SBMs

The FINAL 2020 Open Enrollment Period data for the 38 states hosted by HealthCare.Gov was released yesterday, shaving around 17,000 enrollees off of the semi-final report issued before Christmas. In addition, final 2020 OEP numbers have now been released by Idaho, Maryland, Minnesota, Nevada and Washington State.

Incomplete numbers have been released for California, Colorado, Connecticut, the District of Columbia, Massachusetts and New York, all of which still have ongoing Open Enrollment, and I'm still waiting on any enrollment data for Rhode Island or Vermont.

With all that in mind, here's a state-by-state breakout showing where things stand as of today, Jaunary 9th. The states have been sorted from worst-performing to best, although obviously the 8 states with partial or no data are misleading (vice-versa for the bar graph).

The lastest 2020 Open Enrollment Period data was released last week by most of the exchanges, including HealthCare.Gov, Covered California, Connect for Health Colorado, Access Health CT, Maryland Health Connection and the Washington HealthPlan Finder. When combined with the existing data from the MA Health Connector, MNsure, New York State of Health and the brand-new Nevada Health Link, we should now have over 95% of the total 2020 Open Enrollment QHP selections locked in.

As I've noted several times recently, the "break off of HealthCare.Gov & establish your own state-based ACA exchange" train continues to pick up steam, with the following states having committed to either firing up their own, separate exchange website platform or at the very least going halfway by establishing their own exchange entity (which includes a board of directors, their own marketing/outreach budget, the ability to dictate which plans are allowed onto the exchange and so forth) if they haven't already done so.

I noted yesterday that Virginia is the latest state to consider jumping onboard the State-Based Exchange train, joining Nevada, New Mexico, New Jersey, Pennsylvania, Maine and possibly Oregon in making the move. Every time I've mentioned Oregon, however, I've had to put a bit of an asterisk on it because I wasn't quite sure whether or not their shift back to their own full tech platform was still a go or not.

Like Nevada, Oregon did have their own full exchange once upon a time. Back in the first ACA Open Enrollment Period from 2013-2014, both states were among those which ran their own exchange websites. Nevada's was developed by Xerox; Oregon's was developed by Oracle.

UPDATE: Arrrrgh!!! Literally moments after I went live with this, Hannah Recht pointed out to me that the Washington Health Benefit Exchange has (unofficially) posted their (rough) final 2018 enrollment numbers via an internal slideshow presentation. The table and all numbers below have been updated to reflect the additional 8,800 enrollees added in WA over the final few days of its enrollment period.

UPDATE 1/22/18: Covered California has just issued a major update to their enrollment data, adding another 122,000 QHP selections to the national tally. Everything below has been updated to include this.

UPDATE 1/28/18: The deadline for Massachusetts has passed and they've posted their final numbers. Everything below has been updated to reflect this update.

OK. The Big News that everyone's waiting on this week regarding the 2018 Open Enrollment Period will come on Wednesday. That's when CMS will presumably post the Week 7 Snapshot Report for HealthCare.Gov, which covers 39 states. Wednesdays are also usually when Covered California, the largest state-based exchange, posts their updates as well.

That leaves the other 11 smaller state-based marketplaces (SBMs), of which only one, Colorado, has posted an update so far this week. As it happens, however, that was an impressive update: Colorado's total enrollments to date now stand at 149,000 people, about 7% ahead of last year. With CO added to the mix, I've now confirmed exactly 2,522,078 QHP selections across those 12 SBMs...which means the SBMs have already broken my personal final QHP projection of 2.5 million as of January 31st.

(note: I'm live updating as I type this stuff, so keep checking back, I'll be adding more updates/analysis over the next hour)

Wow! OK, I'm back from my kid's field trip (nature center; they learned about how animals handle the winter via hibernation, migration & adaptation...learned about fossils...went on the nature trail to look for animal tracks...and even dissected owl pellets, hooray!!). Of all the days to miss a major HHS/CMS conference call, this was a big one. I'm furiously poring over the HHS Dept's ASPE January Enrollment Report  which, as I expected this morning, was just released less than two hours ago.