New York

As I noted yesterday, there are three states which had unusually large discrepancies between the official HHS and state exchange QHP enrollments:

  • New York came in over 65,000 lower than the number I had for a simple reason: The New York exchange lumps enrollees in their Child Health Plus program in with QHPs, even though technically this isn't a QHP program. There were over 40,000 of these as of the end of February; this number has climbed to 65,028 as of 4/19.
    Since Child Health Plus is privately funded (and therefore isn't on the Medicaid/CHIP side), but also isn't officially a QHP either according to HHS, I've moved it over to the "Off Exchange QHP" column.

This is actually pretty impressive; NY had been averaging around 4,200/day up until yesterday, when they hit 949,428, so this means they racked up another 11,334 in the final day (around 5,600 QHPs and 5,700 Medicaid):

.@charles_gaba @charlesornstein final NY Enrollment total: 960,762 Medicaid: 525,283 Private: 435,479

— Dan Goldberg (@DanGoldbergCNY) April 16, 2014

No breakout between Private QHPs & Medicaid/CHIP yet, but NY State of Health just issued this press release:

ALBANY, NY (April 15, 2014) – NY State of Health (NYSOH), the State’s official health plan marketplace, reported that as of 9 a.m. today, 1,311,271 New Yorkers have completed their applications and 949,428 have enrolled for coverage since the launch of the Marketplace on October 1, 2013. More than 70 percent of those who have enrolled to date were uninsured at the time of application. The Marketplace is well on its way to meeting or exceeding its enrollment goal of 1.1 million people by the end of 2016.

This figure is about 16,200 higher than just 4 days ago, meaning NY is averaging around 4K/day. Assuming no final day spike (or drop-off), their final total should come in at around 954,000 people.

Not gonna update the spreadsheet or graph until I get the actual QHP/Medicaid breakout, however, since those are almost always provided within a few hours of the combined number in NY.

This just in from healthcare reporter Dan Goldberg (and others in various formats)...

.@charles_gaba @charlesornstein NY now enrolled 933,232 Of those, 508,016 have signed up for Medicaid and 425,216 have enrolled in a QHP

— Dan Goldberg (@DanGoldbergCNY) April 11, 2014

In addition, there's this from a story at WAMC public radio:

The 3 largest states with their own exchanges are California, New York and Washington State. WA did not allow an extension period, so that leaves CA & NY...the latter of which has just issued it's first post-3/11 update:

N.Y. latest breakdown Medicaid: 486,689 Private: 421,883 @charlesornstein @charles_gaba

— Dan Goldberg (@DanGoldbergCNY) April 7, 2014

OK, NY was at 453,386 Medicaid and 412,101 QHPs as of 3/31, so this means they've added 9,782 QHPs and 33,303 Medicaid enrollees in the 6 days since then.

That's 1,630 QHPs per day, which is actually very close (97%) to the 1,683/day that they averaged back in February.

IF that's typical nationally (and that's a huge if), then that would suggest around 32K/day or around half a million total by 4/15...which is right at the low end of my new, lowered projection of 7.6M.

New York joins the 3/31 Final club ("9am" appears to include enrollments through midnight the night before, which makes sense...takes awhile to fully process/etc...) 

Just out from @NYStateofHealth: As of 9 a.m. today, Total enrollments: 865,487 Medicaid: 453,386 Private: 412,101 cc @charles_gaba

— Charles Ornstein (@charlesornstein) April 1, 2014

More great news: Specific numbers out of New York, and apparently the 826K figure included about 6K more QHPs than I thought (and 6K fewere on Medicaid, of course):

Since the state website launched on Oct. 1, 826,812 people had signed up for coverage as of 9 a.m. Monday, with 436,304 qualifying for Medicaid and 390,508 obtaining private insurance, she said.

In addition, while I thought the extra 14K total was between 9am and this evening, according to this article 826K was actually the 9am figure, meaning an even higher eventual total. Doesn't really matter at this point, I suppose; the final numbers will all come out soon...

At around 12:30pm I posted this New York update, which referenced a press release from this morning:

...as of 9 a.m. today, 1,162,795 New Yorkers have completed their applications and 812,033 have enrolled for coverage since the launch of the Marketplace on October 1, 2013. 

Yeah, well, that was then; this is now (around 8:45pm):

Yup, that's right: Another 14,779 enrollments (QHP+Medicaid combined) since 9:00am.

Again, assuming a 38/62 split, that's another 5,600 QHPs and 9,179 Medicaid enrollees, for a total of around:

  • appx. 384,585 exchange QHPs
  • appx. 442,227 new Medicaid enrollees

Yesterday there was an unofficial NY count of 100K total enrollments (QHPs + Medicaid) in the past week (which I estimated broke down to 12,920 QHPs on Friday & Saturday, or 6,460 per day).

Today they gave the official number (still not broken out, though): 812,033 combined.

ALBANY (March 30, 2014) – NY State of Health (NYSOH), the State’s official health plan marketplace, reported that as of 9 a.m. today, 1,162,795 New Yorkers have completed their applications and 812,033 have enrolled for coverage since the launch of the Marketplace on October 1, 2013. More than 70 percent of those who have enrolled to date were uninsured at the time of application.

The previous exact number was 782K, broken out to 367K QHPs and 415K Medicaid. as of 3/27.

So, this is another 29,561 in the past 3 days.

I have to be careful about using this as an actual spreadsheet entry because it doesn't specify the start date, the end date or the QHP/Medicaid breakout, but things are moving so quickly now that I'm not sure how much difference it makes:

According to @NYStateofHealth Nearly 100,000 New Yorkers have enrolled over the last week.

— Tara McGuinness (@HealthCareTara) March 30, 2014

NY State of Health had already reported 717K total enrollments as of 3/23, which had increased to 782K as of 3/28, which accounts for 65,000 of this number (call it 99K since they say "nearly" 100K). Call it 34,000 in the past 2 days.

If the QHP/Medicaid breakout is the same 38% / 62% that the other 65K from last week was (it should be very close to this), that's another 12,920 QHPs in 2 days, or 6,460 exchange QHPs per day.

OK, I meant to post this yesterday but had to double-check a couple of things with the reporter first. He confirmed that a) the 750K figure was slightly outdated (NY announced a higher total enrollment figure shortly after he posted the story), b) these 10,000 people are indeed enrolled in New York's SHOP exhange for small businesses and are therefore not part of the individual private exchange QHP figure, and c) the 10K figure does include dependents as well as employees.

Therefore, NY's SHOP total just doubled, from around 5,000 as of January to 10,000 today.

Close to 4,000 small businesses across New York state have enrolled their employees in the state's online marketplace for buying health insurance.

The six-month-old market, called an exchange, has become a noteworthy part of the federal Affordable Care Act. The law aims to spark the largest expansion of health insurance nationwide sinceMedicare and Medicaid were created nearly 50 years ago.

As usual for NY, the official press release doesn't include the QHP/Medicaid breakout, but based on past experience someone will point me towards a news story that has it broken out within the hour...anyway, the combined total in the Empire State is now over 782,000:

ALBANY (March 28, 2014) – NY State of Health (NYSOH), the State’s official health plan marketplace, reported that as of 9 a.m. today, 1,130,600 New Yorkers have completed their applications and 782,472 have enrolled for coverage since the launch of the Marketplace on October 1, 2013. More than 70 percent of those who have enrolled to date were uninsured at the time of application.

Oregon has been talking about this for weeks, but now it's official:

Oregonians now have an additional month to apply for private health insurance. New deadline to apply is April 30. The Oregon Insurance Division and Cover Oregon urge people to apply now to get coverage as soon as possible and avoid potential end-of-month rush. 

Colorado said something about this the other day, but now it's official:

DENVER - Colorado will give health insurance applicants extra time to finish the enrollment process, if they start before the March 31 deadline.

Connect for Health Colorado will make an official announcement about the extension Wednesday afternoon.

Add New York to the list as well:

Thank you to new contributor JTP for this CNBC article, which finally brings some clarity to the "how many already had insurance?" question.

Until now, the only hard numbers available were from New York and Kentucky, which were reporting 70% and 75% of all enrollees as not already having insurance respectively. However, these numbers included both exchange QHPs and Medicaid enrollees, which made it difficult to parse what percent of QHP enrollees only didn't have insurance prior to their enrollment.

This article is more specific: The number for NY QHPs is 59% of QHP enrollees (vs. 90% of Medicaid), and in KY is, surprisingly higher, at 75% for each!

Charles Ornstein reports that the New York State of Health issued a press release this today that states:

New York State of Health reports 717,000 enrollees in exchange plans and Medicaid, up from 660k last week.

— Charles Ornstein (@charlesornstein) March 24, 2014

@charles_gaba Emailed press release. As of 9 a.m. today, 1,055,931 New Yorkers have completed their applications and 717,207 have enrolled

— Charles Ornstein (@charlesornstein) March 24, 2014

@charles_gaba More than 70 percent of those who have enrolled to date were uninsured at the time of application--but they've said that b4.

— Charles Ornstein (@charlesornstein) March 24, 2014

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