Even Covered California, the most efficient of the state-run exchanges at $758 per enrollee, still spent more than the average for the federal exchange. And California was the only state-run exchange with a per-person average under $1,000.
Hawaii, with a combination of a , a small population overall, and , brought up the rear in the study. It cost the Aloha State an average of $23,899 per enrollee covered. Washington, D.C., came in next to last at $12,467 per person.
What was unexpected, Angoff said in an interview, is that the five states whose governors and/or legislatures were among the most adamant about resisting the Affordable Care Act — Florida, Texas, Georgia, Virginia and Michigan — ended up with the lowest per-person enrollee costs. Florida’s cost per enrollee was just $76; Texas’ was $102, and Michigan’s $427.
“The states that fought the ACA the hardest ended up with exchanges that have been very efficient,” he said.
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