Federal government-run exchanges experienced higher enrollee retainment in 2014 as well as higher new enrollee rates in 2015 than state-run exchanges, according to a recent Avalere report.
Highlighted below are five findings from the report.
- In 2015, federally facilitated exchanges reenrolled 78 percent of their 2014 enrollees, whereas state-run exchange states reenrolled 69 percent of their 2014 enrollees
- California, the state with the highest enrollment of the state-based marketplaces, only retained 65 percent of their 2014 enrollees.
- Federally facilitated exchange enrollment increased by 61 percent from 2014 to 2015, rising to 8.8 million. By contrast, state-run exchange enrollment increased by 12 percent, to 2.8 million.
- Florida and Texas — two large states using federally facilitated exchanges — increased enrollment by 62 percent and 64 percent, respectively.
- California and New York — two states with large state-run exchanges — increased enrollment by 1 percent and 10 percent, respectively.
Although the reason for the differences in attrition and new enrollment rates is unclear, some potential reasons include technical glitches and the possibility that state exchanges have more enrollees who over-reported their income in 2014.
"Some of the higher 2015 enrollment may be attributed to initial technological issues with HealthCare.gov that may have depressed 2014 enrollment, however, that alone does not explain why state-run exchanges did so poorly, relative to the federally facilitated exchange states," said Caroline Pearson, senior vice president at Avalere.
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