Dammit, my #ACATaxTime estimate was a SPITBALL PROJECTION.
2018 MIDTERM ELECTION
Time: D H M S
Some of my projections/estimates I'm pretty confident in. Others are more shaky, and once in awhile I'm just doing the best I can given extremely vague, partial data to work with. And when it comes to unknown factors, I make that point as clear as I can.
On March 15, the first day of the #ACATaxTime special enrollment period, I stated the following:
...aside from the King v. Burwell SCOTUS decision (which isn't expected until sometime in June), the other Big Mystery is just how many people a) qualify for the #ACATaxTime SEP, and b) how many of those will actually enroll during this (roughly) 6-week period.
After a TON of patching together data points here and there and discussing/debating the factors with other healthcare wonks/reporters, I stated:
There's also another important factor: Even if that many people owe the non-coverage tax for 2014, that doesn't necessarily mean that none of them are already covered for 2015. Many of them presumably are among the over 5 million people already newly-enrolled via the exchanges this year. Others enrolled off-exchange, got a new job with insurance through their employer, enrolled in Medicaid, aged into Medicare. Some may have died, for that matter (hey, it happens...)
In other words, the official answer, according to CMS spokesman Aaron Albright (for real) is...
— Aaron Albright (@AaronKAlbright) February 20, 2015
OK, so with that out of the way, how many will enroll? Well, again, there's absolutely no way of knowing, but for my part, a couple of weeks ago, after an initial pulled-out-of-my-butt 1.8 million, I spitballed an even 1 million.
After some more number crunching based on the extremely limited data available at the time, I decided to settle on a very wide range of between 600K - 1.2 million:
Of course, there's no way of knowing whether MN is in any way representative of other states, but this at least gives us a good preliminary, rough idea of what the possibilities are. 600K - 1.2M seems like a reasonable range for the moment.
Seriously, folks...how many more G**D***** caveats/disclaimers did I have to throw in there?
However, a week later, a formal study by McKinsey & Co. seemed to give more credence to my 600K - 1.2M range:
...assuming the McKinsey & Co. survey is accurate, that's 12% of between 3.6 - 7.2 million people total...or around 430K - 860K people who are likely to enroll during the 3/15 - 4/30 tax SEP.
"Ah-ha!" You're saying...that's a lot less than 1 million!
True, except that there will also be other people enrolling who don't qualify for the tax season SEP...but who do qualify to enroll due to qualifying life events (getting married, giving birth, losing their existing coverage, moving to a new state, etc.). Last year that averaged roughly 8,000 - 9,000 people per day during the off-season. This year, even assuming that it's only around 5,000 - 6,000/day, that would still be a good 220K - 270K during that 45-day period.
Add those to the "Tax Season-specific" enrollees, and you get a likely 45-day enrollment total of between 650K - 1.13 million people...right in the same zone that I'm expecting.
Cut to today's news that only 36,000 people enrolled 1) via Healthcare.Gov; 2) during the first 15 days of the tax season enrollment period; and 3) who qualify specifically due to the tax season rules, not including those who qualified due to major life events (marriage/divorce/birth/adoption/coverage loss/moving/etc).
I crunched all sorts of numbers, showing all of my work, to make it clear that while this is certainly way below my expectations, the total number of additional QHP selections (including the 10 state exchanges which were also participating during that time period as well as those in all states who enrolled via life events) is likely much higher:
Assuming that the Qualifying Life Change selections are still running at around, say, 7,000/day off-season rate that they did last year, that means the total additional QHPs from 2/22 - 3/29 should be something like:
7,000 x 35 days = 245,000
3,000 x 15 days = 45,000
= 290,000 total.
I also noted that I hadn't taken a "slow start/surge at end" approach for the tax season SEP (the way I knew the open enrollment pattern would go) because I honestly don't know enough about tax season patterns to speculate. Do most people still scramble to file at the last minute these days? Even if they do so, are the "late scramblers" the same types of people a) likely to be uninsured; b) likely to have to pay the non-coverage fee; and c) likely to actually enroll during the special period? I had no clue, and my estimate was so vague already that I just went with a straight-line projection.
...none of which made a damned bit of difference in the dreaded comments section, where there's crap like this:
"ObamaCare sign-ups expert Charles Gaba had estimated that 220,000 people would have signed up by March 29."
Missed it by that much #LULZ
"For the Obamacare supporters, time to take another victory tour around the Rose Garden and proclaim they have exceeded expectations yet again. 16% of the goal is about 10% better than expectations!"
Yes, I realize that reading the comments section on most websites (not this one, of course!) is usually a terrible idea, especially on a mainstream news site.
Yes, I realize that there's a lot of idiots, clueless, ignorant trolls etc. out there.
Still...this one bothers me. It bothers me because people take my projections seriously these days, and no matter how many caveats, disclaimers, warnings and cautions I throw out there, in the end a lot of people will still simply hear "Projection was 220K. Actual was 36K. ObummerCare BLOWZ HA HA HA HA HA Kenyun Muzlim Soocializt!!!"
- It doesn't matter that 36,000 through Healthcare.Gov likely means it's actually more like 45,000 nationally.
- It doesn't matter that there were likely another 140,000 "life change" QHP selections nationally from 2/23 - 3/14.
- It doesn't matter that there were likely another 105,000 "life change" QHP selections from 3/15 - 3/29.
- It doesn't matter that there's a very good chance of tax season enrollments ramping up substantially over the next couple of weeks.
- It doesn't matter that I'M NOT THE OFFICIAL SPOKESMAN FOR THE HEALTH & HUMAN SERVICES DEPT. OR HEALTHCARE.GOV
None of that matters, because in the 140-character communication age, if it doesn't fit in 1 Tweet, it's ignored.
In the end, apparently Mr. Albright had it right. Instead of taking my best crack at it based on such limited information, perhaps I should have simply thrown up my hands and said:
...because there IS no way of knowing until April 30th has come and gone.