2018 MIDTERM ELECTION

Time: D H M S

This isn't an official update; it doesn't give an exact number, and there's no QHP/Medicaid breakout, but it's better than nothing:

WASHINGTON – Kentucky Gov. Steve Beshear charged Tuesday that Senate Minority Leader Mitch McConnell and other critics of the federal health care law are being "disingenuous," attempting to be for a state program that is no different from Obamacare.

The governor called the state health care exchange known as kynect "highly successful," enrolling 421,000 Kentuckians — with 75 percent of them receiving coverage for the first time in their lives.

The final enrollment period breakdown was 82,792 QHPs and 330,615 Medicaid enrollees, or 413,407 total, so this represents an increase since 4/19 of 7,593 total.

If we were still in the open enrollment period, of course, I'd just use the same 20/80 ratio that the existing numbers suggest, but since we're in the "off season" for QHPs this is trickier. I'll assume a 10/90 ratio until I hear otherwise, which would mean that KY's QHP total is now up by 759 and Medicaid is up 6,834.

First, take a look at my most recent Michigan Medicaid expansion update from a week ago:

Michigan is now up to over 57% of the 500,000 residents eligible for Medicaid/CHIP under the Affordable Care Act:

Healthy Michigan Plan Enrollment Statistics

Beneficiaries with Healthy Michigan Plan Coverage: 287,281
(Includes beneficiaries enrolled in health plans and beneficiaries not required to enroll in a health plan.)

*Statistics as of June 9, 2014 
*Updated every Monday at 3 p.m.

That was it. That was the entire entry.

As a follow-up to yesterday's 200K - 300K monthly exchange QHP estimate post, here's where things stand for all of the exchanges:

  • Healthcare.Gov (Federal Exchange): Current thru 4/19; No Updates until November
  • CoveredCA: Current thru 4/19; NEW DATA TO BE RELEASED "SOON"
  • Connect for Health Colorado: Current thru 5/31
  • DC Health Connect: Current thru 4/30; left message
  • Access Health CT: Current thru 5/22 (paid) / 3/31 (total)
  • Hawaii Health Connector: UPDATED WEEKLY
  • KYnect: Current thru 4/19; left message
  • Maryland Health Connection: Current thru 5/10; NEXT UPDATE: 6/27
  • Massachusetts Health Connector: Current thru 5/07
  • MNsure: Current thru 6/15; UPDATED DAILY (!)
  • Nevada Health Link: Current thru 5/28 (paid) / 5/10 (total)
  • New York State of Health: Current thru 4/19; No Updates until November
  • Cover Oregon: Current thru 6/12; UPDATED WEEKLY
  • HealthSource RI: Current thru 4/30; left message
  • Vermont Health Connect: Current thru 6/12 (paid)
  • Washington HealthPlan Finder: Current thru 5/27; left message

The good news: Illinois ACA Medicaid expansion is up to 350K, a 20K increase from 2 weeks ago. This represents 44% of the 800K eligible for the expansion program in the state.

The bad news (or good news, depending on your POV): There's nother 250K still in the hopper to be processed. Assuming the same 70% approval rate, that should increase the enrollment number by another 175K.

As of last week, Illinois' backlog of unprocessed Medicaid applications stood at 250,000, up from about 200,000 state officials reported in mid-March, but down from a peak of nearly 500,000 in early April, according to state data.

Since Oct. 1, the start of open enrollment in an expanded Medicaid program authorized by the federal health law, the state has received nearly 900,000 applications for public aid, most of which included Medicaid. Thus far, it has processed about 650,000 of them, granting coverage to about 450,000.

Roughly 350,000 gained Medicaid coverage under the health law, which expanded eligibility to all adults who make less than about $15,500 a year. The remainder gained coverage under old Medicaid parameters, which generally covered children, families and a category of older, sicker patients.

OK, the Medicaid number is a bit squirrelly since it isn't broken out by expansion/woodworkers/churn; the official number as of 4/19 was 27,268, so I'm estimating it at an even 30K.

Otherwise, the QHP total is for paid enrollees, up from 27,221, and the SHOP number is up from 33,614.

Vermont Health Connect has helped 144,500 Vermonters get health coverage. More than half, 80,400, were enrolled in Medicaid, many as a result of the program’s expansion under the Affordable Care Act.

However, the website was launched with significant problems, and eight months later it is still incomplete. State officials said this week that they will continue to rely on the two participating insurance carriers to enroll small businesses throughout the upcoming open enrollment period that begins Nov. 15. There are currently 34,800 people in that group.

There are also 29,300 people in the individual market who purchased commercial insurance. More than half, 62 percent, qualified for subsidies that lower the cost of those plans, though advocates say they are often still difficult to afford.

Minnesota is posting updates almost daily (ironic given that both the federal exchange as well as NY State of Health are officially not posting any updates until November).

In addition to the QHP daily rate (about 24% of what it was during the normal enrollment period), MN's Medicaid total is up another 3,587 in just the past 6 days.

enrollment update

latest enrollment numbers

June 15, 2014 

Health Coverage Type Total Enrollments 
Medical Assistance 139,214
MinnesotaCare 49,618
Qualified Health Plan (QHP) 51,809
TOTAL 240,641

Since I started the ACA Signups project, I've generally restricted my posts to ACA enrollment-specific articles and data. After all, the subject of healthcare is so huge, and there's so many other far better sources for developments in the medical field, etc, that it seems best to stick to the subject at hand.

However, the anti-vaxxer movement, which started as the punchline to a bad joke named "Jenny McCarthy" has ceased to be amusing and has now become flat-out frightening.

From January 1 to June 10 this year, California already had 3,458 cases of whopping cough, which already exceeds the number of cases reported in 2013, and following a surge in the incidence of the disease in the past two weeks, health official found it necessary to declare an epidemic.

Last week I made a bold estimate that at least 200,000 additional QHP enrollees are likely to be added each month from 4/15 (the end of the first open enrollment period) through 11/15 (the start of the next one). That's 7 months x 200K, or around 1.4 million on top of the 8.02 million confirmed QHP enrollees during the first period (well, technically the last HHS report runs through 4/19).

Nationally, the open enrollment period average was 8.02 million in 201 days (10/1/13 - 4/19/14), or an average of 39,900 QHPs per day (201 days...this includes everything from the disastrous website launches, to the December surge, to the February "lull", to the March insanity straight through to the April "extension period").

Of course, this wouldn't be such a mystery if the HHS Dept. hadn't cut off enrollment reports during the off-season, but I won't go on that rant again.

So where am I getting this 200K estimate during the off season? Well, let's take a look at the numbers we do have since then:

OK, it's difficult to get a bead on how Oregon has been performing since the end of open enrollment, because they bumped theirs out 2 weeks beyond most other states. Even so, they've added 19,214 additional QHP enrollees since the 4/19 HHS report, or over 350 per day.

Interestingly, there's been no change at all in their reported Medicaid enrollment; I'm assuming they just didn't include that data this week since it's changed some every other time.

June 12, 2014
Update: Private coverage and Oregon Health Plan enrollment through Cover Oregon

Medical enrollments through Cover Oregon: 299,452
Total private medical insurance enrollments through Cover Oregon: 87,522
Oregon Health Plan enrollments through Cover Oregon: 211,930

Dental enrollments 
Total private dental insurance enrollments through Cover Oregon 1: 17,751          

Net enrollments 
Net private medical: 80,340
Net private dental: 15,574
 

Connector Updates for June 7, 2014
Total since October 1, 2013

32,625 Applications completed in the Individual Marketplace
9,482 Individuals and families enrolled in the Individual Marketplace
631 Employers applied to SHOP Marketplace
846 Employees and dependents enrolled via SHOP Marketplace
 

More positive Medicaid news out of Arkansas (the 75% figure refers to those fully enrolled, but it's actually a bit higher: 76.4%. If you go by "determinations" it's even better, over 83% of the total eligible):

DHS spokeswoman Amy Webb said the figures released cover the month of May.

“Over 187,000 have been determined eligible. Just over 172,000 of those have already completed the enrollment process and now have full access to their private health insurance coverage. Overall we estimate that about 225,000 Arkansans would be eligible for the program so we’re about 75 percent there,” said Webb.

(I should note that the KFF estimates Arkansas' Medicaid-expansion-eligible number at more like 281K, but those are rough numbers and this woman is from the actual state program speaking so I'll defer to her on it).

A trifecta of updates out of the LA Times today thanks to contributor Brian W; can you count how many GOP talking points take serious damage below:

New data show the number of students without health insurance on California State University campuses dropped by 60% after Obamacare enrollment, defying concerns that not enough young people would sign up for health insurance.

...During the open enrollment period that ended in April, some officials worried that if not enough young, healthy people signed up for coverage, insurance companies would be left with too many sick and expensive customers, which would eventually cause carriers to raise premiums.

According to a poll released Thursday, at the 15 largest CSU campuses, approximately 30% of students were uninsured before enrollment began, and 10% were uninsured after. The drop accounts for 60,000 students who became insured, and illustrates the late surge of young people who signed up for policies.

Meanwhile...

So, yesterday I posted an item about how the ACA has cut Kentucky's uninsured rate by at least 50% since last October. This is significant news, but I also posted similar items about impressive uninsured rate drops in New Jersey (38%), Minnesota (40%) and especially Massachusetts (a good 86% or so, down to nearly zilch). All four posts received various levels of retweets on Twitter. However, the Kentucky one in particular apparently caught the eye of one David Simas, aka the "Assistant to the President and Deputy Senior Advisor for Communications and Strategy."

This press release JUST showed up in my in box; I don't have a link to it on WA's website, so I'm reposting it verbatim below (emphasis mine):

FOR IMMEDIATE RELEASE – June 12, 2014

Media contact: Public Affairs (360) 725-7055

Individual health insurance market expands more than 30 percent – enrollment now at 327,000

OLYMPIA, Wash. – The individual health insurance market grew  30 percent in one year to more than 327,000 people in Washington state, according to new information reported by health insurers to the Office of the Insurance Commissioner.

The latest enrollment numbers and other insurance market data also indicate that Washington state has succeeded in reducing the number of uninsured by more than 370,000.

Today’s individual market total includes 171,286 people enrolled outside the Washington Health Benefit Exchange, Wahealthplanfinder, and 156,155 people enrolled inside the Exchange as of June 1, 2014.

Since today seems to be "How much has the ACA cut the uninsured rate by in this state/that state?" day, I thought I'd dust off this TPM article from way back on April 1st:

Obamacare has cut Kentucky's uninsured population by more than 40 percent, signing up roughly 360,000 residents since enrollment opened up on Oct. 1, according to the Louisville Courier-Journal.

Some 75 percent of them -- 270,000 -- were previously uninsured. That means Kentucky's uninsured population of 640,000 has come down by 42 percent.

At the time, the headline read "Obamacare Cuts Kentucky's Uninsured Rate By 40 Percent", which was impressive enough. However, that was wayyyy back over 2 months ago. A little simple math tells the rest of the story:

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