Charles Gaba's blog

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The previous CMS Special Enrollment Period report put the HC.gov total at 1.24 million via HC.gov as of the end of May, slightly exceeding my own projection. In addition, I had already confirmed at least 400,000 additional SEP enrollments via the 15 state-based ACA exchanges, for a total of at least 1.6 million nationally as of the end of May.

I didn't make any specific projection for the end of June as I've been swamped with my COVID vaccination tracking project, though I generally expected the enrollment pace to drop off significantly (anyone enrolling in June didn't have their policy kick in until July 1st, meaning their deductible & out-of-pocket cap would be the same even though they're only getting 6 months to use them up). Several hundred thousand more was a reasonable assumption, which would probably bring the national total up to somewhere in the 2 million range.

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via MNsure:

ST. PAUL, Minn.—Health insurance helps individuals and families prepare for life’s unexpected challenges. To enable more Minnesotans to gain the security of health insurance during the COVID-19 pandemic, MNsure has offered a five-month special enrollment period (SEP) that closes this Friday, July 16, 2021.

If you’re uninsured or are currently enrolled in a health plan outside of MNsure, the COVID-19 SEP is a unique opportunity for you to find affordable, comprehensive health care coverage for 2021 through MNsure. The next open enrollment window won’t be until November 2021, with coverage beginning in January 2022—so don’t wait!

COVID-19 Vaccine

It's been a week since I last ran a scatter plot displaying current COVID-19 vaccination rates across every COUNTY nationwide according to the 2020 election results...all 3,100+ of them.

As I noted last week, with the more aggressive Delta variant now spreading quickly among the unvaccinated in the U.S., 85% of the total population seems to indeed be the more likely threshold which will be needed.

For the updated graph below, I've made a few more tweaks to both my data sources and the graph itself, neither of which makes that much of a difference in terms of impact on the final results:

Medicaid

A few weeks ago, after the Centers for Medicare & Medicaid (CMS) confirmed over 80 million Americans were enrolled in Medicaid or the CHIP program as of January 2021, I posted an analysis which looked at state Medicaid enrollment data beyond January.

While the "thru dates" vary from as early as February to as recent as June, my overall conclusion was that actual total Medicaid/CHIP enrollment as of last month has continued to grow, and now likely stands at more like 88 million. It's even conceivable that it's broken the 90 million threshold as of July.

As I noted:

Since then, the combination of sudden, massive unemployment combined with the Families First & CARES COVID Relief acts (which boost federal funding of Medicaid programs while also prohibiting states from disenrolling current Medicaid enrollees during the public health crisis) have resulted in overall Medicaid enrollment rising dramatically over the past year and a half.

White House

This morning, President Biden signed an executive order entitled "Promoting Competition in the American Economy" which hopes to promote competition across major sectors of the U.S. economy. There's 72 initiatives across a dozen agencies total impacting a wide range of industries; naturally this includes healthcare policy and the HHS Dept.

In the healthcare field, there are four areas addressed by Biden's XO: Prescription drugs, hearing aids, hospital consolidation and the ACA exchange marketplaces:

Prescription Drugs: Americans pay more than 2.5 times as much for the same prescription drugs as peer countries, and sometimes much more. Price increases continue to far surpass inflation. As a result, nearly one in four Americans report difficulties paying for medication, and nearly one in three Americans report not taking their medications as prescribed.

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This just in from Connect for Health Colorado...

Colorado's Health Insurance Marketplace Maintains Enrollment Momentum

  • There's still time to enroll

DENVER – As of Wednesday, July 7, 205,813 Coloradans have signed up for a plan that provides coverage this year through Connect for Health Colorado. That’s an additional 5,000 enrollments since last month when Connect for Health Colorado announced its Marketplace had reached a historic enrollment milestone for the 2021 plan year.

That's actually 5,694 more enrollees since June 7th, although they may be knocking it down a bit to account for attrition/etc. That amounts to 190 additional enrollees per day, which is actually up from the ~167/day which Colorado had been averaging from May through June. Huh.

COVID-19

For nearly a year, I posted a weekly analysis of the 100 U.S. counties (out of over 3,100 total) which had the highest cumulative rates of COVID-19 cases and deaths per capita. In addition, I also included a running graph which compared the ratio of COVID cases & deaths per capita between blue and red counties to track how this changed over time.

The results were extremely telling: In the early days of the pandemic back in March/April 2020, the blue counties were devastated for a variety of reasons, including heavy population density, the fact they were mostly located along the coasts (usually in cities with major international ports/airport hubs), and so forth. Democrats tend to live in heavily-populated urban areas, while Republicans are prone to live in more sparsely-populated rural areas, so this made sense.

For the first few months, both case and death rates were running as much as 4-5x higher in counties which voted solidly for Hillary Clinton in 2016/Joe Biden in 2020 than in those which voted for Trump in either 2016 or 2020.

Surprise!

 

Last winter, after years of bipartisan attempts to tackle one of the uglier problems with the U.S. healthcare system, Congress somehow ended up quietly slipping in a bill which resolved a large chunk of the issue with minimal fanfare:

Over at the New York Times, Sarah Kliff and Margot Sanger-Katz have written an excellent summary of the problem and the proposed solution:

Surprise bills happen when an out-of-network provider is unexpectedly involved in a patient’s care. Patients go to a hospital that accepts their insurance, for example, but get treated there by an emergency room physician who doesn’t. Such doctors often bill those patients for large fees, far higher than what health plans typically pay.

COVID-19 Vaccine

Yesterday I posted a completely updated county-level look at where COVID-19 vaccinations stand based on the 2020 Presidential election results.

As I've been noting for months (and as the mainstream press has finally started picking up on), while there are several factors explaining why so many people haven't gotten vaccinated yet, the single biggest determining factor is their political lean and, even more specifically, who they voted for President last fall.

However, the impact of partisan lean varies widely from state to state. In some states the regression line is a steep partisan slope, in others the slope is barely there at all. In some states the R-squared (R^2) figure, which helps determine correlation of the partisan lean variable, is high (above 0.7) while in others it's below 0.1.

COVID-19 Vaccine

Yesterday I posted a completely updated county-level look at where COVID-19 vaccinations stand based on the 2020 Presidential election results.

As I've been noting for months (and as the mainstream press has finally started picking up on), while there are several factors explaining why so many people haven't gotten vaccinated yet, the single biggest determining factor is their political lean and, even more specifically, who they voted for President last fall.

However, there are some outliers, as you would expect when you're looking at a nation of over 330 million people.

According to the latest data, if you take the original "every county" graph...

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