Smart Benefits: Obamacare vs RI Exchange- Which Enrollment Approach Worked Best?
Rob Calise, GoLocalProv Business/Health Expert
Smart Benefits: Obamacare vs RI Exchange- Which Enrollment Approach Worked Best?

The Ups and Downs
Both approaches to enrollment have their advantages and disadvantages.
GET THE LATEST BREAKING NEWS HERE -- SIGN UP FOR GOLOCAL FREE DAILY EBLAST- Obamacare: With the automatic renewal process, consumers were able to stick with their existing plans without doing anything, making it easy for them to remain insured. But that also meant they may not have bothered to shop for a less expensive plan – even if they faced premium increases.
- Rhode Island: The process here encouraged consumers to review all their plan options, increasing their opportunity to find a better or less expensive fit. But if they were too busy or forgot to go through the enrollment process again, they risked being uninsured for 2015.
Shopping Stats
Under the Obamacare approach, approximately 40 percent of existing customers actively shopped again for coverage on healthcare.gov through late December, according to the Department of Health and Human Services. The rest were automatically renewed in their existing coverage.
And in Rhode Island? As of January 3, 78 percent of consumers returned to the state’s exchange to shop for a plan according to HealthSourceRI.
Controlling Costs
While automatic renewal can help ensure consumers remain insured (in Rhode Island, approximately the 22 percent who didn’t return to the exchange may no longer have coverage), Rhode Island’s approach may have a greater impact on costs. That’s because insurance companies may be incented to keep their plans and pricing competitive for consumers who must comparison shop each year. And that’s what seemed to happen.
Rhode Islanders who looked to switch plans stood to save big: the cost of the 2014 benchmark silver plan dropped more than 10 percent for 2015 according to the Kaiser Family Foundation. The key to realizing these savings, however, is remembering to shop for them.

