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Your Health Idaho reports record enrollment growth, high customer satisfaction in 2024–25 update to committee
Summary
Your Health Idaho presented a year‑end and open‑enrollment update to the Senate Health and Welfare Committee, reporting record enrollments for open enrollment 2025, high retention, a net promoter score of 73 and financial self‑sufficiency without state funding.
Pat Kelly, executive director of Your Health Idaho, briefed the Senate Health and Welfare Committee on the marketplace's 2024 performance and open enrollment for plan year 2025.
Kelly said Your Health Idaho ended 2024 with an average enrollment of about 120,000 Idahoans and reported record results during open enrollment 2025, when more than 139,000 Idahoans selected plans. Kelly said 68% of enrollees renewed coverage year to year, 32% were new, and 71% of enrollments were completed with assistance from agents, brokers or enrollment counselors.
Kelly emphasized the marketplace's customer metrics and financial position: over 90% of enrollees receive a tax credit to lower monthly premiums, the exchange operates without state funding and it reported $44 million in cumulative savings for Idahoans since inception. He said Your Health Idaho achieved a Net Promoter Score of 73 for 2024 and again for open enrollment 2025, a level he characterized as "world class" customer experience.
Kelly described technological and operational improvements that reduced inbound customer contacts by 16% while increasing enrollments by 21%, which he characterized as efficiency gains. He said the exchange will shift from a percentage‑of‑premium assessment fee to a per‑member‑per‑month fee in 2025 for revenue predictability.
Senators asked about the potential effects of Medicaid expansion repeal on exchange enrollments. Kelly said of the 85,000 people in the Medicaid expansion population, about 19,100 have incomes between 100% and 138% of the federal poverty level and would become eligible for tax credits and exchange coverage if expansion were reversed; he said the remaining members of that population would fall into the coverage gap and would not be eligible for exchange subsidies.
Kelly also described community outreach: Your Health Idaho participated in 73 community events and held 19 in‑person enrollment popups during open enrollment 2025. Kelly closed by thanking committee members and said the exchange plans to continue investments in staff, partners and technology.
