AmRescuePlan

New York State of Health

Yes, that's right: I'm finally getting over my obsession with county-level COVID-19 vaccination data analysis.

New York State of Health, NY's ACA exchange, just issued the following press release:

Press Release: Governor Cuomo Announces Enrollment through NY State of Health Tops 6 Million

  • State Marketplace Reaches Record-Breaking Levels
  • American Rescue Plan Offers Significantly More Financial Assistance for Consumers 

Governor Andrew M. Cuomo today announced that New York State of Health - the state's official health plan Marketplace - has reached a record-breaking enrollment total of 6 million New Yorkers who have signed up for health insurance through the Marketplace across Medicaid, Essential Plan, Child Health Plus and Qualified Health Plans. This momentous milestone coincides with the new and increased financial assistance now available to New Yorkers through the American Rescue Plan for consumers enrolling in commercial coverage.

MNsure Logo

via MNsure:

New benefits make health insurance more affordable for more Minnesotans

  • MNsure enrollees are saving almost 20% each month on health insurance plans

ST. PAUL, Minn.—Minnesotans purchasing health insurance through MNsure are seeing increased savings thanks to recent changes to the Affordable Care Act made through the American Rescue Plan. MNsure is reminding Minnesotans in need of health insurance that they can sign up for coverage today through July 16 through the marketplace’s special enrollment period.

“The new and expanded financial help available only through MNsure can help lower the cost of health insurance by hundreds or even thousands of dollars a year for Minnesota families,” said MNsure CEO Nate Clark. “On average, Minnesotans who already have a plan through MNsure are seeing their monthly premiums reduced by almost 20%, which means you can have the peace of mind that comes with having health insurance, while keeping more money in your pocket.”

Access Health CT Logo

Unlike most states which kept their 2021 COVID Special Enrollment Period running continuously while they transitioned to the newly-expanded ACA subsidies, Access Health CT took a 2-week break in order to retool their website for the enhanced financial assistance.

During that break, I reported that the Connecticut ACA exchange enrolled 5,890 people via the SEP from 2/15 - 4/15, or roughly 98 per day, and that this was a rate 3.3x higher than the same time period during the typical pre-COVID era.

Access Health CT shut down their COVID SEP on 4/15, but then re-launched it with the new subsidy formula via the American Rescue Plan on May 1st. Since then, I've been informed, they've enrolled an additional 2,780 people through the exchange, or around 121 per day. That's 4x higher than the ~30/day they averaged in 2019.

ACA Logo

Earlier today, Greg Fann asked a fair question:

Any data on % of exchange enrollees receiving subsidies after ARP? It was ~87% pre-ARP. Also suspect many off-exchange enrollees are moving on-exchange mid-year 2021. @charles_gaba @xpostfactoid @bjdickmayhew @LouiseNorris @larry_levitt @cynthiaccox

— Greg Fann (@greg_fann) May 12, 2021

Several fellow health wonks have chimed in. I spitballed perhaps 95%. Fann puts it at 96-97%. Cynthia Cox of the Kaiser Family Foundation thinks it could be even higher:

Wyoming

March 31st, 2021:

Senate committee kills Medicaid expansion bill, by Morgan Hughes

Medicaid expansion will not happen in Wyoming this year.

The state’s Senate Labor, Health and Social Services Committee killed a bill Wednesday morning to expand the federal insurance program, which would have insured an estimated 25,000 additional Wyomingites.

Lawmakers have defeated similar proposals for nearly a decade. Advocates hoped this year might be different. Many House Republicans voiced a change of heart after the COVID-19 pandemic and the decline of fossil fuels rocked the state’s economy, leaving many without health coverage. This session was the first in which a bill to expand the program passed a legislative chamber.

ACA Signups Logo

With this morning's confirmation of my post from Saturday that over 1 million more people have enrolled in ACA exchange coverage via HC.gov during the ongoing COVID Special Enrollment Period, I was reminded of a headline I wrote back in March:

Exclusive: Official 2021 #ACA Open Enrollment Period Hits 12.0 Million QHPs For First Time Since 2017

At the time I only had estimated 2021 Open Enrollment Period (OEP) data for several states, but my estimate was confirmed a couple of weeks ago when the Centers for Medicare & Medicaid Services (CMS) issued the official 2021 OEP report, which states that the official total number of ACA Qualified Health Plan (QHP) selections for 2021 was 12,004,365 people.

ACA Signups Logo

A few days ago, the Centers for Medicare & Medicaid Services (CMS) posted an updated report on the number of Americans who have selected Qualified Health Plans (QHPs) through HealthCare.Gov, which hosts ACA enrollment for 36 states during the ongoing COVID Special Enrollment Period (SEP) which began on February 15th and is set to continue through August 15th in most states.

In addition to the 940,000 QHPs via the federal exchange (HC.gov) from 2/15 through 4/30, I've compiled officlal SEP enrollment numbers for several of the states which operate their own ACA exchanges as well:

  • Colorado: 17,282 from 2/08 - 5/05
  • Connecticut: 5,890 from 2/15 - 4/15
  • Idaho: 3,600 from 3/01 - 3/31
  • Maryland: 15,150 from 1/01 - 2/28
  • Minnesota: 2,285 from 2/16 - 3/09
  • Nevada: 6,908 from 2/15 - 5/06
  • Pennsylvania: 11,126 from 2/15 - 3/25
  • Washington: 1,700 from 2/15 - 2/23

The total of these, plus the 940,000 via HC.gov, comes to 1,003,516 confirmed so far.

Washington HealthPlan Finder

This just in from the Washington Health Benefit Exchange...

Washington Health Benefit Exchange Opens the Doors for Washingtonians to Benefit from Lower Health Care Premiums and Save Money Through the American Rescue Plan

  • More Than $250 Million in Tax Credits Available to Help Washingtonians Lower Health Insurance Costs

Health coverage purchased on Washington Healthplanfinder became much more affordable today as the Washington Health Benefit Exchange (Exchange) rolled out new savings to help Washingtonians with the cost of their individual health insurance.

HealthCare.Gov Logo

As I noted this morning, CMS has released an updated Special Enrollment Period report which includes SEP enrollment from 2/15 through 4/30 for the 36 states hosted via HealthCare.Gov.

Overall, enrollment during the 2021 COVID SEP is up 3.5x vs. the same time period in 2019, which makes sense when you consider a) the COVID pandemic which has caused millions to lose their income and/or employer-based healthcare coverage; b) the "fully open" status of the COVID SEP; and c) the expanded subsidies put in place under the American Rescue Plan.

SEP enrollment is also up 2.4x over the same time period in 2020; COVID was in full force for most of that period last year, but HC.gov refused to launch a "wide open" SEP as most of the state-based exchanges did, nor were there any expanded subsidies in place, so 2019 is still the more appropriate year to compare against. (Besides, 2020 was a leap year, which tacked an extra day onto the total).

This just in from CMS...

HHS Secretary Becerra Announces Nearly 940,000 Americans Have Signed Up for Health Coverage through HealthCare.gov During Special Enrollment Period

  • Since April 1, premiums have been reduced by over 40 percent for nearly 2 million current HealthCare.gov enrollees

Today, U.S. Department of Health and Human Services (HHS) Secretary Xavier Becerra announced that nearly 940,000 Americans have signed up for health insurance through HealthCare.gov as a result of the Biden Administration’s Special Enrollment Period (SEP) for the COVID-19 Public Health Emergency. The 2021 SEP, along with the additional financial assistance afforded by the American Rescue Plan (ARP), offers individuals and families an opportunity to take advantage of reduced premiums, increased savings, and quality, affordable health coverage through HealthCare.gov.

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