Your Health Idaho reports record open‑enrollment growth and $44 million in cumulative savings

Pat Kelly, Executive Director of Your Health Idaho, briefed the Senate Health and Welfare Committee on the exchange's 2024 results and open enrollment for 2025.

Kelly said the exchange completed a successful open enrollment period with 139,000 Idahoans selecting plans for plan year 2025 and described operational measures the exchange uses to measure performance. Kelly said Your Health Idaho averaged 120,000 enrollees in 2024, that 47 percent of current enrollees had been enrolled for four or more years, and that since inception the exchange has delivered $44,000,000 in savings to Idahoans. He said 71 percent of enrollments are completed with the assistance of an agent, broker or enrollment counselor and that 90 percent of enrollments use self‑service tools; the exchange reported a 16 percent drop in inbound customer inquiries and a 21 percent increase in enrollments as a combined 37 percent net efficiency gain.

Kelly described the exchange's fiscal model: in 2024 the assessment fee on plans was 2.49 percent; in 2025 the exchange intends to shift to a per‑member, per‑month fee to improve revenue predictability. He said the exchange carries no debt, maintains cash reserves equal to 6—9 months of operating expenses and is financially self‑sustaining with no state funding.

Kelly highlighted customer‑experience metrics: Your Health Idaho reported a Net Promoter Score of 73 in 2024 and again for the 2025 open enrollment, which Kelly said places the exchange in a high customer‑satisfaction band. He summarized outreach efforts including 73 community events and 19 in‑person pop‑up enrollment events during open enrollment, and the exchange's plans to invest in agent training, bilingual customer advocates and tools for assessing employer‑sponsored coverage affordability.

Committee members asked about the exchange's figures for the Medicaid expansion population in the event of a repeal. Kelly explained that 85,000 people were enrolled in the Medicaid expansion population; of those, 19,100 have incomes between 100 percent and 138 percent of the federal poverty level and would become tax‑credit eligible and therefore able to enroll on the exchange if expansion were rolled back. Kelly said specific coverage questions for the remainder of the Medicaid population would be best addressed by the Department of Health and Welfare.

Kelly concluded by reiterating the exchange's fiscal conservatism, the shift to a per‑member fee for 2025 and continued emphasis on partnerships with local agents and enrollment counselors.