In the past, New Mexico has struggled with public health and a high uninsured population. But under the Affordable Care Act, the state has implemented Medicaid expansion and a federally supported state-based marketplace and seems to be moving in a better direction. According to US Census data, the uninsured rate in New Mexico was 18.6 percent in 2013, but was reduced by more than half — to 9.2 percent — by 2016.
In 2018, a task force is studying ways to stabilize the state’s individual insurance market, and lawmakers have requested information about the costs and pros/cons of allowing NM residents who aren’t eligible for Medicaid to purchase Medicaid, as an alternative to being uninsured or purchasing private health insurance.
New Mexico health ratings
When it comes to health, New Mexico faces several challenges that place it firmly toward the bottom half of most rankings. Among them, higher rates of uninsured and fewer primary care physicians and dentists than other states.
New Mexico ranked 37th in the 2015 edition of America’s Health Rankings, performing at #45 for lack of health insurance and #48 for infectious disease rates. In the 2017 edition of the Rankings, New Mexico was in 36th place.
In terms of healthcare affordability and access, a 2014 Commonwealth Fund study put New Mexico last in the nation. Think New Mexico launched a healthcare initiative in 2014 aimed at solving that problem and specifically tackling the issue of affordability and access. They recommended steps to help to bring more price transparency to healthcare, and also more fairness by prohibiting providers from charging different prices for the same procedure depending on who is paying the bill.
The Commonwealth Fund’s Scorecard on State Health System Performance 2015 rated New Mexico 33th among the 50 states and District of Columbia – up three spots from 36th in 2014. On the 2017 Scorecard, New Mexico ranked 29th.
New Mexico’s scorecard includes details on how the rankings are determined. While the state placed in the fourth quintile for the Prevention & Treatment cateory, it was in the top quintile (7th place) for Avoidable Hospital Use & Costs. As of the 2017 analysis, New Mexico was still challenged by high rates of uninsured adults (16 percent, ranked 37th in the country) and children (5 percent, ranked 26th in the country), as well as a large percentage of adults who go without dental visits and healthcare.
Trust for America’s Health has compiled additional details on overall public health in New Mexico; check out the 2016 listing of Key Health Data About New Mexico. A county-by-county comparison is also available.
How has Obamacare helped New Mexicans?
According to US Census data, the uninsured rate in New Mexico was 18.6 percent in 2013, but dropped to 9.2 percent by 2016, due in large part to the ACA, particularly the ACA’s expansion of Medicaid.
According to the Kaiser Family Foundation, there were still 225,000 uninsured New Mexico residents in 2016. An estimated 37 percent of them are eligible for Medicaid and another 17 percent would be eligible for premium subsidies if they enroll in private insurance through the exchange.
2018 ACA exchange carriers, rates
Four carriers are offering 2017 health plans through New Mexico’s exchange – the same as 2017. At the end of 2016, Presbyterian left the exchange, and Blue Cross Blue Shield of New Mexico returned after a 2016 hiatus. But the same four insurers that offered plans in the exchange in 2017 are continuing to do so for 2018. Their approved average rate increases for 2018 (which included adding the cost of cost-sharing reductions to silver plan premiums) were:
- BCBS of NM: 26.1 percent
- New Mexico Health Connections: 28.2 percent
- Molina: 56.6 percent
- Christus: 49.2 percent
For most enrollees, these rate increases were offset by increasing premium subsidies. And since the cost of cost-sharing reductions was added to silver plan premiums and premium subsidies are based on the cost of silver plans, it made non-silver plans an even better bargain for subsidized enrollees in 2018.
New Mexico Health Connections is the state’s Consumer Operated and Oriented Plan (CO-OP), which was established with a federal grant of nearly $77.4 million under the ACA. While most Obamacare CO-OPs announced their closure in recent years, New Mexico Health Connections remains in operation in 2018. The CO-OP has partnered with Evolent Health in 2018; the new entity created in the partnership is offering group health insurance plans, while New Mexico Health Connections is offering individual market plans (prior to 2018, New Mexico Health Connections offered both).
New Mexico enrollment in qualified health plans
In November 2013, the Kaiser Family Foundation estimated that the potential market for the exchange in New Mexico was 193,000 residents and that 118,000 of them would qualify for premium subsidies to lower the cost of their coverage. By mid-April 2014, when the first open enrollment period ended,32,062 people had finalized their enrollment in qualified health plans (QHPs) New Mexico’s exchange, and HHS reported that 78 percent of them received subsidies to lower their premiums.
Enrollment dropped slightly in 2017, when 54,653 people purchased coverage through the exchange. But it dropped more significantly — by almost 9 percent — in 2018, when fewer than 50,000 people enrolled. Lower enrollments were the norm in states that use HealthCare.gov in 2018, as open enrollment was half as long as it had been in previous years, and HealthCare.gov states didn’t have an option to extend open enrollment. Of the 12 state-run exchanges that use their own enrollment platforms, ten opted to extend open enrollment. But states like New Mexico, which use HealthCare.gov, didn’t have that option.
New Mexico and the Affordable Care Act
In 2010, both of New Mexico’s U.S. Senators – Tom Udall and Jeff Bingaman – were supportive of the health reform law. In the House, two representatives voted yes: Martin Heinrich and Ben Lujan. The third representative, Harry Teague, voted no. Heinrich has since replaced Bingaman in the Senate, and the House has two new representatives from New Mexico: Michelle Lujan Grisham and Stevan Pearce. Grisham supports the ACA, but Pearce opposes it. He is currently the only member of the New Mexico congressional delegation that opposes the ACA.
At the state level, Republican Gov. Susana Martinez was initially opposed to the individual mandate portion of the ACA, but she moved forward with Medicaid expansion under the law and worked with her Democratic legislature to implement the ACA without obstruction in New Mexico.
Rep. Michelle Lujan Grisham is the frontrunner in the 2018 gubernatorial election to replace Martinez, who is term-limited. Lujan Grisham sponsored legislation in 2017 that would have allowed Americans to purchase Medicaid, but the measure didn’t advance. However, New Mexico lawmakers are gathering data in 2018 to study the ramifications and potential costs associated with a Medicaid buy-in program in the state.
For individual coverage, New Mexico is one of a handful of states operating a partnership exchange, Be Well New Mexico, together with the federal government. For small businesses, the state is running its own SHOP exchange.
New Mexico Medicaid/CHIP enrollment
Expanding Medicaid eligibility to 138 percent of poverty has been a key component of Obamacare success in New Mexico. The state agreed to accept federal funding to expand Medicaid under the ACA and, as of early 2014, it was estimated that nearly 48 percent of the uninsured population in New Mexico would be eligible for expanded Medicaid or CHIP.
As of mid-April 2014, 30,147 people had enrolled in Medicaid through the New Mexico exchange. By June 2016, New Mexico Medicaid enrollment had grown by 66 percent, although that had declined slightly, to 63 percent, by the end of 2017. As was the case in most states, the surge in Medicaid enrollment following expansion had leveled off by 2016.
Enrollment in Medicaid and CHIP continue year-round, unlike the limited enrollment windows for private health insurance.
Does New Mexico have a high-risk pool?
Before the ACA, individual health insurance was underwritten in nearly every state, which meant that pre-existing conditions could prevent a person from obtaining a policy, or could result in significantly higher premiums or policy exclusions. The New Mexico Medical Insurance Pool (NMMIP) was created to give people an alternative if they were unable to obtain individual health insurance because of their medical history.
Now that the ACA has been implemented, all health insurance plans are guaranteed issue, making high-risk pools largely obsolete. But NMMIP is one of a few state-run risk pools that is still operational and has no plans to terminate coverage. 2018 rates for NMMIP are available here.
Although there were once more than 10,500 people enrolled in NMMIP coverage, enrollment had dropped to 2,500 by the end of 2017, due to people transitioning to Centennial Care (Medicaid) or individual market plans.
Medicare in the state of New Mexico
Historically, about 82 percent of New Mexico’s Medicare recipients have qualified based on age alone, and the other 18 percent are on Medicare as the result of a disability.
In 2017, about 33 percent of New Mexico Medicare beneficiaries select a Medicare Advantage plan instead of Original Medicare, which is on par with Medicare beneficiaries nationwide. Thirty-nine percent have stand-alone prescription drug coverage through a Medicare Part D plan. Nationally, about 44 percent of Medicare recipients select an Rx plan.
State-based health reform legislation
Scroll to the bottom of the page for a summary of recent health reform-related bills in New Mexico
Louise Norris is an individual health insurance broker who has been writing about health insurance and health reform since 2006. She has written dozens of opinions and educational pieces about the Affordable Care Act for healthinsurance.org. Her state health exchange updates are regularly cited by media who cover health reform and by other health insurance experts.