Over 2 million New Yorkers are enrolled in NYSOH!

Over 2.1 million New Yorkers have enrolled in quality coverage since the New York State of Health marketplace’s launch in 2013! Yesterday the New York State of Health released its report on the second open enrollment period, which ran November 15, 2014 through February 28, 2015. HCFANY is excited to dive into the numbers over the course of the coming weeks; we’ll share our analysis with you via this blog series, on twitter (@HCFANY), and Facebook.

The New York State of Health (NYSOH) goal was to enroll 1.1 million New Yorkers in health coverage in its first three years of operation. It’s an amazing accomplishment that almost double that number of people have been enrolled in only two years! On the individual market, enrollment has soared from less than 18,000 people before the marketplace opened (2012) to 450,000 in 2015.[i] And the marketplace continues to meet a critical need; over 89% of enrollees reported being uninsured when they applied.2015 Infographics - Qualified Health Plans

The marketplace is also succeeding in making coverage more affordable. Nearly three quarters of enrollees (74%) in the commercial plans – called Qualified Health Plans (QHPs) – received premium subsidies, which help bring down premium costs for middle-income people.

Of the 2,143,413 New Yorkers who have used the marketplace, 73% enrolled in Medicaid, and 95% of those consumers were uninsured at the time of application. We’re already gearing up for the third open enrollment period, which begins November 1, 2015!

This is the first in a series of blog posts about the NYSOH 2015 Open Enrollment Report.

[i] http://info.nystateofhealth.ny.gov/sites/default/files/Insurance%20Markets%20Study.pdf



NY State of Health

Yesterday, the New York State Department of health unveiled the new name of our Health Benefit Exchange – NY State of Health, The Official Health Plan Marketplace – in an information-packed webcast.

In addition to announcing the new name and logo, Donna Frescatore, Executive Director of the New York Health Benefit Exchange, announced the names of the health plans that will participate in the NY State of Health. An interactive map  posted on the new website (http://nystateofhealth.ny.gov)  lists the plans that will be offered in each county around the state.

In addition, NY State of Health debuted a new video to educate New Yorkers about the new marketplace.


read this!This week, the State-sponsored report on how to reduce health disparities through the New York Health Benefit was released, outlining a myriad of recommendations culled from a stakeholder meeting held back in September.

These recommendations track three core themes discussed at the stakeholder meeting: 1) consumer assistance, 2) network adequacy, and 3) data collection.  Recommendations are discussed in detail based on stakeholder comments, panel presentations and research models employed in other parts of the country.  These include:

1. Consumer assistance:

  • Language access and communication assistance
  • Language accessibility guidelines for insurers
  • Plain language
  • Availability of decision-making support tools
  • Sensetivity training for consumer assistors
  • Creating Exchange website and materials that have an inclusive look and feel
  • Diverse channels for consuemr outreach
  • Selection of trusted community entities to serve as Navigators

2.  Network adequacy:

  • Sufficient number of specialists
  • Sufficient providers for AI/AN communities
  • Sufficient providers with accessibility accomodations
  • Sufficient providers with linguistic ability

3. Data collection and dissemination

  • Collection of data
  • Dissemination of data

The report is available at the State Exchange website at: http://healthbenefitexchange.ny.gov/resource/new-york-health-benefit-exchange-reducing-health-disparities


Yesterday, the NYS Exchange hosted a webinar briefing for members of the State’s Regional Advisory Committees.  The webinar provides an update and timeline on the forthcoming health plan invitations to participate in the Exchange, and the Navigator program.

The presentation also includes a draft of the standard plan designs that will be offered on the Exchange for individual coverage so you can see the differences in the “precious metal” product tiers and cost-sharing associated with each.

Click here to view the presentation slides.