North Carolina ACA signups

Rose Hoban has a nice piece analyzing the rate of North Carolinians signing up for private health insurance via the Federal ACA exchange. Around 1% of the North Carolina population had signed up for a plan through the end of December, or around 6.5% of the uninsured. N.C. had one of the highest uptake rates overall, and certainly among those states not running their own exchange. Why? Hoban notes several themes

  • State groups such as Legal Aid and the Community Health Centers have been very active
  • The Governor’s Dept of HHS did not bar navigators from access to county health departments, as was done in some states

I would add that the decision to not expand Medicaid is not one that is broadly viewed as a good idea by the health care/medical community in the State, and so the decision is more of an aberration from the political culture of the State. The Governor has announced a press conference for tomorrow morning to announce priorities for 2014; it will be interesting to see what/if he says about Medicaid and health reform.

About Don Taylor
Professor of Public Policy (with appointments in Business, Nursing, Community and Family Medicine, and the Duke Clinical Research Institute), and Chair of the Academic Council at Duke University . I am one of the founding faculty of the Margolis Center for Health Policy. My research focuses on improving care for persons who are dying, and I am co-PI of a CMMI award in Community Based Palliative Care. I teach both undergrads and grad students at Duke. On twitter @donaldhtaylorjr

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