OE8

In my Twitter thread yesterday breaking out the semi-final HC.gov weekly snapshot enrollment report, I noted:

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.

My colleagues Colin Baillio and Andrew Sprung took note of this, and Sprung decided to look into it further. He broke out the states between Medicaid expansion and non-expansion states, and voila:

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).

Access Health CT, Connecticut's state-based ACA exchange, has updated their enrollment summary and now reports 102,049 residents have selected policies for 2021, including 15,310 new enrollees.

Last year they had a total of 107,833 QHP selections during Open Enrollment, which they're just 5.4% away from breaking.

In addition, as noted a few days ago, they're also extending their deadline by a full month (whcih they also did last year):

via Access Health CT:

Access Health CT Extends 2021 Annual Open Enrollment Period As A Result Of Current Health Crisis

CT residents can shop and enroll in health insurance coverage until January 15, 2021

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.

Hot off the presses, via the Centers for Medicare & Medicaid:

Week Six, December 6 - December 15, 2020

In Week Six of the 2021 Open Enrollment period, 4,416,057 people selected plans using the HealthCare.gov platform or were automatically re-enrolled in a plan. While past snapshots this year have measured enrollment weeks Sunday through Saturday, this week’s snapshot for week six also includes the final few days of the Open Enrollment Period.

Annnnnnd add Your Health Idaho to the list:

Deadline to Get Health Insurance Extended
Idahoans have until December 31 to get covered for 2021

Today, for the first time ever, the Your Health Idaho Board of Directors voted to extend the Open Enrolment deadline. Idahoans now have until Dec. 31, 2020, to sign up for health insurance coverage that begins Jan. 1, 2021.

Your Health Idaho saw the largest single-day enrollment since 2018 on Tuesday, Dec. 15, the original deadline date. This increased activity coupled with ongoing impacts from the coronavirus pandemic spurred Your Health Idaho to extend the deadline.

“An unprecedented year calls for unprecedented measures,” said Your Health Idaho Chairman of the Board, Stephen Weeg. “Given the challenges faced by Idahoans in 2020 and the renewed need for comprehensive health insurance, we hope that by extending the deadline a few more weeks, every Idahoan will have access to the coverage they need for the coming year.”

Earlier this week California bumped out their "soft" enrollment deadline for January coverage from 12/15 to 12/30. Yesterday Colorado bumped theirs out to 12/18, and Connecticut tacked on an entire extra month to their Open Enrollment Period (though enrollees there won't start coverage until February at this point).

Today New York continues the trend:

Press Release: NY State of Health Reminds New Yorkers There is Still Time to Sign up for Coverage that Begins on January 1, 2021

Dec 17, 2020

(ALBANY, N.Y) December 17, 2020-- NY State of Health, New York’s official health plan Marketplace today announced New Yorkers applying for Qualified Health Plan coverage have until December 31 to sign up for health coverage starting January 1, 2021. Individuals who were unable to enroll by the December 15 deadline should enroll now by visiting the NY State of Health website.

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.

Hot off the presses from Maryland Governor Larry Hogan's office (interestingly, the announcement is being made by him, not by the Maryland Health Connection ACA exchange itself, which is unusual):

Governor Hogan and Maryland Health Connection Announce Record Enrollment for Health Coverage

ANNAPOLIS, MD—Governor Larry Hogan today announced that more than 166,000 Marylanders enrolled in private health coverage for 2021 through Maryland Health Connection—the largest enrollment ever on the state’s health insurance marketplace—which represents a 4.5% increase of about 7,100 enrollees since the previous year.

“I am pleased to see so many Marylanders taking advantage of our state’s impressive health insurance marketplace, especially as we battle the COVID-19 pandemic, ” said Governor Hogan. “With one of the longest COVID-19 special enrollment periods in the country, we continue to work to increase healthcare access and affordability in Maryland.”

via the Washington Health Benefit Exchange:

Washington Healthplanfinder Sees Surge in Customers as Final 2021 Deadline Approaches

  • Select a plan by Jan. 15 for coverage that begins Feb. 1

People statewide flocked to Washington Healthplanfinder this week to beat the Dec. 15 deadline for health coverage that would start the first of the year. With that date now passed, Washingtonians still seeking 2021 health coverage have until Jan 15, 2021 to shop on Washington Healthplanfinder for coverage that begins February 1.

“We were glad to see the large number of enrollees come in and secure coverage that starts Jan. 1,” said Chief Executive Officer Pam MacEwan. “This year, in response to the public health emergency, we are providing additional time for those who didn’t enroll prior to Dec. 15 to sign up for 2021 coverage over the next month.”

via Access Health CT:

Access Health CT Extends 2021 Annual Open Enrollment Period As A Result Of Current Health Crisis

CT residents can shop and enroll in health insurance coverage until January 15, 2021

  • Access Health CT extended the 2021 Annual Open Enrollment period until January 15, 2021 as a result of the current health crisis, providing more time for CT residents to get covered.
  • If individuals choose a plan during the extension, the coverage will start on February 1, 2021.
  • If customers are already covered by an insurance plan through Access Health CT for January 2021 and would like to pick a new plan starting in February 2021, they must first pay their January monthly bill (premium).

HARTFORD, Conn. (December 16, 2020)—Access Health CT (AHCT) today announced an extension for the 2021 Annual Open Enrollment period until January 15, 2021 as a result of the current health crisis, providing more time for CT residents to get covered.

Last week, Get Covered New Jersey, NJ's brand-new state-based ACA exchange, reminded New Jersey residents to enroll via Open Enrollment via the #GetCovered2021 campaign. The press release also mentioned, in passing, that nearly 227,000 NJ residents have already signed up for 2021, over 20,000 of whom are new enrollees.

Today, they posted a much more detailed breakout of their enrollment data so far, as well as reminding residents that unlike most states, New Jersey's Open Enrollment Period isn't over until the end of January, although they have to enroll by December 31st for coverage starting January 1st:

There's no formal press release, but Pennie, Pennsylvania's brand-new state-based ACA exchange just noted via their official Twitter account that they're extending the enrollment deadline for coverage starting January 1st by one week:

IMPORTANT ANNOUNCEMENT! We have extended the deadline! You now have until Tuesday, December 22 to select health coverage that begins New Year’s Day.

— Pennie (@PennieOfficial) December 15, 2020

A reminder from MNsure, Minnesota's ACA exchange:

The Final Countdown; MNsure's Open Enrollment Period Ends December 22 at Midnight

ST. PAUL, Minn.—Minnesotans looking for health insurance coverage starting January 1, 2021, have until 11:59 p.m. on Tuesday, December 22 to enroll in coverage through MNsure.org. The federal health insurance exchange, HealthCare.gov, ends its enrollment period today, but Minnesotans have an extra week to enroll through MNsure.

"There is still time to get 2021 health care coverage through MNsure," said MNsure CEO Nate Clark. "Minnesotans have through December 22 to sign up for comprehensive health insurance and access the financial help that makes it more affordable. But, don’t wait! Visit MNsure.org today so you can be sure you’re covered in the new year."

Need help? MNsure's Contact Center will provide extended hours leading up to the deadline:

via the Washington Health Benefit Exchange:

Washington Healthplanfinder Urges Customers to Act Now for Jan. 1 Health Coverage

  • People need to enroll in their desired 2021 health plan by midnight, Tuesday Dec. 15

Washington Healthplanfinder is urging individuals needing 2021 health and dental coverage beginning Jan. 1 that they have less than 36 hours to take action and sign up. Customers wanting coverage that starts Jan.1 must select a plan through Washington Healthplanfinder by 11:59 p.m. this Tuesday, Dec. 15.

“For those who have left this decision to the last minute, now is the time to sign up for 2021 health and dental coverage,” said the Exchange Chief Executive Officer Pam MacEwan. “There are plenty of resources available to help people understand their options and secure health insurance coverage.”

via the Nevada Health Link:

While most of the country’s Exchanges prepare to conclude their Open Enrollment Periods, Nevada Health Link remains open through January 15, 2021 to purchase 2021 coverage

  • Nevadans have 30 more days to get covered Nearly 72,000 Nevadans have enrolled to date

Carson City, Nev. – While most of the country prepares to conclude their open enrollment periods s this week on Dec. 15, Nevadans have an additional 30 days to enroll in health insurance coverage for 2021. Now through Jan. 15, 2021, Nevada Health Link, the online health insurance marketplace operated by the Silver State Health Insurance Exchange (Exchange), remains open and available for Nevadans to purchase comprehensive, Affordable Care Act (ACA) compliant health plans for 2021. As a State Based Exchange (SBE), Nevada Health Link makes its own decisions and is autonomous from the federal marketplace – HealthCare.gov – therefore allowing for an extended Open Enrollment Period (OEP), which is one of the many advantages to operating as a SBE.

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