I go by FULLY vaccinated residents only (defined as 2 doses of the Pfizer or Moderna vaccine or one dose of the Johnson & Johnson vaccine).
I base my percentages on the total population, as opposed to adults only or those over 11 years old (or even over 4 years old).
For most states + DC I use the daily data from the Centers for Disease Control, but there are some where the CDC is either missing county-level data entirely or where the CDC data is less than 90% complete at the county level. Therefore:
For California, I'm using the CDC data for most counties and the state health dept. dashboard data for the 8 small counties which the CDC isn't allowed to post data for.
In week three of the 2022 Open Enrollment Period, approximately 810,000 people selected individual market plans through the 33 states that use the HealthCare.gov platform. During the Open Enrollment Period, to date, approximately 2,435,000 people have selected individual market plans on HealthCare.gov. As in past years, enrollment weeks are measured Sunday through Saturday.
The final number of plan selections associated with enrollment activity during a reporting period may change due to plan modifications or cancellations. In addition, the weekly snapshot only reports new plan selections and active plan renewals and does not report the number of consumers who have paid premiums to effectuate their enrollment.
DISCLAIMER: HealthSherpa is one of two Enhanced Direct Enrollment (EDE) ACA brokers which run banner ads on my site. EDEs are basically authorized private, 3rd-party versions of ACA exchange sites which have their back ends integrated directly into the federal exchange (HealthCare.Gov) (W3LL is the other EDE which advertises here).
Having said that, I believe Sherpa is the largest ACA EDE out there, and they're pretty transparent about their enrollment metrics, so until CMS posts their official Weekly Snapshot Enrollment Report (which should happen later this week), Sherpa's updates are pretty good indicators of how things are going overall.
The first week of 2022 Open Enrollment, they reported having enrolled 310,168 people in Qualified Health Plans (QHPs) across the 33 states hosted via HealthCare.Gov (they originally reported 329,935, but adjusted the report to account for the first week actually only being 6 days this year).
I go by FULLY vaccinated residents only (defined as 2 doses of the Pfizer or Moderna vaccine or one dose of the Johnson & Johnson vaccine).
I base my percentages on the total population, as opposed to adults only or those over 11 years old (or even over 4 years old).
For most states + DC I use the daily data from the Centers for Disease Control, but there are some where the CDC is either missing county-level data entirely or where the CDC data is less than 90% complete at the county level. Therefore:
For California, I'm using the CDC data for most counties and the state health dept. dashboard data for the 8 small counties which the CDC isn't allowed to post data for.
Here's the weekly look at the rate of COVID-19 cases & deaths at the county level since the end of June, broken out by partisan lean (i.e, what percent of the vote Donald Trump received in 2020).
The ratio of case rates has started to drop; new cases are now running 2.78x higher per capita in the reddest tenth of the country than the bluest tenth, down from 3.0x higher a month ago:
Insurance Agents Get Big Compensation Boost to Help Enroll and Renew Millions of Californians, Who Are Benefiting From More Financial Help Than Ever
Agents enroll about half of Covered California’s consumers and have directly helped more than 2.3 million people sign up for coverage free of charge since the exchange first opened its doors in 2014.
The move will bolster independent agents across the state, who provide support to consumers free of charge, as more financial help is available than ever before as open enrollment is underway.
The increased payments will go into effect on Jan. 1, 2022, and will benefit the more than 10,000 Licensed Insurance Agents who are certified by Covered California and work in every part of the state.
Early Childhood Education Workers Highlighted During National Week of Action
New State Program Offers Zero Dollar Health Coverage for Those Who Qualify
This week, the Centers for Medicare and Medicaid Services are spotlighting early childhood education workers during a National Week of Action. Coinciding with that event, Washington Health Benefit Exchange (Exchange) is showcasing a new affordability program, for employees of child care facilities across Washington State. Employees of licensed child care facilities who qualify can receive high quality health care coverage with no monthly premiums. The program is available exclusively through the state’s online health insurance marketplace, Washington Healthplanfinder.
Now that we have two weeks worth of 2022 Open Enrollment data under our belt (well...for 33 states, anyway), I thought this would be a good time for me to try and put together a spitball estimate of how many Americans are likely to enroll in ACA exchange coverage during the 2022 Open Enrollment Period (OEP).
There's really two main numbers to try and project: How many current enrollees will renew/re-enroll for 2022 (whether actively or automatically); and how many new enrollees will jump into the ACA exchanges?
For each of these, due to how the data is reported, I have to further break the states out between those using the federal ACA exchange (HealthCare.Gov) and those which operate their own state-based ACA exchanges (Covered California, NY State of Health, etc.) This is further complicated by the fact that three states (Kentucky, Maine and New Mexico) switched from the federal exchange to their own state-based exchange starting with the 2022 OEP.
In week two of the 2022 Open Enrollment Period, approximately 851,000 people selected individual market plans through the 33 states that use the HealthCare.gov platform. During the Open Enrollment Period, to date, more than 1,624,000 people have selected individual market plans on HealthCare.gov. As in past years, enrollment weeks are measured Sunday through Saturday.
The final number of plan selections associated with enrollment activity during a reporting period may change due to plan modifications or cancellations. In addition, the weekly snapshot only reports new plan selections and active plan renewals and does not report the number of consumers who have paid premiums to effectuate their enrollment.
It's important to remember that unlike most states, Minnesota (and New York) operate Basic Health Plan (BHP) programs (also created by the ACA, although Minnesota's program, called MinnesotaCare, actually existed prior to the ACA and was simply retooled after the law passed). BHP programs fit in between Medicaid expansion (which covers adults earning up to 138% FPL) and standard ACA Qualified Health Plans (QHPs), which start at 200% FPL and above in MN/NY.
As a result, Minnesota & New York ACA enrollees who earn between 138 - 200% FPL are enrolled in MinnesotaCare instead, which significantly reduces the number of Minnesotans officially listed as being "ACA exchange enrollees."
TRENTON — Governor Phil Murphy, Department of Banking and Insurance Commissioner Marlene Caride, federal officials and health insurance Navigators today urged New Jersey residents in need of health coverage to act now to explore their health insurance options and take advantage of record levels of financial help available at Get Covered New Jersey (GetCovered.NJ.gov), the state’s official health insurance marketplace.
Open enrollment is the one time of year residents who do not have health insurance through an employer or other program such as Medicaid or Medicare can enroll in a plan. Consumers must enroll by December 31, 2021 for their coverage to take effect on January 1, 2022.
Six months into the pandemic, the United States continues to suffer the worst outbreak of COVID-19 in the developed world. Considerable blame belongs to a federal response that offloaded responsibility for the crucial task of testing to the states. The irony is that, after assembling the team that came up with an aggressive and ambitious national testing plan, Kushner then appears to have decided, for reasons that remain murky, to scrap its proposal.
DISCLAIMER: HealthSherpa is one of two Enhanced Direct Enrollment (EDE) ACA brokers which run banner ads on my site. EDEs are basically authorized private, 3rd-party versions of ACA exchange sites which have their back ends integrated directly into the federal exchange (HealthCare.Gov) (W3LL is the other EDE which advertises here).
Having said that, I believe Sherpa is the largest ACA EDE out there, and they're pretty transparent about their enrollment metrics, so until CMS posts their official Weekly Snapshot Enrollment Report (which should happen later this week), Sherpa's updates are pretty good indicators of how things are going overall.
Back in early September, I began noticing something very odd going on with my county-level scatter-plot graphs which broke out COVID cases/deaths by what percent of the population had been fully vaccinated:
As you might expect, there's a clear drop-off in new COVID cases per capita as the vaccination rate of the counties goes up. There seems to be a slight drop-off starting around 50% fully vaccinated, followed by a steep drop-off starting around 65% vaxxed. There's a third drop-off at around 75%, but there's literally only a handful of counties which have achieved that high a vaccination rate so far anyway.
HOWEVER, there's one major outlier over the 65% threshold...Miami-Dade County.
According to the Centers for Disease Control, Miami-Dade has fully vaccinated 68% of their entire population (1.84 million out of 2.72 million residents). I use the slightly lower official 2020 U.S. Census popualtion count for Miami-Dade County (2,701,767), which makes the vaccination rate slightly higher still: 68.24%.
I go by FULLY vaccinated residents only (defined as 2 doses of the Pfizer or Moderna vaccine or one dose of the Johnson & Johnson vaccine).
I base my percentages on the total population, as opposed to adults only or those over 11 years old (or even over 4 years old).
For most states + DC I use the daily data from the Centers for Disease Control, but there are some where the CDC is either missing county-level data entirely or where the CDC data is less than 90% complete at the county level. Therefore:
For California, I'm using the CDC data for most counties and the state health dept. dashboard data for the 8 small counties which the CDC isn't allowed to post data for.
Here's the weekly look at the rate of COVID-19 cases & deaths at the county level since the end of June, broken out by partisan lean (i.e, what percent of the vote Donald Trump received in 2020).
The ratio of case rates has started to drop; new cases are now running 2.84x higher per capita in the reddest tenth of the country than the bluest tenth, down from 3.0x higher three weeks ago:
The Centers for Medicare & Medicaid Services (CMS) is reporting that in week one of the 2022 Open Enrollment Period, approximately 774,000 people selected individual market plans in the 33 states that utilize the HealthCare.gov platform. During Open Enrollment, CMS will release weekly enrollment snapshots that provide point-in-time estimates of weekly plan selections, Marketplace Call Center activity, and visits to HealthCare.gov and CuidadoDeSalud.gov for states that utilize the platform.
As longtime readers know, every summer/fall I run analyses of the annual premium rate change filings for both the individual and small group health insurance markets for all 50 states +DC. However, I tend to put most of my focus on the individual market, since that tends to have a lot more interest and activity surrounding it.
The individual market has been rocked by both economic and policy changes from year to year (in both good and bad ways) far more than the small group market, which hasn't been in the news nearly as much. You tend to read a lot of stories about the Individual Market (both ACA-compliant as well as so-called "junk plans" like Short Term, Sharing Ministries, Farm Bureau and the like), and of course the Large Group market is massive (something like 40% of the U.S. population), so even minor changes to that are big news...but the Small Group market (which generally includes companies with 50 or fewer full-time employees, though a few states include companies with 100 or fewer) tends to get short shrift in both the news as well as healthcare wonkery.
Biden-Harris Administration Extends Hundreds of Millions of Dollars to New York’s Essential Plan, its Basic Health Program, Key Connection to Coverage Supported by American Rescue Plan
The Centers for Medicare & Medicaid Services (CMS) is providing approximately $750 million in additional funding in 2022 to support the Essential Plan, New York’s Basic Health Program (BHP), as well as added funds for 2020 and 2021. The additional funds, made available through the American Rescue Plan, increase New York’s ability to provide health care coverage to approximately 1 million individuals.
Biden-Harris Administration Extends Millions in Funding to Minnesota for MinnesotaCare, its Basic Health Program, Key Connection to Coverage Supported by American Rescue Plan
The Centers for Medicare & Medicaid Services (CMS) is providing approximately $100 million in additional funding in 2022 to support MinnesotaCare, Minnesota’s Basic Health Program (BHP), as well as added funds for 2020 and 2021. The additional funds, made available through the American Rescue Plan, increase Minnesota’s ability to provide affordable, quality health care coverage to approximately 100,000 individuals.
Way back in October 2013, I launched the ACA Signups project as a light, nerdy hobby thing which was only supposed to last around six months, through the end of the first ACA Open Enrollment Period (March 31, 2014). Instead...well, let's just say that it's more than eight years later and I'm still doing this.
The reality is that The Graph itself doesn't serve a whole lot of useful function anymore. The enrollment patterns were erratic the first couple of years but have since settled into a pretty predictable...if not downright boring pattern for both the federal and state exchanges. The main reason I keep doing it each year is mostly out of tradition these days; after all, without The Graph, there wouldn't be an ACA Signups and I wouldn't have become a healthcare policy wonk in the first place.
The pattern for both the federal and state-based exchanges typically looks like this:
Over 208,000 Washington Residents Sign Up During First Week of Washington Healthplanfinder Open Enrollment
Most customers can save by comparing plans
The annual open enrollment period for Washingtonians seeking health care coverage in 2022 began Monday, Nov. 1. Washington Health Benefit Exchange (Exchange) reports over 208,000 customers in Washington have already secured health coverage for 2022 through Washington Healthplanfinder, the state’s online insurance marketplace.
UPDATE 12/17/21: I've already submitted my comment to the Health & Human Services Dept. Now, the National Health Law Program’s My Care Counts project has created an easy-to-use public comment tool for you to submit your own. PLEASE DO SO before January 9th!
MAKE SURE *NOT* TO USE THE GENERIC DEFAULT LANGUAGE IN THE FORM, HOWEVER; MAKE IT YOUR OWN.
See the rest of the post below for the background/details on this issue.
About 2 years ago, GOP Georgia Governor Brian Kemp submitted an ACA Section 1332 Waiver request to the Centers for Medicare & Medicaid Services. As Katie Keith of Health Affairs explained at the time, it consisted of two parts...the first of which was fairly noncontroversial, the second of which was...well, not good:
DISCLAIMER: HealthSherpa is one of two Enhanced Direct Enrollment (EDE) ACA brokers which run banner ads on my site. EDEs are basically authorized private, 3rd-party versions of ACA exchange sites which have their back ends integrated directly into the federal exchange (HealthCare.Gov) (W3LL is the other EDE which advertises here).
Having said that, I believe Sherpa is the largest ACA EDE out there, and they're pretty transparent about their enrollment metrics, so until CMS posts their official Weekly Snapshot Enrollment Report (which should happen sometime today or tomorrow), Sherpa's updates are pretty good indicators of how things are going overall.
DC Residents Can Get Covered and Stayed Covered by Going to DCHealthLink.com Before the January 31, 2022 Deadline
(Washington, DC) - As the first week of DC Health Link’s 2022 open enrollment period comes to a close, Mayor Muriel Bowser is encouraging DC residents to sign up for high-quality, affordable health insurance at DCHealthLink.com, the District’s online state-based health insurance marketplace established under the Affordable Care Act (ACA). Open enrollment for individuals and families runs from November 1, 2021 and continues through January 31, 2022.
“Ensuring everyone in our community is insured is a critical step in making our healthcare landscape more equitable,” said Mayor Bowser. “Keeping our community healthy means ensuring all Washingtonians are getting the right care at the right time. We never want people in our city to put off healthcare because of a lack of coverage. Now is the time to get covered and stay covered, and that process can start at DCHealthLink.com.”
Free in-person help offered to Connecticut residents at pop-up enrollment fairs and daily on-site locations
HARTFORD, Conn. (Nov. 4, 2021)—Access Health CT (AHCT) announced today that in addition to on-site locations, it will offer three in-person enrollment fairs in Fairfield, Hartford and Waterbury during November, giving Connecticut residents more time to shop, compare and enroll in quality health insurance plans.
All in-person enrollment fairs will be held from 10 a.m. – 1 p.m. at the following locations in Fairfield, Hartford and Waterbury.
Here's the weekly look at the rate of COVID-19 cases & deaths at the county level since the end of June, broken out by partisan lean (i.e, what percent of the vote Donald Trump received in 2020).
The ratio of case rates has started to drop; new cases are now running 2.9x higher per capita in the reddest tenth of the country than the bluest tenth, down from 3.0x higher a couple of weeks ago:
I go by FULLY vaccinated residents only (defined as 2 doses of the Pfizer or Moderna vaccine or one dose of the Johnson & Johnson vaccine).
I base my percentages on the total population, as opposed to adults only or those over 11 years old.
For most states + DC I use the daily data from the Centers for Disease Control, but there are some where the CDC is either missing county-level data entirely or where the CDC data is less than 90% complete at the county level. Therefore:
For California, I'm using the CDC data for most counties and the state health dept. dashboard data for the 8 small counties which the CDC isn't allowed to post data for.
Well, as the long-gestating legislation finally heads into the endgame this week, there's been a last-minute rush to add to & change some provisions of the bill before it actually gets voted on, and earlier today, the House Rules Committee released a revised/updated version of the bill, including a handy comparison version which shows exactly what legislative language has changed since the prior version.
Many of these changes are either simple grammatical or wording tweaks to make sure it all passes legal muster, while others simply provide clarification. Other changes involve simply increasing or decreasing the amount of federal money which would be allocated to one program or another.
Greater savings for young adults and higher-income households are new this open enrollment
BALTIMORE — With greater savings than ever for young adults and for households previously ineligible for financial help, open enrollment for the 2022 plan year begins today at MarylandHealthConnection.gov, the state’s online health insurance marketplace.
Open enrollment runs from Nov. 1, 2021, through Jan. 15, 2022. Coverage starts Jan. 1, 2022, for plans selected before Dec. 31, and coverage starts on Feb. 1, 2022, for plans selected in the first two weeks of January. Those who qualify for Medicaid may enroll any time of year.
This year, many people can get a health plan for as little as $1 a month. Even for those who have looked before, it’s worth coming back, because there are now savings available for households at all income levels. Plus, a new Maryland law allows for adults ages 18 to 34 to get discounts on top of other savings.
(LANSING, MICH) Gov. Whitmer today announced Michiganders have more plans to choose from, more low- or no-cost coverage options, and more time to enroll during the Health Insurance Marketplace Open Enrollment period, which runs today, November 1 through January 15, 2022.
“Michigan has called for expanded health coverage opportunities throughout the pandemic, and I applaud the Biden-Harris Administration for its continued work in lowering costs to high-quality, comprehensive health insurance for Michigan’s working families,” said Governor Gretchen Whitmer. “Through increased subsidies, an extended enrollment period, and more investment in local assistance, Michiganders have the support they need to get covered for 2022.”
As I noted last night, thanks to the federal Rate Review website finally being updated to include the final, approved 2022 rates for both the individual and small group markets in all 50 states (+DC), I've been able to fill in the missing data for my annual ACA Rate Change Project.
As I note there, the overall weighted average looks like it'll be roughly +3.5% nationally.
Normally I write up a separate entry for both the preliminary and approved rate changes in each individual state, but it seems like overkill to create 14 separate entries at once. Besides, in many of these states there's been few if any changes between the preliminary and approved rate changes.
I go by FULLY vaccinated residents only (defined as 2 doses of the Pfizer or Moderna vaccine or one dose of the Johnson & Johnson vaccine).
I base my percentages on the total population, as opposed to adults only or those over 11 years old.
For most states + DC I use the daily data from the Centers for Disease Control, but there are some where the CDC is either missing county-level data entirely or where the CDC data is less than 90% complete at the county level. Therefore:
For California, I'm using the CDC data for most counties and the state health dept. dashboard data for the 8 small counties which the CDC isn't allowed to post data for.
HSRI’s extended Open Enrollment period begins today and runs through January 31, 2022 with huge savings on health coverage available to most Rhode Islanders.
EAST PROVIDENCE – Open Enrollment through HealthSource RI, Rhode Island’s health insurance marketplace, begins today November 1, 2021 and runs through January 31, 2022 to help connect Rhode Island residents with high-quality, low-cost or no-cost coverage for 2022. Thanks to the federal American Rescue Plan Act (ARPA), coverage through HealthSource RI is now more affordable than ever.
Here’s what you need to know about signing up for health coverage
DENVER — It’s Open Enrollment in Colorado. For those who aren’t already covered by job health insurance or another insurance program (like Health First Colorado, Colorado’s Medicaid program or Medicare), now is the time to sign up for a health insurance plan for 2022 coverage. This year, many individuals, families and small business owners shopping for health and dental plans can expect increased plan choice and savings for 2022.
Idaho’s Open Enrollment Period for Health Coverage Begins
New carriers and expanded tax credits give Idahoans more choices and savings
BOISE, Idaho – Starting Monday, Nov. 1, Idahoans who do not have coverage through their employer and don’t qualify for Medicaid or Medicare, can enroll in 2022 medical and dental coverage through Your Health Idaho, the state’s health insurance exchange.
“This is an exciting year for Your Health Idaho and our customers,” said Your Health Idaho executive director, Pat Kelly. “Not only do we have two new insurance carriers and a record number of plans, but Idahoans are also seeing more savings than ever before thanks to the enhanced subsidies that are only available through Your Health Idaho.”
Every year, I spend months painstakingly tracking every insurance carrier rate filing for the following year to determine just how much average insurance policy premiums on the individual market are projected to increase or decrease.
Carriers tendency to jump in and out of the market, repeatedly revise their requests, and the confusing blizzard of actual filing forms sometimes make it next to impossible to find the specific data I need. The actual data I need to compile my estimates are actually fairly simple, however. I really only need three pieces of information for each carrier:
Here's the weekly look at the rate of COVID-19 cases & deaths at the county level since the end of June, broken out by partisan lean (i.e, what percent of the vote Donald Trump received in 2020).
The case rate is pretty much the same as it was last week, with new cases running nearly 3x higher per capita in the reddest tenth of the country than the bluest tenth:
