From “Over 1 Million Added to Rolls of Health Plan,” Michael D. Shear and Reed Abelson, NYT:
“But industry experts and insurance officials say that the reality is murkier than either party wants to admit and that the numbers at the heart of the national political debate are largely meaningless outside of Washington’s overheated environment. The determination about whether the law works from an economic standpoint will not be clear for years, when individual insurance companies are finally able to tell whether their expectations about the health of their customers — and the premiums they set for coverage — were accurate.
“And the economic fate of the biggest health care overhaul in decades will be decided state by state, in hundreds of individual markets across the country, not in a theoretical national insurance marketplace that does not really exist.
“‘There’s going to be tremendous variation in the country,’ said Drew Altman, the president and chief executive of the Kaiser Family Foundation. He said the focus on national numbers, like reaching the target of enrolling seven million people in the first year, ‘never had anything to do with the real success or failure of the law.'”