Uncategorized

Why NC (surprisingly) is a national leader in Affordable Care Act enrollment

senatehealthLast week I was meeting with other health advocates from around the country. Many of them had one question for me – with our state’s refusal to expand Medicaid or set up a state exchange under the Affordable Care Act, how is it that NC is enrolling twice the percentage of its uninsured people in private health plans than any other similar state?  In response I wrote this op-ed in today’s News and Observer:

While North Carolina has refused to expand Medicaid under the Affordable Care Act and many politicians continue to complain about the federal health exchange, the roll-out of Obamacare in N.C. tells a far more positive story.

North Carolina is enrolling uninsured people at a rate at least twice that of any other state that has refused to set up its own health exchange and refused to expand Medicaid. In short, among states that are dragging their feet on the Affordable Care Act – no advertising campaigns, no speeches by the governor on how important it is for everyone to have access to health care, no Medicaid expansion that guarantees the lowest income workers coverage – North Carolina is by far leading the pack in private plan enrollment.

Even with the federal health exchange’s shaky start, N.C. has already enrolled 107,778 uninsured people in private health plans. Compare that with Virginia (44,676 enrolled), South Carolina (24,116), Georgia (58,611), and Tennessee (36,250). Only states like Florida and Texas with many more uninsured people than North Carolina are enrolling anywhere near our raw numbers, and they are far behind us in the percentage of uninsured getting coverage.  [Read more]

4 Comments

  1. LayintheSmakDown

    January 29, 2014 at 8:18 am

    It will be interesting to see if these people actually pay their premiums now. My guess is no once they see that they are having to pay out hundreds of dollars now that they could not afford before….see they do not magically come up with that type of money no matter what the progressives think.

    http://online.wsj.com/news/articles/SB10001424052702304149404579326992266662838
    http://www.nationalreview.com/article/369108/nothing-show-obamacare-michael-tanner

  2. NChealthconnector

    February 1, 2014 at 12:24 pm

    Great article! North Carolina’s enrollment numbers are impressive, though there are a few areas that seem to buck the trend; Alamance County in particular comes to mind. Compared to South Carolina, the trend is particularly impressive; though South Carolina has more choices on the exchange. SC has 3 insurers in rural markets, 4 in metro areas versus North Carolinas 2 choices at most in metro areas, and 1 insurer in most rural areas. North Carolina is roughly doubling SC’s enrollment rate, as a percentage of total population. We have helped many NC residents get enrolled, and are happy to help simplify the process for anyone who needs help getting enrolled. Like us on facebook (NChealthconnector.org) or check us out at:
    http://nchealthconnector.org/nc-health-exchange-rates/

  3. JIMFITZSR

    February 2, 2014 at 9:40 am

    THE TRUTH IS OBAMACARE IS WORKING AGAINST ALL THE OBSTACLES. ITS TRUE CHANGES NEED TO BE MADE.

    THERE WAS A CONFERENCE AT U OF VA “TRANSFORMING THE HEALTH CARE SYSTEM ”CHAIRED BY GOVERNOR AND HHS SECRETARY OF HHS MIKE LEAVITT AND MEDICARE DIRECTOR MARK MCCLELLEN WHO SERVED IN PRES BUSH ADMINISTRATION SAID “OBAMACARE WILL NOT BE REPEALED AND STATES SHOULD USE THEIR REGULATORY POWER TO TRANSFORM THE HEALTH CARE SYSTEM FOR THE BENEFIT OF THEIR CITIZENS”.

    NOW HOLTZ EAKIN PRES BUSH BUDGET DIRECTOR IS SAYING THE SAME MESSAGE.

    DOCTOR AND FORMER SENATOR BILL FRISK SAID “ OBAMACARE WILL NOT BE REPEALED AND IS IN FACT DELIVERING QUALITY CARE AT A LOWER COST”!

    IT IS AN INTERESTING DEVELOPMENT NORTH CAROLINA IS LEADING SOME OF THE STATES IN REGISTERING PEOPLE IN OBAMACARE!!!

    IT WOULD SEEM THAT MANY OF THE RESIDENTS OF THIS STATE HAVE A DIFFERENT OPINION ABOUT OBAMACARE AND I WONDER HOW MANY ARE REPUBLICANS?

  4. JIMFITZSR

    February 2, 2014 at 9:40 am

    THE TRUTH IS OBAMACARE IS WORKING AGAINST ALL THE OBSTACLES. ITS TRUE CHANGES NEED TO BE MADE.

    THERE WAS A CONFERENCE AT U OF VA “TRANSFORMING THE HEALTH CARE SYSTEM ”CHAIRED BY GOVERNOR AND HHS SECRETARY OF HHS MIKE LEAVITT AND MEDICARE DIRECTOR MARK MCCLELLEN WHO SERVED IN PRES BUSH ADMINISTRATION SAID “OBAMACARE WILL NOT BE REPEALED AND STATES SHOULD USE THEIR REGULATORY POWER TO TRANSFORM THE HEALTH CARE SYSTEM FOR THE BENEFIT OF THEIR CITIZENS”.

    NOW HOLTZ EAKIN PRES BUSH BUDGET DIRECTOR IS SAYING THE SAME MESSAGE.

    DOCTOR AND FORMER SENATOR BILL FRISK SAID “ OBAMACARE WILL NOT BE REPEALED AND IS IN FACT DELIVERING QUALITY CARE AT A LOWER COST”!

    IT IS AN INTERESTING DEVELOPMENT NORTH CAROLINA IS LEADING SOME OF THE STATES IN REGISTERING PEOPLE IN OBAMACARE!!!

    IT WOULD SEEM THAT MANY OF THE RESIDENTS OF THIS STATE HAVE A DIFFERENT OPINION ABOUT OBAMACARE AND I WONDER HOW MANY ARE REPUBLICANS?