Massachusetts

2019 OPEN ENROLLMENT ENDS (most states)

Time: D H M S

On Friday I discovered that my estimate of roughly 60% of Massachusetts "determined eligible for QHPs" actually selecting a plan was way too high; the actual ratio was closer to 48% overall, meaning that my prior estimate of about 62K QHP selections was too high; the actual number was 53,490 as of Thursday the 18th, which is still excellent, just not as great as I thought it was.

Today I received confirmation directly from the exchange that total enrollments (ie, selected plans) are up to 61,470 as of this morning, which means that the ratio is indeed starting to move up, just later and not as quickly as I had thought (61,470 / 124,403 QHP determinations is just shy of 50%).

OK, it looks like my theory about MA's "QHPs as % of Determinations" theory was wrong; I assumed that it would have started increasing from 50% over the past week, intstead it dropped to about 48% (or held steady at 52% if you include the "plans in cart" which neither I nor the MA exchange is doing anyway).

Therefore, the bad news is that the official total is around 8,300 fewer than I thought: 53,490 thorugh yesterday. The good news is that this is still an excellent number, and there's still tens of thousands of people who've started the process who have until next Tuesday to wrap it up.

In addition, remember my snark from 11/16 about "ONLY 3.5% HAVE PAID!!"? Well, guess what: That percentage is up to 34%, and they still have 5 days to pay (I presume they're dealing with a flood of payments at the moment).

The Medicaid tally holds at 98,530 since it doesn't include yesterday.

Chalk up another 4,433 QHP eligibility determinations for MA yesterday. Assuming 60% of those have selected a plan, the cumulative total for 2015 should be up to around 61,800 people to date.

As of mid-April, Massachusetts had only enrolled a total of 31,695 people. That means that assuming I'm close, the Bay State should double their 2014 QHP enrollment by tomorrow.

In addition, their Medicaid enrollments are closing in quickly on the 100K mark (98,530), and should easily cross it tomorrow as well.

Massachusetts continues to chug along, with another 4.243 QHP eligibility determinations; assuming a minimum 60% plan selection rate, that should add another 2,500 or so to the total, for around 59K QHPs to date.

Meanwhile, Medicaid (MassHealth) enrollments have broken 94,000:

HUGE news day, of course. In addition to HC.gov overperforming my estimate by 6% (2.46M as of 12/12 instead of 2.32M), Maryland and Massachusetts are out with their latest numbers.

MA still isn't including an actual QHP selection update, but it should be roughly 56,600 based on the "QHP eligibility determinations" total of 103,591.

In addition, they're about to break 90K even added to Medicaid:

As you can see from the graphic I posted yesterday (and had to revise several times throughout the day), the official enrollment deadline for private policies starting on January 1st, 2015 has now passed for all 37 states operating via HealthCare.Gov, as well as residents of DC, Hawaii and Kentucky. It's certainly possible that any or all of these will announce some sort of "special circumstances" allowance for those who didn't make the midnight cut-off (10pm in Alaska), but I'm assuming those would be done strictly on a case-by-case basis.

OK, so what about the remaining 11 states?

Well, 4 of them (MD, MA, RI & WA) had later deadlines for January coverage all along: Maryland on 12/18 (Thursday) and the other 3 on 12/23 (next Tuesday).

New York and Idaho bumped their deadlines out from yesterday until 12/20 (Saturday), although Idaho had previously claimed that their deadline was 12/23, but are now claiming that it was originally 12/15. I still don't understand what happened there, but so be it: 12/20 it is for ID.

Wow! I'm impressed! I know Massachusetts said they'd be issuing daily enrollment reports during weekdays, but I really didn't think they'd have time to do so today. Then again, their deadline isn't until next Tuesday (the 23rd), so I guess things aren't too crazy in the Bay State.

Anyway, let's take a look...

Well, they haven't officially updated the "QHP plan selection" tally in a week or so, but I'm reasonably certain that the % of "eligibility determinations", which had been hovering around 50-55% until about a week ago, should have worked it's way up to perhaps 60% in recent days. Assuming I'm correct about this, their QHP selection total should be roughly 52,600 by now, though I'll knock off 600 out of caution and go with 52K even.

Again: During the 2014 open enrollment period, MA only nabbed less than 32K during the full 200-day period, so they're already 60% ahead of last year less than 1/3 of the way through this one.

Meanwhile, they've also added 84K people to Medicaid as well.

 

Hmmmmm...MA has switched their weekly reports from Mondays to Fridays, which is fine...except that until now the weekly versions also included actual hard "QHP plans selected" data.

This one...doesn't. It includes all the other weekly stuff but not the actual plans selected (aka "total enrollments" by my lingo). As a result, I'll still have to do an estimate based on the Eligibility Determinations...which in this case is a total of 83,988.

Assuming that the % of QHP determinations which have already led to actual plan selections is up to around 60% per day by now (up from around 52% a week or so ago), that should mean roughly 44,800 QHP selections to date. To be cautious, however, i'll knock it down to an even 44K for now.

And, again, Medicaid (MassHealth) enrollments are already up to 72,175 people.

Wow...HUGE data dump today! First California (well...half of it, anyway); then HC.gov (37 states); now, of course, Massachusetts' daily snapshot.

Another 4,725 QHP determinations. Assuming 60% of those have selected plans already, that should bring the total to around 42,100 to date...or 33% higher than MA's total 2014 enrollment tally.

Meanwhile, they've also hit 68.1K Medicaid enrollees.

Again, I don't have the hard QHP selection numbers for the past 5 days, but assuming 60% of the QHP determinations have also selected a plan, the total should be roughly 39,300 as of last night.

In addition, Massachusetts' MassHealth (Medicaid) enrollments have reached 64,155 with immediate effect:

Massachusetts is now on track to enroll a minimum of 154,000 people...and that's not including the mid-December/mid-February surges which are sure to come.

Just a few things to note...

MASSACHUSETTS: The MA Health Connector allows for online premium payments (and in fact, payments have to be made to the exchange, not to the insurance company itself). The good news is that the website & billing system appear to be working properly this year, a vast improvement over last year's disaster. The bad news (or, odd news anyway) is that for some reason the system requires you to pay using only direct electronic fund transfers or a written check--it does not accept credit card payments!

I don't know if this is for technical reasons (which I doubt) or policy reasons (avoiding the 2.5% transaction fees or whatever), but it seems very odd to me.

HAWAII: Not only hasn't the HI Health Connector provided any enrollment updates since open enrollment started again on November 15th, they haven't even updated their enrollment report section since July 26th! Guys, either post an update or at least remove the link entirely; keeping it as is, locked in on 7/26 is just embarrassing.

Hmmm...for some reason, the MA Health Connector chose to give a daily report today instead of the weekly report which they've been doing on Mondays.

On the one hand, this is OK because it still includes the daily breakdown of QHP determinations. On the other hand, the weekly reports gave the hard QHP selection numbers, which aren't included here.

I'm going to assume that the ratio of actual selections has moved up to around 60% over the weekend (from the 48-50% it was at earlier) as we move towards the January cut-off point. If so, that means that QHP selections in Massachusetts should now be well above the 2014 total (31,695) and should be somewhere around 36,400 as of last night:

Meanwhile, Medicaid (MassHealth) enrollments have broken the 60K mark; I've been informed that these are effective immediately.

Another day, another 2,300 (estimated) QHP selections for Massachusetts. Assuming I'm right about that number (or even close to it), that means their total should now sit at around 31,750.

As I noted yesterday, Massachusetts has already reached their 2014 Open Enrollment Period total...in just 20 days.

At the current pace, MA is now on track to hit a bare minimum of 148K QHPs, without taking into account the double-surges around 12/23 and 2/15 to come.

OK, this particular experiment is specifically for HealthCare.Gov QHP enrollments only, not the national total including the state exchanges. I'm trying to see just how much of a correlation there is between the Massachusetts exchange (the only state providing daily enrollment updates) and HealthCare.Gov. Obviously there are a lot of differences between the two beyond scale, but so far they've tracked pretty closely on a number of criteria, so I want to see if that holds true on actual enrollments as well.

So, this is actually a twofold projection:

On Monday, I suspect the MA Health Connector will announce roughly 33,300 QHP selections as of the end of Friday, December 5th.

Then, on Wednesday, I'm going to assume that HHS will announce roughly 465,000 additional QHP selections in the 3rd week, for a total of around 1.23 million QHPs via HC.gov thorugh Friday, December 5th.

Should be interesting to see how far off I am on this...

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