Oregon

Oregon continues to plug along, adding an impressive 3.8K more NET QHPs and 7.3K more Medicaid enrollees the past week...not sure if this runs through 4/15 exactly or if it includes yesterday as well (Oregon is one of the states going beyond 4/15), but I'm lining them up at 4/15 for the moment:

April 17, 2014
Update: Private coverage and Oregon Health Plan enrollment through Cover Oregon

Medical enrollments through Cover Oregon: 228,795
Total private medical insurance enrollments through Cover Oregon 1: 67,474                   

Oregon Health Plan enrollments through Cover Oregon: 161,321

Net enrollments 
Net private medical:  63,709

Oregon continues to slog it's way through enrollments in spite of their technical problems...

April 10, 2014
Update: Private coverage and Oregon Health Plan enrollment through Cover Oregon

Medical enrollments through Cover Oregon: 217,413
Total private medical insurance enrollments through Cover Oregon 1: 63,325 

Oregon Health Plan enrollments through Cover Oregon: 154,088

Net private medical:  59,923

Oregon's Medicaid figure hasn't changed, but the exchange QHP tally is now up to an unspecific 59K (assuming this is as of yesterday):

Cruse said he became a full-fledged enrollee on a Moda plan in February. He’s now one of 59,000 people in Oregon who enrolled in private insurance after successfully navigating through the often cumbersome Cover Oregon process. Another 140,000 enrolled through the site on the Oregon Health Plan. 

UPDATE: OK, scratch that. Looks like this article was quoting the 58,833 "total" QHP figure from the most recent official press release instead of the "net" figure which was exactly 3K less: 55,833.

Leaving this up since it's already posted but sorry about the mixup.

Oregon appears to be purging their old unpaid enrollments, for cleaner totals (along with the dental enrollments, which even I haven't really talked about)...I'm assuming this is through yesterday. Note that the Medicaid number doesn't include an additional 128K enrolled via their "Fast Track" program from earlier:

April 3, 2014 Update: Private coverage and Oregon Health Plan enrollment through Cover Oregon

  • Medical enrollments through Cover Oregon: 200,165
  • Total private medical insurance enrollments through Cover Oregon 1: 58,833                      
  • Oregon Health Plan enrollments through Cover Oregon: 141,332
  • Total private dental insurance enrollments through CoverOregon 1: 12,066                       

Net enrollments 

  • Net private medical:  55,833
  • Net private dental: 11,208

Background: With three months of open enrollment completed, Cover Oregon is expanding the enrollment report beyond what is required by the federal Center for Consumer Information & Insurance Oversight to include net private insurance enrollments and also dental enrollments. 

Van Pelt highlights the more than 300,000 "enrolled in health care coverage since October thanks to Cover Oregon ... and the Oregon Health Authority."

That figure includes:

  • 55,000 people enrolled in private plans using the backup manual processing system set up to cope with the exchange's technology issues.
  • more than 120,000 people enrolled into Oregon Health Plan after the exchange forwarded their information to the state for processing, a workaround for the exchange's broken Medicaid interface.
  • 125,000 people enrolled directly into the Oregon Health Plan using a streamlined system set up to bypass Cover Oregon.

OK, in addition to the appx. 7.041 million enrollments on the Federal exchange (HC.gov), I've brought CO, CT, DC, HI, KY, MD, MN, NY, RI and WA completely up to date, with all QHP data through midnight on 3/31 (some of the Medicaid/CHIP data is still missing, but that's a lesser concern at the moment).

However, I'm still missing the following exchange QHP data:

  • California: 22 hours (that's right...the current tally runs thru 2am on 3/31)
  • Massachusetts: 3 days (current is thru 3/28)
  • Nevada: 2 days (current is thru 3/29)
  • Oregon: 3 days (current is thru 3/28)
  • Vermont: 1 day (current is thru 3/30)

I can't tell you how frustrating it is to be this close to full data while still missing it.

So, how much is actually missing? Well, if these states were running at their prior average March daily rate, it would be

  • CA: 11,754
  • MA: 512 x 3 = 1,536
  • NV: 427 x 2 = 854
  • OR: 502 x 3 = 1,506
  • VT: 775
  • Total: 16,425

However, this obviously doesn't apply since the final weekend and especially yesterday were insane.

Another quick update from Oregon; at this point I'm pretty sure that the "Net" QHP number (which removes "terminations & cancellations") is the same as Connecticut--purging the tally of non-payments, adding Oregon to the 100% Paid column:

Medical enrollments through Cover Oregon: 178,057

Total private medical insurance enrollments through Cover Oregon 1: 55,177 

Oregon Health Plan enrollments through Cover Oregon: 122,880

Net enrollments: Net private medical: 52,372

This brings Oregon's exchange QHPs up from 50,137 just 3 days earlier, or 2,235...745/day. Compare this with an average of 179/day in February (or 472/day for the first 3 weeks of March).

Medicaid enrollments haven't changed in this report.

In spite of their endless technical issues, Oregon is actually kicking serious butt in manually processing a mountain of paper applications. In addition, they're including some interesting extra info in their reports lately--including NET enrollments after cleaning out cancellations/etc (does this mean Oregon is now only including paid enrollments, then, like MA and WA??), as well as dental enrollments, which haven't gotten much attention from anyone:

Medical enrollments through Cover Oregon: 175,534
Total private medical insurance enrollments through Cover Oregon1: 52,654                       

Oregon Health Plan enrollments through Cover Oregon: 122,880

Dental enrollments 
Total private dental insurance enrollments through CoverOregon 1: 10,628                       

Net enrollments 
Net private medical2:  50,137
Net private dental 2: 9,877

OK, the cutesy title is kind of a misnomer; my two previous entries didn't use that title originally...but they should have, and do now.

March 31st is supposed to be the final day to enroll in QHPs via the exchanges...but it's looking more and more as though that won't quite be the case in not two, not three...but possibly up to seven states now, including a couple whose websites have been working smooth as silk??

On March 7th I pointed out that due to Massachusetts having some 154,000 people stuck in health insurance limbo, they've been granted some sort of temporary extension, twice...out to as far as June 30th in some cases...

Cover Oregon just posted an unexpected update (wasn't expecting this until tomorrow). They've added a couple of very interesting new features this week: First, they've started including dental policies, which has been pretty much ignored by everyone (including myself). I think Kentucky is the only other state that I've seen call any attention to the dental plans.

Of more interest to me for this site, however, is the fact that they've added net enrollments, explaining that these are the final number after people have "cancelled or terminated" their accounts. They don't specify the reasons for these terminations/cancellations (is it by the customer due to a change in status? is it by the exchange or insurance company for nonpayment?), but it's still a good thing overall as it helps give a truer picture of the situation.

A couple of weeks ago I pointed out that at least two states, Massachusetts and Oregon, may end up extending their enrollment period beyond the official March 31st "deadline" due to their exchange websites still being partially or completely hosed.

In Massachusetts' case, there's about 219,000 people currently stuck in coverage limbo; the HHS Dept. has granted an extension of some sort to as far out as June 30th to get these people squared away, although I'm pretty sure the extension only applies to those folks, not anyone who's just trying to enroll now...but that's still a hell of a lot of people.

Contributor Maurice H. provides a bit of Off-Exchange data from Oregon. He contacted Oregon's Health CO-OP and while they didn't provide exact numbers, they were willing to provide their on-exchange/off-exchange ratios:

Oregon’s Health CO-OP is not sharing specific enrollment numbers, but is happy to give you the percentages of on and off Exchange:

On – 42%  /  Off—58%

Hope that helps.

Fortunately, an article in the Oregonian by the authority on all things Cover Oregon-related, Nick Budnick, provides the other piece of the puzzle:

Policies as of March 6th / Oregon's Health CO-OP: 212

Hmmm. Well, if 212 is 42% of the co-op's total enrollments, that makes off-exchange enrollments...505 people.

OK, not exactly a huge number, but an enrollment is an enrollment...noting it...

Considering that their exchange website is still a complete mess, Oregon is actually doing a pretty good job of processing enrollments (not sure how many of these are newly added or reducing the backlog of older ones, not that it matters). Private QHPs are up almost 2,800 over last week, and Medicaid enrollees are up over 8,700.

In fact, so far, Oregon's March QHP enrollment rate (526/day) is actually nearly triple what it was in February (179/day). If every state were to pull this off, the total would actually surpass 7 million after all, though that doesn't seem likely at the moment.

Update: Private coverage and Oregon Health Plan enrollment through Cover Oregon

Total: 145,941 
Private insurance: 45,119
Oregon Health Plan: 100,822

UPDATE: On the down side, I was off by 4% this time around.

On the up side, I UNDERESTIMATED:

Actual Feb. enrollments: 942,833, for a total of 4,242,325 thru 3/01/14.

Sarah Kliff at Vox just announced that the February HHS report is expected to be released today at around 4:00pm. A few items in anticipation of that:

  • As I've noted several times, I'm projecting the report to total around 902,000 exchange-based private QHP enrollments for the month of February (technically 2/02 - 3/01)
  • If accurate, this would bring the cumulative total of exchange-based private QHP enrollments to 4.202 million (from 10/1/13 - 3/01/14)
  • From the data I have, the average daily enrollment rate in February was almost identical to that of January, which had about 1.146 million QHP enrollments. HOWEVER, the January report included five weeks of data (12/28 - 2/01), while the February report will only include four weeks (2/02 - 3/01). Therefore, even at the same daily average, it'll be about 20% lower no matter what.
  • Don't be surprised if Peter Lee of CoveredCA decides to steal some thunder by announcing that California has enrolled 1,000,000 QHPs all by itself either today or tomorrow. However, that would include the past 10 days, while the HHS number will only run thru 3/01.
  • If you want to get REALLY specific, call it 902,800 and 4,202,292.
  • I've been dead-on target 6 times in a row without hyping up my projections beforehand. This time I am hyping myself up beforehand, so I'll probably be way off...but as long as I've UNDERestimated the tally, I'll be perfectly fine with that...
  • The report will be released in about 5 minutes, but my kid gets home from school in about 10, so it'll be a good 20 minutes before I can really post anything. Feel free to follow Sarah Kliff of Vox in the meantime!

Well, Oregon's website may still be a complete disaster, but their manual enrollment process seems to be chugging along fairly well. Private QHPs are up 3,500 from 38,806 a week earlier, while Medicaid enrollments are up another 7,100 from 84,991.

Note that they've finally stopped including the "Fast Track" Medicaid numbers, presumably because they've already enrolled everyone they could find via that route:

March 7, 2014
Update: Private coverage and Oregon Health Plan enrollment through Cover Oregon

Total: 134,412 
Private insurance: 42,325
Oregon Health Plan: 92,087

Update: Something else very interesting about Oregon's situation. Take a look at their QHP enrollment history:

  • 12/28: 18,337
  • 02/01: 33,808 (15,471 in 35 days, or 442 per day)
  • 02/28: 38,806 (4,998 in 27 days, or just 185 per day...a 58% drop per day, ouch!)

However, today they announced the number, as of (I presume) yesterday, the 6th, as:

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