William Katz:  Urgent Agenda

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SELLING A BRIDGE IN BROOKLYN – AT 9:14 A.M. ET:  The president was out selling Obamacare again yesterday, and making claims that would require a stern warning label on any drug.  From Townhall.com: 

President Obama addressed the White House press corps today, announcing that with the final numbers in, Obamacare's exchanges have attracted eight million sign-ups -- 35 percent of whom are "under the age of 35," he said. Several elements of his comments were misleading:

At first blush, the 35 percent stat is both significant and impressive. As recently as last month, the share of "young invincibles" signing up for plans was struggling in the 25 percent range, far short of the actuarial target of nearly 40 percent. A leap into the mid-30's, while still shy of the goal, would constitute a major step, and would bode well for the risk pools' sustainability. Alas, the president was lumping children in with this group, wildly inflating the number. Among the actual key demographic (18-34), the accurate number is...28 percent. So despite the big enrollment spike at the deadline, not nearly enough of those people were young adults to move the relevant needle.

As we've explained repeatedly, the number of so-called "sign-ups" does not accurately reflect the number of people who have actually secured coverage, which requires paying the first month's premium. Delinquent payments are deleted by insurers, and people who selected (but didn't pay for) those plans are not covered. Experts have estimated that roughly 20 percent of "enrollees" fall into this category, a ballpark figure that even Kathleen Sebelius has acknowledged. And the numbers vary from state to state. In California, the nonpayment rate is 15 percent. In Delaware, it's 37 percent. In South Carolina, it's 43 percent. If the one-fifth delinquency estimate is accurate, the number of paid enrollees through Obamacare marketplaces is 6.4 million. That total is higher than I thought it would be, but it's still short of the original goal.

The official percentage of those 6.4 million enrollees who previously lacked coverage -- a crucial number in measuring the law's success -- is unknown...

COMMENT:  Read the whole thing.  It's well researched.  I'd rather depend on a million anecdotes than dry statistics, which are easily manipulated.  The anecdotal evidence on Obamacare is terrible, both for patients and physicians.  People are losing policies they liked.  They are losing doctors.  They are losing their choice of hospitals.  Just what we asked for.

April 18, 2014