Back on December 19th, my colleagues Colin Baillio and Andrew Sprung picked up on something I had posted in response to the semi-final 2021 Open Enrollment snapshot report:
STATE LEVEL:
--25 out of 36 states outperformed last year
--Best % increase y/y: TEXAS (+14.9%)
--Worst $ decrease y/y: KENTUCKY (-6.7%)
I have no idea if there's anything special in either state which caused either to do as well/poorly as they did relative to last year.
From the state totals one obvious pattern leaps out: enrollment is up 9.7% in states that have not enacted the ACA Medicaid expansion -- and down 0.5% in states that have expanded the expansion (including Nebraska, which opened the Medicaid expansion doors in October of this year).
Approximately 8.3 million people selected or were automatically re-enrolled in plans using the HealthCare.gov platform during the 2021 Open Enrollment period.
These snapshots provide point-in-time estimates of weekly plan selections, call center activity and visits to HealthCare.gov or CuidadoDeSalud.gov. The final snapshot reports new plan selections, active plan renewals and automatic renewals. It does not report the number of consumers who paid premiums to effectuate their enrollment.
As a reminder, New Jersey and Pennsylvania transitioned to their own State-based Exchange platforms for 2021, thus they are not on the HealthCare.gov platform for 2021 coverage. Those two states accounted for 578,251 plan selections or 7% of all plan selections during the 2020 Open Enrollment Period. Plan selections for 2021 coverage in these two states will not appear in our figures until we announce the State-based Exchange plan selections.
Way back in October 2013, I launched the ACA Signups project as a light, nerdy hobby thing which was only supposed to last around six months, through the end of the first ACA Open Enrollment Period (March 31, 2014). Instead...well, let's just say that it's more than seven years later and I'm still doing this.
The reality is that The Graph itself doesn't serve a whole lot of useful function anymore. The enrollment patterns were erratic the first couple of years but have since settled into a pretty predictable...if not downright boring pattern for both the federal and state exchanges. The main reason I keep doing it each year is mostly out of tradition these days; after all, without The Graph, there wouldn't be an ACA Signups and I wouldn't have become a healthcare policy wonk in the first place.
Covered California Begins New Year With a Record Number of Plan Selections, Serving Those Hardest Hit by the Pandemic, as State Experiences Post-Holiday Surge of New COVID-19 Cases
New law clearly separates short term limited medical plans from Health Link
RENO, Nev. (KOLO) - Broker Alex Sampson is busy these days helping local residents connect with a health insurance program through Nevada Health Link.
But just seven days ago, a new law went into effect here in Nevada which may make the process less confusing for consumers looking for health care insurance coverage on their own.
The law impacts short term limited health medical plans. These are plans which provide very limited coverage for one year only to customers and could be confused with policies on Health Link.
“They are being advertised as extremely affordable plans,” says Janel Davis, Health Link Communications Officer. “But again when they go to use those plans and they go to the hospital for example, what they are finding out; what they need health wise is not covered,” says Davis.
Needless to say, it's been difficult to focus too much on healthcare issues the past few days.
In addition, it's not like the deadly invasion, occupation & attempted coup attempt of the U.S. Capitol by a violent mob incited by the President of the United States himself has a whole lot of healthcare policy side stories, unless you're talking about the entire incident also being a COVID-19 superspreader event, what sort of healthcare coverage the dozens of injured police officers have or whether eye injuries due to being maced are covered by healthcare policies.
However, this breaking announcement seems to fit the bill. via Rachana Pradhan of Kaiser Health News, on Twitter:
Whoa: the Blue Cross Blue Shield Association, whose companies provide health insurance to 100+ million Americans across the country, is suspending political contributions to members of Congress who objected to the Electoral College count. Statement below:
The data below comes from the GitHub data repositories of Johns Hopkins University, except for Utah, which comes from the GitHub data of the New York Times due to JHU not breaking the state out by county but by "region" for some reason.
I've made some more changes:
I've now completed updating the partisan lean for every county except Alaskato the 2020 Biden/Trump results. Alaska still uses the Clinton/Trump 2016 results, although I can't imagine more than one or two regions changed status there this year.
I've also added columns listing the actual Biden/Trump vote percentage for each county to give a feel for how partisan it is. Again, I'm defining "Swing District" as any county where the difference is less than 6.0%. There's 188 swing districts (out of over 3,100 total), with around 33.8 million Americans out of 332 million total, or roughly 10.2% of the U.S. population.
I've also added all U.S. territories, including a county-equivalent breakout for Puerto Rico, as well as American Samoa, Guam and the U.S. Virgin Islands. None of these vote in the general Presidential election, of course, but I'm still tracking their COVID-19 case & death rates. None show up in the top 100 of either ranking, however. Note that Puerto Rico only includes the case breakout, not deaths, which are unavailable for some reason.
With these updates in mind, here's the top 100 counties ranked by per capita COVID-19 cases as of Friday, January 8th, 2021 (click image for high-res version).
Blue = Joe Biden won by more than 6 points; Orange = Donald Trumpwon by more than 6 points; Yellow = Swing District
Record number of Washingtonians secured health insurance coverage through Washington Healthplanfinder in 2020
In a year defined by a health crisis, 2020 saw more than two million Washingtonians enrolled in Washington Apple Health (Medicaid) and Qualified Health Plans. This is a new record high number of individuals and families obtaining health coverage through Washington Healthplanfinder, the online portal administered by the Washington Health Benefit Exchange (Exchange). Over 1 in 4 Washingtonians are using Washington Healthplanfinder to find and enroll in health coverage. Open enrollment for 2021 coverage runs through Jan. 15 of this year with coverage starting Feb. 1.
Approximately two million residents received free or low-cost Apple Health coverage, and the remaining 215,000 enrolled in Qualified Health Plans. This past December saw an average of 1,500 individuals a day enrolled in Apple Health.
Access Health CT, Connecticut's state-based ACA exchange, has updated their enrollment summary and now reports 102,704 residents have selected policies for 2021, including 16,764 new enrollees.
Last year they had a total of 107,833 QHP selections during Open Enrollment, which they're 4.8% away from breaking.
Connecticut residents still have until January 15th to #GetCovered via AccessHealthCT.com.
I've done my best to label every state/territory, which obviously isn't easy to do for most of them given how tangled it gets in the middle. For cases per capita, the most obvious point is that New York and New Jersey, which towered over every other state last spring, are now utterly dwarfed by North & South Dakota, although things are getting pretty horrible everywhere now.
North Dakota has broken 12.3% of the entire population having tested positive, or nearly 1 out of every 8 residents.
South Dakota is up to 11.5%, or more than 1 out of every 9 residents.
25 states have seen at least 1 out of every 15 residents test positive.
