\n<\/tr>\n
<\/td>\n<\/td>\n<\/td>\n<\/td>\n<\/td>\n<\/td>\n<\/td>\n<\/tr>\n
<\/td>\n<\/td>\n<\/td>\n<\/td>\n<\/td>\n<\/td>\n<\/td>\n<\/tr>\n
Distribution of new enrollment as a fraction of total gains<\/td>\nJune 30 2006<\/td>\nDec 31 2006<\/td>\nDec 31 2007<\/td>\nDec 31 2008<\/td>\nDec 31 2009<\/td>\nDec 31 2010<\/td>\n<\/tr>\n
Private Group<\/td>\n<\/td>\n54%<\/td>\n34%<\/td>\n34%<\/td>\n7%<\/td>\n-4%<\/td>\n<\/tr>\n
Individual Purchase<\/td>\n<\/td>\n-1%<\/td>\n7%<\/td>\n10%<\/td>\n19%<\/td>\n19%<\/td>\n<\/tr>\n
MassHealth<\/td>\n<\/td>\n31%<\/td>\n16%<\/td>\n18%<\/td>\n36%<\/td>\n47%<\/td>\n<\/tr>\n
Commonwealth Care<\/td>\n<\/td>\n16%<\/td>\n43%<\/td>\n39%<\/td>\n38%<\/td>\n39%<\/td>\n<\/tr>\n
<\/td>\n<\/td>\n<\/td>\n<\/td>\n<\/td>\n<\/td>\n<\/td>\n<\/tr>\n
Total Members<\/td>\n<\/td>\n100%<\/td>\n100%<\/td>\n100%<\/td>\n100%<\/td>\n100%<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n

 <\/p>\n","protected":false},"excerpt":{"rendered":"

There has been a great deal of surprise expressed in the media over the RAND\u2019s latest report suggesting that more people have become insured through employer sponsored insurance (ESI) than through either Medicaid or the Exchanges under the ACA. One example is Adrianna McIntyre on The Incidental Economist who posted on Wednesday: “I can\u2019t overstate … Continue reading Employer Sponsored Insurance Also Surged in MA in 2007.<\/span> →<\/span><\/a><\/p>\n","protected":false},"author":2755,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[7238,10931,10933],"tags":[],"_links":{"self":[{"href":"https:\/\/blogs.bu.edu\/ellisrp\/wp-json\/wp\/v2\/posts\/1794"}],"collection":[{"href":"https:\/\/blogs.bu.edu\/ellisrp\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/blogs.bu.edu\/ellisrp\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/blogs.bu.edu\/ellisrp\/wp-json\/wp\/v2\/users\/2755"}],"replies":[{"embeddable":true,"href":"https:\/\/blogs.bu.edu\/ellisrp\/wp-json\/wp\/v2\/comments?post=1794"}],"version-history":[{"count":3,"href":"https:\/\/blogs.bu.edu\/ellisrp\/wp-json\/wp\/v2\/posts\/1794\/revisions"}],"predecessor-version":[{"id":1796,"href":"https:\/\/blogs.bu.edu\/ellisrp\/wp-json\/wp\/v2\/posts\/1794\/revisions\/1796"}],"wp:attachment":[{"href":"https:\/\/blogs.bu.edu\/ellisrp\/wp-json\/wp\/v2\/media?parent=1794"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/blogs.bu.edu\/ellisrp\/wp-json\/wp\/v2\/categories?post=1794"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/blogs.bu.edu\/ellisrp\/wp-json\/wp\/v2\/tags?post=1794"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}