Charles Gaba's blog

Covered California just announced their latest 2018 Open Enrollment Period numbers:

  • 220,000 new enrollees as of 12/15 (10% higher than last year)
  • Extended Jan. start deadline to 12/22 to handle high demand
  • Final deadline still same as last year (1/31/18)
  • ~1.2 million active or passive renewals
  • ~1.4 million total enrollees (renewals + new enrollments)

Assuming the 1.2 million figure is very close to the exact number, that makes the total number around 1.42 million QHP selections.

This brings CoveredCA within 9% of last year's total, and within 10% of their all-time total set a year earlier.

The official total as of 12/17 last year (with an extra 2 days) was 1,437,150 enrollments, about 1% higher. Given that CoveredCA is keeping to the same January 31st deadline as prior years, I'm pretty sure they'll end up very close to last year's final total when the dust settles.

UPDATE: Here's the full press release with a bunch of other info:

Covered California Looks Ahead to 2019 With Continued Strong Enrollment but National Uncertainty

THIS JUST IN via Dan Goldberg of Politico NY...

.@charles_gaba New NY numbers As of Dec. 15

2.9 million people in Medicaid
229,000 in qhp
364,000 enrolled in Child Health Plus
716,000 in Essential Plan

— Dan Goldberg (@DanCGoldberg) December 20, 2017

For context, as of 12/17/16, New York had enrolled 213,248 people in Qualified Health Plans (QHPs), putting them over 7% ahead of the same point last year...and unlike most states, New York's Open Enrollment Period is just as long as prior years, running all the way out to January 31st.

Put another way: New York's final enrollment tally last year was 242,880, meaning they're just 6% away from breaking that number with six weeks left to go. Their all-time record was set in OE2 with 409,000 QHP selections, but that's a meaningless comparison since the Essential Plan was added the following year, cannibalizing several hundred thousand enrollees anyway.

Welp. The Republicans did it. And later today, barring some dramatic last-minute development, the GOP Tax Scam is gonna be signed into law.

UPDATE: It's done. It passed the GOP House, GOP Senate and GOP House (again). Trump's signing it at any moment.

The GOP Tax Scam does many terrible things, of course, many of which are worse than repealing the ACA’s individual mandate. And even within the healthcare arena, the $25 billion PAYGO Medicare cut caused by the GOP tax scam is arguably more damaging overall.

Still, ACA stuff is my wheelhouse, so I’ll stick to the direct impact the bill (if it does become law) would have on the Affordable Care Act.

Above is the video explainer I whipped up a few weeks ago. It’s long and a bit wonky, but it should give a pretty good overview of the situation.

What about the two “market stabilization” bills that Susan Collins was supposedly demanding in return for her “Yes” vote? Yeah, about those:

Oh for heaven's sake:

Mainers could get extended health care enrollment deadline due to devastating windstorm

In the wake of a windstorm that knocked out power to more than 400,000 Mainers, federal officials have agreed to give Mainers more time to enroll for health care under the Affordable Care Act.

U.S. Sen. Angus King sent a letter to the Centers for Medicare and Medicaid Services in November requesting an extended deadline for Mainers who spent the better part of a week in the dark without internet or computer access. On Friday, King shared the agency’s reply, which said Mainers likely would qualify for a special enrollment period, extending their enrollment deadline.

“CMS recognizes that certain exceptional circumstances, including a natural disaster such as a severe windstorm, can prevent an individual from enrolling in coverage before an open enrollment period expires,” CMS Administrator Seema Verma said in her reply to King.

This Star Tribune article from Friday night puts Minnesota's ACA exchange total at 101.6K, only slightly higher than the 100K figure claimed in a KXRA article from over 3 weeks earlier. I'm not sure what happened there--either the KXRA article had the earlier number wrong, or MNsure only enrolled 1,600 people between 11/24 - 12/15, which I find difficult to believe.

Regardless, that's still another 1,600 or so added to the tally. They only need 16,028 more between now and January 14th, although the official ASPE report for OE4 put Minnesota's QHP number at just 109,974, so I'm not sure where the other 7,680 enrollees went. Huh.

MNsure optimistic about sign-ups as deadlines approach

MNsure continues to make progress on enrollment goals for 2018, officials said Friday, as the state’s health insurance exchange nears a deadline next week for January coverage.

OK. The Big News that everyone's waiting on this week regarding the 2018 Open Enrollment Period will come on Wednesday. That's when CMS will presumably post the Week 7 Snapshot Report for HealthCare.Gov, which covers 39 states. Wednesdays are also usually when Covered California, the largest state-based exchange, posts their updates as well.

That leaves the other 11 smaller state-based marketplaces (SBMs), of which only one, Colorado, has posted an update so far this week. As it happens, however, that was an impressive update: Colorado's total enrollments to date now stand at 149,000 people, about 7% ahead of last year. With CO added to the mix, I've now confirmed exactly 2,522,078 QHP selections across those 12 SBMs...which means the SBMs have already broken my personal final QHP projection of 2.5 million as of January 31st.

FOR IMMEDIATE RELEASE

Connect for Health Colorado® Reports Increase in Healthcare Plan Selections for 2018; Open Enrollment Continues to January 12, 2018

DENVER —  More than 149,000 Coloradans selected healthcare coverage for 2018 through the state health insurance Marketplace through the December 17, 2017, a rate 7 percent ahead of signups one year ago, according to new data released today by Connect for Health Colorado®, mid-way through the Open Enrollment period for 2018 coverage.

“It’s not over, but the first half of this Open Enrollment period has set a solid pace,” said Connect for Health Colorado CEO Kevin Patterson.  “We are still enrolling Coloradans who buy their own health insurance through January 12.  I encourage everyone who does not have coverage yet to go to our site and see if they qualify for financial help. My message is, ‘Don’t leave money on the table.’ We know that too many Coloradans who qualify for help assume that they don’t.”

Yes, The Big Deadline, December 15th, has finally come and gone, and the half-length, batcrap insane 2018 Open Enrollment Period is over and done with, right?

Well...sort of.

It's true that the official deadline to #GetCovered for 2018 has passed for HealthCare.Gov (which operates 39 states), along with the state-based exchanges in Vermont and Idaho.

HOWEVER...there are 9 other state exchanges, as well as the one in the District of Columbia, which have deadlines later than December 15th:

The other day it was reported that unlike prior years, HealthCare.Gov would not be offering any type of "In Line By Midnight" grace period this year for people who start their ACA application today but aren't able to complete it in time for whatever reason.

Apparently that isn't quite the case...

It's busy at our call center today! If you call and are asked to leave your name and phone number, please do so. A call center rep will call you back after Dec 15 to make sure you have Marketplace coverage that starts Jan 1. You may also visit https://t.co/eTfU7hBbyh to enroll.

— HealthCare.gov (@HealthCareGov) December 15, 2017

Good, although this isn't necessarily the same thing; it might only apply to people with special circumstances or whatever. Still, it's a good thing.

Still better to #GetCovered by midnight, though...

UPDATE: Just in case there was any doubt...

Hmmm...a week ago AccessHealthCT reported just over 92,000 QHP selections as of December 8th, leaving 9,380 current exchange enrollees who still had to actively choose a new policy.

Today they've updated their enrollment tally to 98,376 (with 7,800 left to choose a plan)...but the thru date still reads December 8th.

I'm assuming whoever posted the update simply forgot to also update the "as of" date; presumably it's as of yesterday (December 14th), but I've put in a request for clarification.

UPDATE: Yup, they've since corrected the date to read 12/15/17 (basically, as of this morning I presume).

It's important to note that today is not the deadline for Connecticut residents to enroll; AccessHealthCT's deadline isn't until next Friday, December 22nd.

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