Obama administration developing automated system to measure payments for Obamacare coverage
February 13th, 2014
09:58 AM ET
10 months ago

Obama administration developing automated system to measure payments for Obamacare coverage

Washington (CNN)  - It's one data point Obama administration officials have yet to disclose: just how many new Obamacare enrollees have actually paid their premiums.

As the Obama administration released its latest enrollment figures Wednesday, officials broke down some of the demographics on consumers who are signing up for coverage. But White House officials have so far not provided data on how many people have sent in their payments to activate their plans.

Asked for that information Wednesday, White House Press Secretary Jay Carney pointed to the insurance companies as the best source for that metric.

"It is a contract between an individual or - well, an individual even representing his or her family - and a private insurance provider. So insurance companies obviously have data about when those payments are made," Carney told reporters at Wednesday's press briefing.

An insurance industry source with knowledge of the roll-out of the Affordable Care Act estimates that anywhere from 10%-25% of people have not paid their premiums, meaning their enrollment was likely canceled.

The industry official said the administration is collecting data on premium payments. "(Insurance) plans have to report (payment data) to HHS because that determines the subsidy payments. The government will not subsidize coverage for someone who never paid and is not actually enrolled," the insurance industry official said.

But a senior administration official told CNN the payment data is not quite ready to be made public.  That's because the Center for Medicare and Medicaid Services is currently developing an automated system that will eventually track and measure payment data, based on the "834" enrollment forms that are submitted to insurance companies as consumers sign-up for coverage and apply for financial assistance.

"Some health plans, but not all, have begun providing individual effectuated 834 transaction forms, which will eventually be the mechanism for making payment and reporting enrollment data as part of our automated system," the senior official said.

"We anticipate this reporting of effectuated 834 transaction forms to increase over time as CMS' automated functionality comes online," the official added.

Republican critics of the Affordable Care Act maintain the administration's enrollment data is incomplete until it includes payment information to clarify just how many Americans are signing up for coverage.

Last month CNN Money reported the insurance companies were finding varying degrees of success in collecting payments from customers.

Until its automated enrollment and payment tracking system is in place, the Obama administration is collecting some raw payment data based on what insurers and some state-based Marketplaces are submitting to CMS.

"Once our automated payment systems are completed and fully tested, we will determine the most appropriate way to make detailed payment information available," an administration official said.


Filed under: Healthcare • Obamacare
soundoff (42 Responses)
  1. just asking

    it figures, the incompetent obama administration puts up a web site that is half done, half baked. take payment? nahhh, who needs that?!

    10%-25% not paying huh? i guess the sticker shock of the costs were too much for them. so all of these millions obama and the democrats claim have signed up are a joke, as many news organizations have pointed out are deceptive lies.

    one thing is clear, the obama administration and democrats will be lying at epic levels trying to convince the american people the obamacare pig really is a very beautiful pig, it just needs more lip stick.

    February 13, 2014 10:17 am at 10:17 am |
  2. Harold Read

    Lol... More fake numbers
    7 million enrollees... No wait 3 million enrollees... No wait it is really 9 million
    How many millions lost their policies due to Obamacare?

    Like the Obama Administration is really capable of successfully implementing this...
    – healthcare.org ready on opening day = nope
    – healthcare.org fixed by December 1st 2013 = nope
    – over budget, off schedule, outsourced to Canada to a company with a history of failing, sourced to fix by another company with a history of failing

    February 13, 2014 10:23 am at 10:23 am |
  3. Dutch/Bad Newz, VA -aka- Where's Our $24 Billion?

    "It is a contract between an individual or – well, an individual even representing his or her family – and a private insurance provider."
    -------------------------------------
    What's wrong with that conservatives? I thought the insurance companies were your buddies.

    February 13, 2014 10:31 am at 10:31 am |
  4. countingdown

    Developing? One of the first things I would want to know if I put together a massive program such as obamacare is how much money is coming in, because its success depends on availability of funds to pay for the astronomical cost! This is what some would call a (DUH) moment!

    February 13, 2014 10:33 am at 10:33 am |
  5. AntiSocialist

    Dutch/Bad Newz.... the problem with this contract is that it isn't legal. Any agreement into which one party has been coerced to participate is null and void.

    February 13, 2014 10:45 am at 10:45 am |
  6. Rick McDaniel

    We all can expect that to WORK, really well.......now can't we??????

    February 13, 2014 10:45 am at 10:45 am |
  7. Jim

    When large sums of money are on (or under) the table, all politicians in every party are for sale. According to a recent article, CGI (Michelle Obama's buddy's outfit) had part of the work done in Bulgaria. I suppose that was cheaper than India or China. Then someone probably pocketed a huge sum to give the follow on contract to Accenture, a company with an even worse failure rate and with a headquarters in Bermuda. Somebody is getting rich and it isn't the taxpayer.

    February 13, 2014 10:47 am at 10:47 am |
  8. Gunderson

    Vell,
    We thought "Stumble" Care was a good idea. And we sluffed it past the "Supremes" so now it is the "Law of the Land". So we forgot to build the corral before we rounded up the cattle. Now we are ordering "Branding" Irons so we can, uh. brand those cattle as soon as any are rounded up.

    February 13, 2014 10:51 am at 10:51 am |
  9. xray vision

    Obamacare bad, my premiums went down almost s hundred a month, no subsidies, and the plan actually offers coverage, and they have copay, very low too. So cry me a river rwnj, your horror stories are BS, and you know it, soon many more will too

    February 13, 2014 10:55 am at 10:55 am |
  10. countingdown

    Dutch/Bad Newz, VA -aka- Where's Our $24 Billion?
    "It is a contract between an individual or – well, an individual even representing his or her family – and aprivate insurance provider." -------------
    What's wrong with that conservatives? I thought the insurance companies were your buddies.

    What's wrong with that, is millions lost their plans!
    What's wrong with that, is many weren't able to keep their doctor!
    What's wrong with that, is it was a program designed to share wealth!
    What's wrong with that, is some were forced to pay more for their insurance!
    What's wrong with that, is some were forced to pay more out of pocket expenses!
    What's wrong with that, is all are forced to buy insurance or pay a penalty!
    What's wrong with that, is its not like car insurance, if I don't own a car I don't have to buy car insurance!
    What's wrong with that, is we have no way to measure the long term cost much less the immediate cost!
    What's wrong with that, is too numerous to mention!
    What's wrong with obamacare, EVERYTHING! PERIOD!

    February 13, 2014 11:01 am at 11:01 am |
  11. anonymous

    Sniffit
    --
    "Celebrating these numbers is pretty funny. What part of "mandate" don't they understand? They are compelled to do this or they are essentially breaking the law. What else would they expect?"
    -–
    Disingenuous nonsense, tom. You know very well that all the ACA does is present people with an economic decision: buy insurance for what you can get it for on the exchanges OR pay a fine that costs much much less than the insurance (unless you're so extremely wealthy that your insurance costs are actually less than a fine of 1% of your net income). People are signing up BECAUSE THEY WANT TO BE INSURED. It's that simple. Occam's Razor shaves yet another teabag.
    --

    sorry, but your response is the disingenous nonsense sniffy. people have always had the free choice to make simple economic decisions concerning their healthcare insurance and now obamacare has taken that away with government intervention, aka laws, rules, regulations, taxes, fines. yes, a simple economic decision was turned into a simple economic decision with a government club above your head. and btw, that simple economic decision pays for others healthcare as well as yours. pay up or feel the obamacare club.

    February 13, 2014 11:04 am at 11:04 am |
  12. Sniffit

    "One of the first things I would want to know if I put together a massive program such as obamacare is how much money is coming in,"

    $0. $0 is coming in to the administration/federal gov't from the website. If you don't understand that most basic of facts about how the ACA and exchanges work, then you are extremely underinformed.

    February 13, 2014 11:04 am at 11:04 am |
  13. Sniffit

    "What's wrong with that, is it was a program designed to share wealth!"

    You just described our government as defined in the Constitution and the power of taxation for which is provides. Our gov't is, in fact, by definition, partly a "program to share wealth." There's no avoiding that interpretation.

    February 13, 2014 11:07 am at 11:07 am |
  14. Sniffit

    "What's wrong with that, is we have no way to measure the long term cost much less the immediate cost!"

    Read the CBO reports. OH wait, that's right...you wouldn't understand them.

    February 13, 2014 11:09 am at 11:09 am |
  15. Sniffit

    "What's wrong with that, is it was a program designed to share wealth!"

    The federal and state governments, as designed by their respective constitutions and the power of taxations provided for therein, are all, by definition, "programs designed to share wealth." If you're having trouble accepting that fact or wrapping your head around the concept, then I suggest you step out of the conservative reality-denial bubble for a while.

    February 13, 2014 11:12 am at 11:12 am |
  16. Silence DoGood

    @countingdown
    Developing? One of the first things I would want to know if I put together a massive program such as obamacare is how much money is coming in, because its success depends on availability of funds to pay for the astronomical cost! This is what some would call a (DUH) moment!
    ------------
    And if this is why conservative campaigns tried to keep people away like the campus beer cozy charade, and h@ckers pounding the website, and phony web pages. They knew it wouldn't fail on its own. Thankfully, they failed. They actually should have been arrested for domestic terrorism.

    February 13, 2014 11:18 am at 11:18 am |
  17. countingdown

    xray vision

    Are you getting a subsidy? If no, your one in a thousand whose premium went down. If yes, your one in millions the rest of us are paying for!

    February 13, 2014 11:24 am at 11:24 am |
  18. Dutch/Bad Newz, VA -aka- Where's Our $24 Billion?

    AntiSocialist
    Dutch/Bad Newz.... the problem with this contract is that it isn't legal. Any agreement into which one party has been coerced to participate is null and void.
    ----------------------------------–
    Apparently to our conservative leaning Supreme Court, it is legal.

    February 13, 2014 11:25 am at 11:25 am |
  19. Dutch/Bad Newz, VA -aka- Where's Our $24 Billion?

    "What's wrong with that, is its not like car insurance, if I don't own a car I don't have to buy car insurance!"
    ----------------------------------------
    But if you walk into an emergency room uninsured, those costs go to those who are insured. So therefore, everyone must have skin in the game.

    February 13, 2014 11:28 am at 11:28 am |
  20. countingdown

    Sniffit "What's wrong with that, is it was a program designed to share wealth!"

    You just described our government as defined in the Constitution and the power of taxation for which is provides. Our gov't is, infact, by definition, partly a "program to share wealth." There's no avoiding that interpretation.

    February 13, 2014 11:07 am at 11:07 am |

    "PROMOTE THE GENERAL WELFARE" does not mean provide every need for every person. Equality, never has been and never will be achieved for any society at any time.

    Sniffit "What's wrong with that, is we have no way to measure the long term cost much less the immediate cost!"

    Read the CBO reports. OH wait, that's right...you wouldn't understand them.

    February 13, 2014 11:09 am at 11:09 am |

    You are kidding right, you have no concept of long term. Oh! BTW, you can keep your plan!

    Sniffit "What's wrong with that, is it was a program designed to share wealth!"

    The federal and state governments, as designed by their respective constitutions and the power of taxations provided for therein, are all, by definition, "programs designed to share wealth." If you're having trouble accepting that fact or wrapping your head around the concept, then I suggest you step out of the conservative reality-denial bubble for a while.

    February 13, 2014 11:12 am at 11:12 am |

    You have just proven the liberal mindset, read the Constitution!
    SOCIALISM! Look up the definition!

    February 13, 2014 11:43 am at 11:43 am |
  21. Alex

    Anonymous: Maybe you should ask the millions of Americans who couldn't afford healthcare, and the thousands who went bankrupt, lost their houses, everything they had, because of soaring healthcare costs, if it was a "simple economic decision." Before Obamacare, the only ones making decisions for healthcare were the insurance companies. And no surprise those decisions had everything to do with profit and nothing to do with quality affordable healthcare.

    Every single problem that is coming to light because of Obamacare can be directly traced to problems that have always existed, and continue to exist, with the for-profit health insurance industry.

    February 13, 2014 11:50 am at 11:50 am |
  22. Fair is Fair

    Dutch/Bad Newz, VA -aka- Where's Our $24 Billion?

    "What's wrong with that, is its not like car insurance, if I don't own a car I don't have to buy car insurance!"
    --------------
    But if you walk into an emergency room uninsured, those costs go to those who are insured. So therefore, everyone must have skin in the game.
    -------
    What "skin in the game" does a Medicaid recipient have? They pay zero, zip, nada, bupkiss... yet the liberal mantra is that there wasn't ENOUGH Medicaid expansion. So do tell, Dutch...

    February 13, 2014 11:51 am at 11:51 am |
  23. wendel

    sour grapes from the repos. To bad fellas healthcare is here to stay get over it. and move on. Oh wait repos have nothing to move on to. Except bashing Hillary now. No plans No ideas . Hey maybe filibuster again you turkeys. Love the circus Send in the clowns should be the song at the next repo convention

    February 13, 2014 11:52 am at 11:52 am |
  24. ghostwriter

    You have got to just love conservatives. They complain about having to pay for other's healthcare.....and yet the biggest cause of insurance premiums rising is that hospitals overcharge for those who can't pay otherwise.

    So they hate Obamacare because it forces them to pay less now as opposed to paying more later. Rather, they hate Obamacare because they are trained to hate Obama.

    February 13, 2014 12:00 pm at 12:00 pm |
  25. Silence DoGood

    @Fair is Fair
    Dutch/Bad Newz, VA -aka- Where's Our $24 Billion?

    "What's wrong with that, is its not like car insurance, if I don't own a car I don't have to buy car insurance!"
    ----–
    But if you walk into an emergency room uninsured, those costs go to those who are insured. So therefore, everyone must have skin in the game.
    ---
    What "skin in the game" does a Medicaid recipient have? They pay zero, zip, nada, bupkiss... yet the liberal mantra is that there wasn't ENOUGH Medicaid expansion. So do tell, Dutch...
    -------
    The way insurance works is to distributes costs to others. These are still insurance policies with insurance companies. If you get sick a lot and cost money to the company, and I am well and healthy, my premiums are going to your payments, you "moocher"! People are talking like Obama invented insurance. It was not a choice before. There was no freedom of buying insurance before if you were poor or sick. I knew people who the industry refused to sell any insurance too. That is not freedom. When a poor person walked into an ER, we as a society were footing the bill before. It was not a choice.

    February 13, 2014 12:06 pm at 12:06 pm |
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