Connect for Health Colorado reported that 141,639 people signed up for qualified health plans, including about 47,000 consumers who were new to the marketplace in 2015.
The lack of Medicaid reimbursement is nothing short of a travesty…
The four other state-run exchanges with similar enrollment totals all receive at least a third of their funding – and as much as more than half of their funding – from Medicaid. But Connect for Health Colorado doesn’t get any funding from Medicaid (and agents/brokers who enroll people in Medicaid through Connect for Health Colorado don’t receive any compensation, unlike other states).
The exchange can request reimbursement from CMS for expenses incurred to enroll people in Medicaid, and the 2016 revenue projection includes $2.5 million in recouped funds from CMS. That still pales in comparison with the $15 million to $29 million that other similarly-sized exchanges are reimbursed annually by Medicaid.
There’s plenty of incompetence to go around, but Colorado Medicaid stands out as both arrogant and incompetent.