Charles Gaba's blog

Hot off the presses from the Colorado exchange (CO is one of six states which stuck with the original January enrollment deadline):

DENVER — More than 144,000 Coloradans selected healthcare coverage for 2017 through the state health insurance Marketplace through Sunday, December 18, a rate 18 percent ahead of signups one year ago, according to new data released today by Connect for Health Colorado®.

“We have seen a definite increase in the pace of sign-ups during the first half of this Open Enrollment period,” said Connect for Health Colorado CEO Kevin Patterson.  “These Coloradans have protected their health and their finances with healthcare coverage next year. I encourage anyone who does not yet have health insurance for 2017 to go to our site, Connectforhealthco.com, check to see if they qualify for financial assistance, review the available plans, and complete an enrollment. They can have coverage in place February 1 if they act by January 15.”

This Just In...(Minnesota was one of the few states which stuck with the original 12/15 deadline for January coverage):

ST. PAUL, Minn.— MNsure has enrolled 54,586 Minnesotans in private health care coverage, far outpacing the approximately 27,000 who had enrolled at a similar stage of open enrollment last year.

Additionally, since the start of open enrollment, 14,020 Minnesotans have eligibility determinations in MinnesotaCare and 43,327 in Medical Assistance.

The 2015-2016 open enrollment period set a record for the most Minnesotans enrolled in private health plans, but the 2016-2017 period has been even more brisk. By December 28, 2015, the deadline for January 1 enrollment last year, about 27,000 had enrolled, meaning enrollment numbers are twice what they were at the same time last year.

"You got to have some insurance. They shouldn't even call it insurance. They just should call it ''in case shit.'' l give a company some money in case shit happens.

... That's right, man, you better have some medical insurance, or you gonna die. That's right, everybody. You got to eat right and exercise. No, you don't, you need some coverage. Coverage will save your life. That's right, we all gonna die, but at least if you got some coverage... you will die on a mattress. That's right.

About a decade ago, there was an excellent animated TV series on Nickelodeon called Avatar: The Last Airbender:

Avatar: The Last Airbender takes place in a world that is home to humans and hybrid animals, adjacent to a parallel Spirit World. Human civilization is divided into four nations: the Water Tribes, the Earth Kingdom, the Fire Nation, and the Air Nomads. Each has a distinct society, wherein people known as "benders" have the ability to manipulate and control the element of their nation using the physical motions of martial arts. The show's creators based each bending style on an existing Chinese martial art, leading to clear visual and physical differences in the techniques used by Waterbenders (tai chi), Earthbenders (Hung Ga kung fu), Firebenders (Northern Shaolin kung fu) and Airbenders (Baguazhang).

...At any given time, only one person in the world is capable of bending all four elements: the Avatar, who serves as an international arbiter. When the Avatar dies, the Avatar spirit is reincarnated into the next one of the four nations in the Avatar Cycle: the Fire Nation, Air Nomads, Water Tribe, Earth Kingdom, in order.

Last February I was invited to join Will McLeoad & Arliss Bunny on their "I'm Hopping Mad!" podcast to discuss the heated debate over single payer healthcare vs. a more incrementalist approach.

Over this past weekend, Will and Arliss invited me back to discuss the GOP's impending ACA "repeal/replace" intentions, why pretty much all of them would be a disaster and other items. This episode opens with a great explainer/discussion of the "Fake News" debacle; my own segment starts at around 28 minutes in.

Feel free to check it out!

(Ironically, the one topic we didn't really discuss was the current OE4 enrollment numbers...)

Quickly before I leave for the evening: Just received the 12/15 enrollment number from the Maryland exchange:

  • 148,610 QHP selections total
  • 87,009 of these are auto-renewals
  • This is slightly ahead of last year's 12/15 tally

Will add to spreadsheet/etc. later this evening.

Nice catch by ME: This is actually slightly lower than last year as of the same date.

I made my original 2017 Open Enrollment Period projections before November 1st, and have only made a couple of modifications to The Graph since then...mainly to account for the fact that the 1st fell on a Tuesday this year instead of a Sunday. None of this changed my final projection of around 13.8 million QHP selections nationally by the end of OE4 on January 31, 2017.

In fact, the only time I seriously considered changing my final projection was November 9th, when I briefly speculated that Donald Trump's election could cause a disastrous drop-off in enrollments, flatlining at perhaps 1.5 million total. This particular concern was, fortunately, unfounded, as it turned out that not only did enrollments end up pacing my projections almost pefectly, they were actually running slightly ahead of my expectations overall.

The following press release just came out from the Colorado exchange:

CEO Blog: Record Setting Day for Connect for Health Colorado®

We did it! We met the very important December 15 deadline with positive energy and in my opinion, we knocked it out of the park! We’ve seen some very impressive numbers with 10,000 plan selections on Wednesday. And on Thursday we processed more than 12,000 plan selections! Thank you for your tireless efforts supporting our customers.

With the volume that we are seeing, we want to reiterate that we are committed to assisting customers with January 1 coverage who began the process by midnight December 15. If customers are delayed, they should call our Customer Service Center for assistance before finalizing their enrollment. Our established process for requesting an alternative start date can be used to facilitate this.

On Wednesday, CMS's Week 5/6 Snapshot report confirmed 4,015,709 QHP selections via the federal exchange (HC.gov), but also noted that "over 700,000" additional ACA enrollments came in on Monday and Tuesday. About an hour ago, President Obama confirmed a 1-day record-breaking 670,000 people signed up yesterday alone. A press release from the HHS Dept. was also just released stating:

  • On Monday, over 325,000 Americans selected plans on HealthCare.gov. On Tuesday, over 380,000 Americans selected plans on HealthCare.gov. This marked two of the biggest days in HealthCare.gov history.

Unfortunately, there's no hard numbers for Sunday or Wednesday, but I have a pretty good idea where they fell:

President Obama

Some guy, 5:12pm last night:

So, how about my projections? Well, for today specifically (12/15), I've been assuming roughly 700,000 QHP selections nationally (540K via HC.gov plus 160K via the dozen state exchanges), bringing the cumulative total up to 7.70 million nationally.

HC.gov's one-day enrollment record was set exactly a year ago today (12/15/15), when they enrolled 600,000 people in a single 24-hour period. I've been assuming that fewer people would enroll today specifically this year, if only because so many current enrollees have been actively renewing earlier than in the past; I figured this would've taken some of the heat off of the final day, so I knocked 10% off of the top.

Instead, it looks like I may have underestimated today's haul. The federal exchange could conceivably hit 700K today, and the national tally could potentially hit 800K or so. Then again, if they announce a deadline extension, some of that might spill over into the weekend.

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