OK, I've made one more major update/change to The Graph (I've been meaning to get around to this for awhile): I've split the 2 Medicaid/CHIP categories into a total of 3. The new section is specifically for bulk transfers and other special Medicaid enrollments, including things like:
The 650,000 LIHP transferrees in California
The 107,000 people auto-transferred from Commonwealth Care in Massachusetts (permanently...this is separate from the 200K+ stuck in temp "limbo" care)
The 33,000 transferees from VHAP/Catamount in Vermont
The 96,000 transferees from Maryland's PAC program
Most recently, the 53,000 people transferred over from Michigan's Medicaid Adult Benefits Waiver program
It's very important to note that the total number of new ACA-enabled Medicaid enrollees has NOT changed, only the way these are categorized. I've done this purely in the interest of clarity and transparency. In addition to the "bulk transfers", this also includes people who were not previously insured but dont' quite fit into the normal Medicaid enrollment category--for instance:
No exact numbers here, but the wording of the article gives the rough breakdown:
About 3,500 Connecticut residents have enrolled in health insurance through the state’s health care exchange, Access Health CT, since the official open enrollment deadline passed on March 31. That’s in addition to the nearly 200,000 who enrolled by the health care deadline.
Access Health CT CEO Kevin Counihan said there were roughly 10,000 people in the state who wanted to enroll but couldn’t complete the process by deadline for some reason. Those people were told to leave their contact information, and that the state would follow up with them to make sure their enrollment was completed.
...Customers to the state marketplace could either buy insurance through one of three private carriers on the exchange, or get covered through Medicaid. The majority of those covered through the exchange — more than 120,000 — were covered under Medicaid.
Not an official update, but Idaho was already at 43,861 as of March 1st from all 4 companies operating on the exchange, so over 1,000 more than that total from just 1 of the four companies bodes well for the official total, which will probably come out next week:
About 45,000 people applied for health-insurance plans from Blue Cross of Idaho through the state's insurance exchange, Your Health Idaho, over the past six months.
The insurer announced its enrollment numbers Thursday.
Your Health Idaho is expected to release total enrollment for exchange plans soon. Open enrollment ended March 31.
Four companies — Blue Cross, SelectHealth, PacificSource and the Regence BlueShield of Idaho sister company BridgeSpan — sold plans on the exchange.
Additional note: 45K just happens to be my own "fair share of 7M" target for Idaho, so a single insurance company has hit the target. The other three are basically gravy.
One of the few updates out of New Jersey, it looks like Chris Christie made one decent decision last year, anyway...
New Jersey FamilyCare has added over 100,000 people to its rolls, contributing to savings that Gov. Chris Christie has already anticipated in his proposed budget.
In just the first three months of this year, 102,268 state residents were added to the rolls of FamilyCare, which includes recipients of two federally supported programs – Medicaid and the Children’s Health Insurance Program (CHIP).
Through April 6, 41,402 Arkansans have purchased plans on the Arkansas Health Insurance Marketplace, the new marketplace created by Obamacare, according to information released yesterday by the Arkansas Insurance Department (see county by county map above). As in the rest of the country, Arkansas saw a surge in enrollment recently, with more than 7,800 people signing up in the last two weeks. But while national enrollment in the marketplaces across the country hit initial projections, Arkansas will fall well short.
...This does not include enrollment in the private option, the state's policy for Medicaid expansion which purchases plans on the Marketplace for folks that make less than 138 percent of the federal poverty level
According to L.A. Times reporter Chad Terhune, CoveredCA has confirmed enrolling another 70,000 people in private QHPs in the first 9 days of the extension period. They had 1,221,727 as of 3/31, so that brings their total to 1.29 million as of last night:
#CoveredCA added 70,000 (on top of 1.2M) who picked a plan in the 9 days of the "grace period" since March 31 to April 15. @charles_gaba
Yeah, I know, I keep bouncing around on this; first I thought 8M was feasible, then I backtracked. However, let's do some simple math.
Obviously it wasn't exactly 7.1M on the nose at midnight on 3/31. Let's assume an overage of, say, 20K at a minimum.
It's also safe to assume that it was slightly over 7.5M as of midnight last night; let's say 20K there as well.
That means that in the first 9 days, QHP enrollments averaged 500K / 9 = 55.5K per day
I'd say a final weekend mini-surge is also likely for those who wait until the absolute last possible moment, which should cancel out what I'm assuming is a natural dropoff throughout the week. So...figure something like 30K/day today and tomorrow, then back up to 60K/day for the last 4 days. That's 300K added to the existing 7.52K, or 7.82M.
So, as my final projection for 4/15, I'm going with: Somewhere between 7.7M - 7.9M, with an outside chance of squeaking by the 8M mark after all (wishful thinking?)
Health and Human Services Secretary Kathleen Sebelius says 7.5 million Americans have now signed up for health coverage under President Barack Obama's health care law.
That's a 400,000 increase from the 7.1 million that Obama announced last week at the end of the law's open enrollment period. The figure exceeded expectations, a surprise election-year success for the law after a disastrous roll-out.
Sebelius disclosed the new figure during a hearing Thursday before the Senate Finance Committee.
Assuming that my "back of the envelope" estimates on extension-period exchange QHP enrollment are accurate, the ACA has just crossed several important milestones, including:
7.5 Million exchange-based private QHP enrollments (total)
7.0 Million exchange-based private QHP enrollments (paid or will pay within a month of their policies actually kicking in)
20 Million documented enrollments total(ie, including all types--individual QHPs, on exchange, off-exchange, Medicaid, woodworkers, sub26ers, etc...but not including the 13.9 million undocumented, non-specific additional off-exchange QHPs and ESIs suggested by the RAND Corp. study)
Note that I've modified The Graph a bit more tonight, separating out the ESIs (Employer-Supplied Insurance) into a 4th category (this includes the tiny number of SHOP enrollments, but mostly the controverisal 8.2M ESI estimate noted by the RAND study).
Then, earlier today, I learned that Hawaii (which I never really read an official policy on one way or the other, but which I thought was not extending enrollments) actually is doing so for up to potentially 1,100 people or so (192 to date).
Now it appears that Connecticut, which had been very explicit about their "no extension" policy...apparently is allowing up to 10,000 people to (potentially) sneak in under the wire after all:
Connecticut’s health insurance exchange ended its first open enrollment period with 197,878 people signed up for health care coverage, including 5,917 who enrolled Monday.
Yesterday I posted an update for Michigan's just-started Medicaid expansion. Officially the number was about 32K, but there was a reference to "tens of thousands more" transferred over from an existing state-run healthcare program (similar to the 650K LIHP transfers in CA, the 107K transferred from Commonwealth Care in MA and so on).
Today, it turns out that "tens of thousands" actually meant a whopping 53,700 people:
Since April 1, Michigan has received 54,479 applications and enrolled 32,071 Michiganders into the Healthy Michigan Plan. The difference represents those with applications that are pending confirmation, others who were eligible but enrolled in different Medicaid programs or have applications in progress or have been denied. Prior to April 1, MDCH transitioned the previous Medicaid Adult Benefits Waiver population into the program with coverage beginning on April 1. These enrollment activities combined mean that Michigan has already enrolled 85,761 residents into the new program.
CO had the official exchange QHP tally as 118,628 as of 3/31, so this means they've added another 2,343 to that total over the past week. The Medicaid number hasn't been updated:
Connect for Health Colorado reports that nearly 280,000 state residents gained coverage during the six-month enrollment period, including 120,971 who signed up for private insurance plans as of Monday and 158,521 who enrolled in the expanded Medicaid program as of April 1. In an interview last fall, Patty Fontneau, CEO of the non-profit organization running the exchange, had estimated that 125,000 to 140,000 Coloradans would sign up for insurance through the exchange during its first year.