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Your Health Idaho reports record enrollment, plans fee change and $44 million saved for Idahoans
Summary
Patrick Kelly, executive director of Your Health Idaho, presented the exchange’s annual update to the Senate Commerce and Human Resources Committee. He reported record open‑enrollment results, a move from a percent‑of‑premium assessment to a per‑member fee, and cumulative savings of $44 million for Idaho consumers since inception.
Patrick Kelly, executive director of Your Health Idaho, presented the exchange’s annual update to the Senate Commerce and Human Resources Committee under required reporting law. His presentation summarized 2024 operations and open enrollment for plan year 2025 and included enrollment, financial, and outreach metrics.
Kelly told the committee that Your Health Idaho ended the year with an average enrollment of about 120,000 Idahoans and that open enrollment for 2025 produced over 139,000 plan selections. He said more than 90% of enrollees receive a tax credit that lowers monthly premiums and that 68% were renewals from the prior year while 32% were new customers.
On finance, Kelly said the exchange carries no debt, maintains cash reserves equal to six to nine months of operating costs, and holds a capital expenditure reserve of $1.5 million. Your Health Idaho’s primary revenue stream is an assessment applied to plans sold through the exchange; Kelly said the exchange will shift in 2025 from an assessment that is a percentage of premium (2.49% in 2024) to a per‑member‑per‑month (PMPM) fee to provide revenue predictability and better align with carriers’ administrative cost structures. He said the exchange has delivered $44,000,000 in savings to Idahoans since its creation in 2013.
Kelly highlighted technology and customer‑service improvements: 90% of enrollments completed with self‑service tools, a 16% decrease in inbound customer inquiries, and a Net Promoter Score of 73 in 2024 and again for open enrollment 2025 — a score Kelly described as “world class.” He also noted outreach efforts including 73 community events and 19 in‑person enrollment pop‑ups during open enrollment 2025.
Committee members asked about governance and interagency interfaces. Kelly said Your Health Idaho is a body corporate and politic created by the legislature but not a state agency; a 19‑member board appointed by the governor governs it. He described electronic “no wrong door” data transfers between the exchange and the Department of Health and Welfare for eligibility determinations and said the Department of Insurance handles rate review and essential‑benefit compliance while the Your Health Idaho board certifies plans for the exchange.
Chair and committee members praised the exchange’s performance and customer metrics. Kelly said the exchange will focus on partnerships, tools for agents and enrollment counselors, and continued operational efficiency in the coming year.
The presentation was informational; no committee action was required.
