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Your Health Idaho reports record enrollment and outlines priorities after open enrollment
Summary
Pat Kelly, executive director of Your Health Idaho, told the Senate Health and Welfare Committee that open enrollment 2025 set records with more than 139,000 plan selections and outlined the exchange's financial model, customer-service improvements and outreach plans.
Pat Kelly, executive director of Your Health Idaho, briefed the Senate Health and Welfare Committee on the exchange’s 2024 results and open enrollment 2025 outcomes, reporting record enrollment and describing operational priorities for the coming year.
Kelly said Your Health Idaho recorded an average enrollment of about 120,000 in 2024 and that more than 139,000 Idahoans selected a plan during open enrollment 2025. He told the committee the exchange delivered $44,000,000 in savings to Idahoans since inception and that more than 90% of enrollees receive a tax credit that reduces monthly premiums.
Kelly said the exchange is financially self-sustaining, receives no state funding and carries cash reserves equal to six to nine months of operating costs. He described investments in technology and customer service that drove efficiency gains — 90% of enrollments are self-service and inbound customer inquiries decreased 16% while enrollment increased 21% year over year. "Your Health Idaho is Idaho's health insurance marketplace, and we are the only place Idahoans can apply for and receive a tax credit that lowers the cost of their monthly premium," Kelly said.
He reported a Net Promoter Score of 73 for open enrollment 2025 and said 71% of enrollments were completed with the assistance of agents, brokers or enrollment counselors. Kelly outlined continued priorities including investments in staff, tools for agent partners, community outreach (73 events statewide in 2024) and changes to the exchange’s revenue model (shifting from a percentage of premium to a per-member-per-month fee for 2025).
Committee members asked about the possible effect of a Medicaid expansion repeal on exchange enrollment. Kelly said that if Medicaid expansion were unavailable, people below 138% of the federal poverty level would be affected; he noted that of the 85,000 currently enrolled in the Medicaid expansion population about 19,100 have incomes between 101–138% of the federal poverty level and would become eligible for premium tax credits and exchange enrollment in a non-expansion scenario. Kelly recommended Department of Health and Welfare staff for coverage-gap specifics.
Committee members thanked Kelly for the update and indicated they may call him back if related bills advance.
