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Thursday, May 8, 2014
Hawaii Obamacare Cost Tops Nation -- $23K Per Enrollee
By Selected News Articles @ 9:10 PM :: 4838 Views :: Hawaii Statistics, Health Care

Cost-per-enrollee in each state’s Exchange

by Jay Angoff,, May 7, 2014  (excerpts)

...There was a very large variation in cost-per-enrollee among the Exchanges. Of the 15 state-run Exchanges, the state with the lowest cost-per-enrollee was California, at $758, while the state with the highest cost-per-enrollee was Hawaii, at $23,899. Excluding Hawaii and the District of Columbia, which were outliers, the state Exchange with the highest cost-per-enrollee was Massachusetts, at $5,681. Hawaii’s cost-per-enrollee was 32 times California’s, while Massachusetts’s was 7 times California’s. ...

The five states with the lowest cost-per-enrollee are all states whose governors and/or legislatures have resisted the ACA, and whose Attorneys-General challenged the constitutionality of the ACA. They are as follows:  

State Cost-per-enrollee  

  • Florida $ 76
  • Texas $ 102
  • Georgia $ 240
  • Virginia $ 376
  • Michigan $ 427  

The five jurisdictions with the highest cost-per-enrollee include three whose elected leaders support the ACA and two that oppose it. Those five are as follows:  

State Cost-per-enrollee  

  • Hawaii $23,899
  • District of Columbia $12,467
  • North Dakota $ 7,089
  • Delaware $ 6,825
  • Wyoming $ 6,323

The common denominator among these five jurisdictions is that they are very small--all with populations of less than 1.4 million--and thus must spread the fixed costs of the Exchange over a very small base. Nevertheless, Hawaii and DC, which run their own Exchanges, had costs-per-enrollee that were far higher than those in any of the federally-run small states--almost twice as high in DC, and more than three times as high in Hawaii....

read ... Kaiser Health News

Background: Final Deadline: Hawaii Spends the Most and Gets the Least from Obamacare


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