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.
So, a lot of people, including myself, have talked quite a bit about the people who had their pre-2014 insurance policies cancelled due to them not being compliant with one or more of the requirements of the Patient Protection & Affordable Care Act (one of the few times I've used the full name, I might add). And yes, those people absolutely do exist; I know, because (as I've noted many times before), I was one of them. My wife and I received one of those "scary" cancellation notices last fall (nothing scary about it...just a simple note saying, "Your current policy isn't compliant with the law, so it'll end as of 12/31/13...we invite you to replace it with a new policy which is compliant with the law."
4 different people brought Minnesota's latest update to my attention...their exchange QHPs are up another 651 from 47,046 since 3/31, while their Medicaid tally is up another 5,655 from 128,005:
ST.PAUL, Minn. – Today, MNsure announced 181,357 Minnesotans have enrolled in quality, affordable coverage through MNsure, the state’s health insurance marketplace. The growing numbers come from continued processing of “in line” applications, as well as Medical Assistance and MinnesotaCare enrollments.
...To date, MNsure has enrolled 47,697 Minnesotans in a Qualified Health Plan, 37,050 in MinnesotaCare and 96,610 in Medical Assistance.
Until today, I had The Graph broken into 7 distinct categories:
Exchange-Based Individual QHPs (Paid or To Be Paid Soon)
Exchange-Based Individual QHPs (Unpaid or May Not Pay)
OFF-Exchange Individual QHPs
Exchange-Based SHOP (Sm. Biz) QHPs
Medicaid/CHIP (Strict Expansion)
Sub26ers (Low Est. / High Est.)
Yesterday, however, the release of the RAND Corp. Survey made me realize that I was handling the 3rd category (OFF-Exchange Individual QHPs) the wrong way.
You see, in the rare cases where I had access to the off-exchange enrollments for a particular company, I mushed their individual and group policies together. The numbers weren't huge--only about 34,000 people--but the potential numbers, as the RAND survey indicated, could potentially be massive.
This is great news for two reasons...not only has the Michigan Medicaid expansion already shot up another 5K in just the past day or two, but at least 20,000 ("tens of thousands") more people have been added to the Medicaid tally due to bulk transfers (similar to the 650K LIHP transfers in CA, 107K Commonwealth Care transfers in MA and so on):
The Healthy Michigan program has received nearly 55,000 applications since April first. 32,000 Michiganders have already had their applications approved. And tens of thousands more have been moved into the expanded Medicaid program from a different state health assistance program.
700K to 1.3M Additional Medicaid Enrollees through March, If Current Trends Continue.
However, March and April figures could bring more dramatic increases if outreach and enrollment efforts targeting the end of exchange open enrollment translate into new Medicaid enrollees. Specifically, if Medicaid sign-ups follow a similar pattern as exchanges, new Medicaid enrollees could reach 4.3 million by the end of March. In addition, recent figures released by CMS do not account for individuals assessed eligible for Medicaid through HealthCare.gov who have yet to be determined eligible by states.
For anyone interested, I'm scheduled to appear on the Craig Fahle Show tomorrow (Tuesday) morning at around 10:00am. The show is broadcast from WDET, 101.9 FM in Detroit. No idea what the rebroadcast schedule is but I assume it'll be available as a podcast archive at some point.
Meanwhile, my appearance on Left Jab Radio on Sunday night, complete with my son bursting into the room in the middle of the broadcast, is now available via their website. My segment kicks in around 14:45 in and lasts about 20 minutes, I think.
Finally, I've been hesitant about posting this publicly since there may be copyright issues involved (I'll take it down if necessary), but this strikes me as a reasonable/fair use situation (besides, I tried contacting the producer and no one ever got back to me); my apperance on America Tonight from about 2 weeks ago is now available via YouTube:
Everything else is secondary. Larry Levitt of the Kaiser Family Foundation wins the day.
Having said that, I'm still not understanding this "3.9 million now covered" number, however, when the number covered thru "mid-March" was actually around 4.9 million:
By our estimate, 3.9 million people are now covered through the state and federal marketplaces. This number is lower than current estimates of marketplace enrollment through the end of March from the Department of Health and Human Services (DHHS), perhaps because some of the HROS data were collected in early March. All HROS data collection reported here ended on March 28, and therefore missed the last three days of the open enrollment period, during which time there was a surge in enrollment.
As noted earlier, the only way 3.9M makes sense to me is if they assumed an 80% Paid rate, which would have been about right at that time.
At last, the big RAND Survey that everyone was freaking out about (and in some cases, completely misinterpreting) has actually been released!
The key numbers:
Using a survey fielded by the RAND American Life Panel, we estimate a net gain of 9.3 million in the number of American adults with health insurance coverage from September 2013 to mid-March 2014.
The net result, according to RAND? An overall drop in the adult uninsured rate from 20.5% to 15.8%, or around 9.3M people nationally.
Put another way, the survey estimates that the share of uninsured American adults has dropped over the measured period from 20.5 percent to 15.8 percent. Among those gaining coverage, most enrolled through employer-sponsored coverage or Medicaid.
Assuming the RAND study is accurate (and most people from both sides of the aisle seem to think it's a pretty solid source), we may finally have an answer to the question "How many of them were UNINSURED???" Answer? Around 36%...of the first 3.9 million enrolled! That's right: Their study doesn't even include the 3.2 million more people who enrolled in individual QHPs via the exchanges after the survey concluded!
The New Mexico Health Insurance Exchange (NMHIX) reported a total of 26,412 New Mexicans had enrolled in qualified health plans as of March 31, 2014, according to the Office of the Superintendent of Insurance. This figure represents a 76 percent growth rate from the 15,012 enrollments confirmed at the end of February 2014.
In addition, as noted this morning, NM reports 11K OFF-exchange individual QHPs and another 13,500 off-exchange SHOP QHPs! The 11K are part of the alleged "9M" RAND QHPs, not sure how to handle the 13.5K SHOP QHPs, not that it makes much of a difference vs. 9M...
Oregon's Medicaid figure hasn't changed, but the exchange QHP tally is now up to an unspecific 59K (assuming this is as of yesterday):
Cruse said he became a full-fledged enrollee on a Moda plan in February. He’s now one of 59,000 people in Oregon who enrolled in private insurance after successfully navigating through the often cumbersome Cover Oregon process. Another 140,000 enrolled through the site on the Oregon Health Plan.
UPDATE: OK, scratch that. Looks like this article was quoting the 58,833 "total" QHP figure from the most recent official press releaseinstead of the "net" figure which was exactly 3K less: 55,833.
Leaving this up since it's already posted but sorry about the mixup.
Now that my home state of Michigan has finally joined the Medicaid expansion program, the numbers are starting to come out, and are pretty impressive right out of the gate:
The Department of Community Health says that as of 12 a.m. Monday, roughly 27,000 individuals had been enrolled in Healthy Michigan, which is intended to provide health insurance for hundreds of thousands more low-income adults.
Ah, at last...the Federal exchange state data is starting to trickle in now...
Nearly 100,000 South Carolinians enrolled in a health insurance policy on HealthCare.govbetween Oct. 1 and March 31, the director of the state's insurance department said Monday.
But only some of those 97,387 individuals - about 57 percent - have paid their first month's premium, Director Ray Farmer said.
The number of people actually enrolled may go up or down through May 1 - the deadline by which that first payment must be made.
Data released Monday by the S.C. Department of Insurance shows a sharp increase in Obamacare enrollment in South Carolina during the second half of March. Approximately 30,000 people in this state signed up for a plan during the last two weeks of open enrollment.
It's nice to be able to plug in SC's data, but the "How many have PAID???" thing is more amusing. 31% of the enrollees don't have their policy start until May 1st, so it's only 69% who you would even expect to have paid yet. Presumably the bulk of the 11% in between will pay over the next few weeks, and the 31% May-starts will start paying in increasing numbers as well.