Moments ago I posted the news that the HHS Dept. (via the Centers for Medicare & Medicaid) has confirmed what I wrote about nearly a month ago: Enrollment in ACA healthcare policies are at an all-time high, with over 31 million Americans currently covered by either ACA exchange plans, ACA Medicaid expansion or ACA Basic Health Plan coverage.
Health Coverage Under the Affordable Care Act: Enrollment Trends and State Estimates
Based on enrollment data from late 2020 and early 2021, approximately 31 million people were enrolled in Marketplace or Medicaid expansion coverage related to provisions of the Affordable Care Act (ACA), the highest total on record.
#ACA Enrollment Is At An All-Time High Right Now Almost Any Way You Slice It.
I based this on a rough comparison of ACA enrollment in 2016 (which saw the highest ACA Open Enrollment Period enrollment to date, with nearly 12.7 million people selecting Qualified Health Plans (QHPs) during the official OEP) versus the most recent data available as of spring 2021.
My rough math was as follows (spring 2016 / spring 2021):
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.”
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.
Molina exchange business grew by 302,000 consumers to reach a total 620,000 enrollees in the first quarter, outpacing the company’s earlier 500,000 estimate, growth that CEO Joseph Zubretsky says was driven by strong product design and pricing, higher effectuation rates, lower attrition and the special open enrollment period.
Molina’s marketplace business had a Medical Loss Ratio of 77.3%, which was due to the higher-than-expected direct COVID-related costs as cases surged in many areas.
There's a lot packed into that first paragraph.
First, their ACA enrollment (which presumably includes off-exchange) for Q1 was 24% higher than expected, which is quite an eye-opener.
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:
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.
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.
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).
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.
