I'll give you a minute to get over the shock of that headline (and really, McArdle is the one who I've ripped onbefore, not Laszewski).
While I've been pretty much vindicated regarding the (eventual) 1st month premium payment rates, off-season enrollment rates and monthly attrition rates for exchange QHPs, there have still been two items which have bothered me.
Even after yesterday's Big 7.3 Million Currently Enrolled News (or perhaps because of it), there's still tremendous confusion about what that number actually means. In addition, there's been some ongoing confusion about some other numbers relating to the ACA exchange qualified healthcare policies (QHPs), so here's a rundown, in descending order, based partially on existing data and partially on my projectionsthrough November 15th (that's when the 2nd Open Enrollment period starts for coverage beginning on January 1st, 2015, making the current enrollment numbers partially moot).
As you can see, depending on what question you're trying to answer, what you feel should "count" and what your political spin is, there are up to 12 different numbers (!!!) which you could conceivably "use" for your answer.
As I've stated many, many times before: In spite of their $300 million disaster of a website failing to enroll a single person, Oregon has still managed to rack up one of the most impressive enrollment tallies in the entire country relative to their population, with a grand total of over 481,000 people added between QHPs, Medicaid and CHIP (in addition to the 353,000 noted at the link, OR added another 128K to Medicaid via their "fast track" program which they don't list here for whatever reasons).
For a state with only 3.9 million people, that's bound to have an impressive impact on the uninsured rate...and sure enough...
Another Big Number story today on top of the national and Illinois ones. My most recent numbers for California Medicaid expansion had it pegged at around 1.4 million "strict expansion" and around 600K "woodworkers" as of late June. However, that was just an estimate.
This article about a class action lawsuit being filed over the massive Medi-Cal backlog (down to 350K from a whopping 900K back in May) is mostly negative for obvious reasons. However, there's an interesting data point in the middle of it:
According to state officials, 2.2 million new Medi-Cal members were added as a result of the Obamacare healthcare expansion, bringing the total number of participants in the program to about 11 million.
State Department of Health Care Services spokesman Norman Williams said that as of Sept. 1, 350,000 applications remained backed up in the enrollment system. That system has been plagued by computer troubles that have stymied county government efforts to verify patients' Medi-Cal eligibility.
The backlog was as large as 900,000 earlier in the summer.
Now, before anyone claims that I'm "wrong" about the paid number being 7.3 million instead of 8.07 million, read the tweet carefully: I says that 7.3 million were enrolled as of August 15th. In other words, that's the net number after subtracting those who've dropped their coverage after 1, 2, 3 or more months.
In a new 60-second ad, Kentucky Senate candidate Alison Lundegran Grimes finally goes after opponent Mitch McConnell regarding his repeated attempts to damage/weaken Medicare. It isn't really connected to the Kynect = Obamacare = ACA issue, but it's in the ballpark, anyway:
The ad seems to have gotten under the skin of the McConnell campaign; they're actually attacking her grandfather for having a stroke:
.@Team_Mitch "Any1 who would use their grandfather's stroke" 2 reintroduce false ads "has run out of justification 4 their candidacy" #KYSen
OK, so those are the current enrollment numbers. 76,094 QHPs is 4% net attrition from the 4/19 total of 79,192, or less than 0.8% per month, which is fantastic.
However, since that 76K figure combines both additions and subtractions (ie, it's the net total, not gross), I can't really tell what the cumulative total is, which is what I use for my off-season projection chart.