OK, this doesn't really change the numbers beyond a couple hundred, but it's encouragingto see that my "15% in Non-Expansion States" rule of thumb for estimating the number of people who fall into the "woodworker" category seems to be pretty accurate, at least in Indiana:
Even without expanding eligibility for Indiana Medicaid, the program had enrolled 40,577 more Hoosiers as of March than it had in the same month last year.
More than 15,000 of that year-over-year increase occurred in March alone this year, as a flood of people here and nationally sought coverage before Obamacare would hit them with a tax for going uninsured.
If you take a look at the Medicaid Spreadsheet, you'll see that I currently have the "woodworker" tally for Indiana at 40,951...only 374 more than the number reported above.
That 40,951 is 15% of the combined total number of new Medicaid enrollments for Indiana from both the HC.gov website as well as through traditional state Medicaid agency offices (273,005).
This article from Kaiser Health News brings solid numbers for Colorado, but also gives other good info about the Medicaid situation. For instance, they give a simple explanation of where the term comes from...
Hundreds of thousands of those people were already eligible and could have signed up even before the Affordable Care Act made it much more generous.
They came “out of the woodwork” to get enrolled, analysts say, thanks to the Affordable Care Act’s individual mandate and publicity around its new marketplaces.
...then they give the exact number in Colorado...though only through the end of February...
Oh for the love of...(sigh) Look, I'm all for letting as many people as possible enroll in healthcare coverage, but even I admit that I'm getting awfully tired of having to change the final, FINAL deadline dates.
The Hawaii Health Connector has extended the initial grace period— which would have ended on Tuesday — given to individuals in need of extra time completing the enrollment application process for health insurance by a couple of weeks to April 30.
Let's just hope they resolve their Heartbleed issue.
Leigh McGivern of coOportunity Health has helpfully provided their final (well, near-final...through 4/14) tallies for both on- and off-exchange enrollments. The exchange-based numbers aren't really relevant to me since those are reported by HHS, but the off-exchange QHPs and ESI's are vital:
Individual/Family members: 18,358 (10,809 on exchange/7,549 off exchange)
Small group members: 7,848
Large group members: 274
Individual/Family members: 30,668 (20,308 on exchange/10,360 off exchange)
Small group members: 11,292
Large group members: 2,774
TOTAL ON EXCHANGE IOWA AND NEBRASKA (individuals/families): 31,117
TOTAL OFF EXCHANGE IOWA AND NEBRASKA (individuals/families): 17,909
TOTAL BUSINESS (employees and dependents) IOWA AND NEBRASKA: 22,188
TOTAL BOTH STATES ON AND OFF EXCHANGE (individuals/families/businesses): 71,214
This doesn't change the actual total number of Rhode Island's Medicaid expansion numbers, but it does specify the ratio between "strict expansion" and the "woodworker" enrollees...66% to 34%. Interestingly, this is virtually identical to the Washington State ratio (again, 67% to 33%).
This isn't enough to apply to the other expansion states yet, but if it does prove to be the case, that should be helpful in figuring out how accurate my current estimates are. I currently have "strict expansion" at roughly 3.7 million, while "woodworkers" are at 2.05 million. A strict 67/33 ratio would have the "woodworker" number at around 1.82 million...except that the non-expansion states also have some woodworkers as well, which should account for the additional 230K or so.
Figures obtained from the Chafee administration by WPRI.com show that out of the 64,590 Rhode Islanders who signed up for Medicaid from October through March using the state’s new HealthSource RI marketplace, 34% were eligible before the new law expanded the rules for who could sign up.
A few days ago, Michigan's newly-expanded Medicaid tally sat at around 32,000, plus another 54,000 people transferred into the program from an existing state-run one, for a total of about 86,000 people.
Today that number has grown to over 109K:
Healthy Michigan Plan Enrollment Statistics
• Updated every Tuesday at 3 p.m.
Total Healthy Michigan Plan Beneficiaries (including ABW transition prior to April 1): 109,228
Total Enrollment in Healthy Michigan Plan after April 1: 72,921
No breakout between Private QHPs & Medicaid/CHIP yet, but NY State of Health just issued this press release:
ALBANY, NY (April 15, 2014) – NY State of Health (NYSOH), the State’s official health plan marketplace, reported that as of 9 a.m. today, 1,311,271 New Yorkers have completed their applications and 949,428 have enrolled for coverage since the launch of the Marketplace on October 1, 2013. More than 70 percent of those who have enrolled to date were uninsured at the time of application. The Marketplace is well on its way to meeting or exceeding its enrollment goal of 1.1 million people by the end of 2016.
This figure is about 16,200 higher than just 4 days ago, meaning NY is averaging around 4K/day. Assuming no final day spike (or drop-off), their final total should come in at around 954,000 people.
Not gonna update the spreadsheet or graph until I get the actual QHP/Medicaid breakout, however, since those are almost always provided within a few hours of the combined number in NY.
I've been shouting from the rooftops about OFF-exchange QHPs for months now (I first added a column for them on January 3rdand had my first significant data update on January 31st), and until recently few in the news media seemed to catch on to the significance of these.
Nothing major, just another 4,000 people added to NM's Medicaid tally:
An estimated 107,000 New Mexicans have enrolled in Medicaid since the state expanded the qualifications in October to include low-income adults, state Human Services Department spokesman Matt Kennicott said Monday.
...A total of 26,412 New Mexicans had enrolled in health plans through the state insurance exchange by the March 31 enrollment deadline, the state office of the Superintendent of Insurance said in a news release issued recently.
...An additional 10,000 applications had been submitted by the deadline but remained unprocessed, the statement said.
I've been debating whether to post about this since frankly, I'm not entirely sure that I have all the details straight about how this works. If anyone more familiar with this process wants to correct or clarify my description in the comments, please feel free to do so.
OK, so there's all sorts of hand wringing over how much premium rates will increase for 2015 based on the 2014 risk pool. The CBO issued a report yesterday which projects that in spite of all the fretting, the overall average increase will only be a few percent, which is good news if true (although this will no doubt vary from state to state).
However, I recently learned a couple of very interesting things about how the ACA works when it comes to pricing oversight and the "risk corridor" program.
Yesterday I issued a reminder/warning that the March HHS report might stop at 3/29, leaving the last 2 (and by far the busiest) days of the official enrollment period, the 30th-31st to be moved over to the April report.
If HHS did this, the March report would appear to only include about 6.5M exchange QHPs, since another 600K would be moved to April, along with the additional 700K (give or take) enrollments from 4/01 - 4/15 (and even beyond).
On top of today's CBO report projecting a $104 Billion savings on the cost of the ACA over the next decade and their projection of 2015 premiums only going up slightly, this is a bit of unexpected news....
As hundreds of thousands of diabetics get health coverage under the federal law, insurance companies are aggressively targeting this glut of new patients, who are expensive to treat and often lax in taking medications and following their diet.
Insurers are calling diabetics when they don't pick up prescriptions or miss appointments. They are arranging transportation to get them to the doctor's office and some are even sending nurses on house calls in an effort to avoid costly complications that will have big impact on their bottom lines.
Well I'll be damned. Private, for-profit insurance companies actively assisting their customers in trying to stay healthy.
Exactly the way that the law was intended to work, I'd say.