Still, the end-of-year spike suggests that the federal insurance marketplace is starting to pull its weight. The windfall comes at a critical moment for Obama’s sweeping health care law, which becomes “real” for many Americans on Jan. 1 as coverage through the insurance exchanges and key patient protections kick in.
The administration’s concern now shifts to keeping the momentum going for sign-ups, and heading off problems that could arise when people try to use their new insurance.
“They’ve got the front end of the system working really well,” said insurance industry consultant Robert Laszewski. “Now we can move on to the next question: Do people really want to buy this?” He also estimated 2 million will probably be enrolled this year.
The fledgling insurance exchanges are online markets for subsidized private coverage. Obama needs millions of mostly younger, healthy Americans to sign up to keep costs low for everyone. Open enrollment runs until the end of March.
Tavenner said fixes to the website, overhauled to address widespread technical problems, contributed to December’s figures. But things haven’t totally cleared up. Thousands of people wound up waiting on hold for telephone help on Christmas Eve for a multitude of reasons, including technical difficulties.
“We have been a little bit behind the curve,” acknowledged Rep. Joaquin Castro, D-Texas, whose state has the highest proportion of uninsured residents.
“Obamacare is a reality,” conceded one of the law’s opponents, Rep. Darrell Issa, R-Calif., who as House oversight committee chairman has been investigating the rollout problems. However, he predicted it will only pile on costs.
“The fact that people well into the middle class are going to get subsidies is going to cause them to look at healthcare...sort of in a Third World way of do we get subsidies from the government for our milk, for our gasoline and, oh, by the way, for our healthcare,” said Issa.