Yesterday’s Cabinet meeting was lively — not sure it was productive. The insurance exchange reported on a flurry of last minute activity that significantly boosted enrollment. Final numbers will be available in a few weeks when it becomes clear how many people follow through and pay premiums, and the backlog of people in the queue are able to complete the process. The exchange is looking ahead to the next enrollment period starting in November. Unfortunately they do not expect to keep on the vast majority of navigators and assisters who did such a great job with Medicaid enrollment. It is important to note that the March 31st deadline for exchange enrollment had no impact on Medicaid – people eligible for that program can and should still sign up. The exchange plans to work on better reporting capability, consumer engagement, and connect with state agencies and brokers. Unfortunately there are no meaningful plans to address the very expensive premiums.