2020 OPEN ENROLLMENT ENDS (most states)

Time: D H M S

Healthcare.Gov

Just a quick hit: There's now just under 7 hours to go before the December 15th deadline for January 1st coverage (I'm assuming the actual deadline is midnight Pacific time?), and it looks like we've indeed reached the server capacity limits of HealthCare.Gov; it placed me on the "Waiting Room" screen for a solid 10 minutes before redirecting me to the account login page.

Meanwhile, Covered California just issued the following statement:

COVERED CALIFORNIA EXTENDS SERVICE CENTER HOURS UNTIL MIDNIGHT TO HELP CONSUMERS BEAT KEY DEADLINE

As always: I could be dead wrong here. It's entirely possible that my recent tweaking of The Graph, which projected that 1.5 million people would select exchange QHPs between 12/06 - 12/12 via HealthCare.Gov alone and continued to see the number shoot up from there for December 13th, 14th and 15th is way off the mark.

HOWEVER, assuming that both the Week Six total as well as the "spike" trend I projected turn out to be accurate, that means that these final days should be playing out something like the following:

  • Sunday, 12/13: Around 350K nationally (270K via HC.gov)
  • Monday, 12/14: Around 460K nationally (350K via HC.gov)
  • Tuesday, 12/15: Around 780K nationally (600K via HC.gov)

Yes, that's right, it's conceivable that HealthCare.Gov could see up to 600,000 people select private policies in a single 24-hour period tomorrow, plus up to another 180,000 via the various state exchanges.

Some Guy, 11/12/15:

By my reckoning, total national QHP selections should hit around 1.33 million by the end of Week Two, of which around 1.07 million should be via HealthCare.Gov. I the expect around 1.9 million in Week Three, around 2.4 million by Thanksgiving, and then start ramping up to around 6.3 million by the 12/15 deadline for most states.

CMS Dept., just moments ago:

Health Insurance Marketplace Open Enrollment Snapshot: Week 2: November 8 – November 14, 2015

The second week of Open Enrollment for Marketplace coverage saw millions more Americans exploring their health insurance options by calling the call center, attending enrollment events, or visiting HealthCare.gov or CuidadoDeSalud.gov.

The official tally of QHP selections nationally during the 2015 Open Enrollment Period (from 11/15/14 - 2/22/15) was 11,688,074 people.

The actual number of people still enrolled in effectuated plans (i.e., active) as of March 31, 2015, according to the HHS Dept., was 10,187,197 people. That's a net reduction of exactly 1,500,877.

On the surface, that may look bad, but bear in mind that with a 90% payment rate (which I suspect is actually pretty close to the non-ACA industry standard, and which is about 2 points better than last year), that means only about 10.5 million of the original enrollees would have been expected to actually be enrolled in March anyway. That leaves another 332,000 people who presumably paid up for January, February and/or March, but had dropped their policies by the end of March.

Almost lost in today's final* "weekly snapshot" report on Healthcare.Gov enrollment was this tidbit regarding the renewed enrollment breakout:

*(I really, really hope this isn't the final one...)

“More than half of the 4.17 million people who re-enrolled in coverage during Open Enrollment came back and actively selected a plan and more than half of those consumers selected a new plan,” said Andy Slavitt, Principal Deputy Administrator of CMS. “Based on my experience looking at enrollment trends with employer-sponsored coverage and Medicare, it is clear that Marketplace consumers are more active, engaged, and eager to shop for the coverage that's right for them.”

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