Charles Gaba's blog

For the past month or so I've repeatedly noted that Michigan's ACA Medicaid Expansion program (Healthy Michigan) enrollment has exceeded the estimates given as to how many Michiganders are actually eligible for the program (between 477K - 500K depending on the source).

With today's update (also the first of the new year), it looks like the number has finally bumped up against the "ceiling" and is now receding a bit:

Healthy Michigan Plan Enrollment Statistics

Beneficiaries with Healthy Michigan Plan Coverage: 496,870
(Includes beneficiaries enrolled in health plans and beneficiaries not required to enroll in a health plan.)

*Statistics as of January 5, 2015 
*Updated every Monday at 3 p.m.

This Just In...

Connect for Health Colorado® and Colorado Medicaid Report Enrollment Gains

Posted on Tuesday, January 6, 2015

Curtis Hubbard, curtis@onsightpublicaffairs.com, 303-908-2378 (Connect for Health Colorado)
Marc Williams, Marc.Williams@state.co.us,  303-866-3144  (Colorado Medicaid)

DENVER, CO – Between Nov. 15 and Dec. 31, more than 151,000 Coloradans enrolled in healthcare coverage for 2015, either in Medicaid, Child Health Plan Plus (CHP+) or in private health insurance purchased through the state health insurance Marketplace, according to new data released today by Connect for Health Colorado® and the Colorado Department of Health Care Policy and Financing.

 

...The initial six weeks of open enrollment saw a total of 113,864 enrollments in private coverage through Connect for Health Colorado (20,790 people new  to the Marketplace and 93,074 re-enrollments from 2014); 35,981 in Medicaid; and 1,517 in CHP+.  Connect for Health Colorado also enrolled 19,068 individuals in dental plans.

As I've noted before, updating Oregon's QHP total does nothing to change the overall tally this year because they're operating on HC.gov now. It is useful to keep a running total on the state, however, given the mess from last year that they're comparing against. In addition, Oregon is the only state (so far) providing hard numbers for off-exchange QHP enrollments.

As I also noted a week or so ago, however, there's an odd discrepancy between the OR state website (which claimed just 67.4K QHPs through 11/21) and the HHS Dept. report (which claimed QHP selections were alredy at over 73K 6 days earlier, on the 15th). With that in mind, use tonight's update with caution:

Open enrollment weekly updates

The Insurance Division will collect enrollment information from carriers each week throughout 2015 open enrollment. Updated numbers will be posted each week on this web page.

Members enrolled,
Nov. 15-Dec. 28
On Healthcare.gov 75,740

Outside of Healthcare.gov 40,731
Total 116,471

The total numbers aren't much higher than the last update, but that's understandable; this official report only includes 3 more days, including a quiet holiday weekend:

As of Jan. 4, 156,305 Marylanders have enrolled in quality, affordable health coverage for calendar year 2015, since the 90-day open enrollment period began Nov. 15. That includes 87,348 people enrolled in private Qualified Health Plans and 68,957 people enrolled in Medicaid.

Marylanders can enroll by Jan. 18 for coverage effective Feb. 1 and, if eligible, for an Advanced Premium Tax Credit (APTC) to immediately lower their monthly insurance bills. Marylanders who were enrolled for 2014 should re-enroll by Jan. 18 for an Advanced Premium Tax Credit that begins Feb. 1. They will receive any tax credit owed for January 2015 when they file their federal income tax return in 2016.

Open enrollment for 2015 for Maryland Health Connection ends Feb. 15.

As I noted last week, Minnesota had around 41,000 people enrolled in 2014 exchange QHPs as of October, and due to PreferredOne dropping off the exchange (with around 60% of the market), along with a state law which requires insurance companies to continue providing the same policy as long as a current enrollee wants to keep it (and keeps paying premiums), that meant that MN's renewal/re-enrollment situation was especially unusual compared to most states.

They bumped their January coverage deadline out to 12/31; today they posted their Year End results:

Latest Enrollment Numbers

December 31, 2014

MNsure will release 2015 enrollment metrics weekly, and will present a more robust metrics summary to the MNsure Board of Directors at each regularly-scheduled board meeting. During weeks that MNsure is closed on Friday, the enrollment metrics update will be released earlier in the week.

Health Coverage Type Cumulative Enrollments
Medical Assistance 26,540
MinnesotaCare 11,152
Qualified Health Plan (QHP) 31,159
TOTAL 68,851

Last week, after the first official HHS report came out, I was perplexed by data discrepancies between the HHS and several state exchanges. Many of these turned out to be due to the dates on the reports not matching up, but others remained.

One of the remaining ones was in Vermont:

Vermont: I don't have a 12/15 report from the VT state exchange, but they did release one from 4 days earlier. It claimed 25,867 total QHP selections for 2015. The HHS report says it was 21,709...as of 4 days later. Again, a 4,100 difference.

Today I received my answer: It turns out that until now, the official state exchange enrollment reports were including both QHPs and Medicaid in both the "renewed" and "new" enrollment numbers. Medicaid/CHIP enrollments make up around 7,000 of the total (around 2,800 renewals and 4,300 new).

The broken-out numbers for Vermont, as of last night, directly from my contact at Vermont Health Connect, are as follows:

Chalk up another (likely) 2,000 QHPs for Massachusetts over the weekend: There were 4,116 QHP determinations from the 2nd - 4th (plus just a handful on New Year's Eve and Day for obvious reasons). Assuming at least 50% of them followed through and selected a plan (which has been pretty reliable so far), that should bring the grand total of QHP selections up to around 83.4K to date.

Meanwhile, Medicaid enrollments are closing in on 150K.

Last week you may recall I posted this story:

Earlier this evening I received the following email. I'm not including the sender's identifying information for obvious reasons:

Someone from this website contacted me to help with enrolling in health insurance. They created an account on healthcare.gov with an id of XXXXXXXX@acasignup.net instead of my email address and did not give me the password. I am trying to make some changes to my healthcare coverage and update my information.

I am very concerned with the safety of my information. I thought they were from the health insurance marketplace.

If you could change my id to my email and give me the password I would very much appreciate it.

If not I will assume you are an identity thief and contact the FBI.

New York state regulators say more than 225,000 people have newly enrolled in Affordable Care Act health insurance coverage heading into 2015.

That is important because more people with health insurance equals jobs,according to some investment advisers, who say hospitals and health care companies spend more money on construction and other related growth as the uninsured rate drops.

With the Affordable Care Act seemingly off to a good start in its first year, increasing access to insurance coverage for adults, attention is likely to turn to an older program for children that will come to an end in 2015 if it is not reauthorized: the Children’s Health Insurance Program, or CHIP.

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