Charles Gaba's blog

The Daily Caller might be interested in the fact that while yes, the 2nd week numbers did drop substantially in both Massachusetts as well as HC.gov, as I expected, they've bounced right back up again in the third week (in MA, at least). In fact, if you look carefully you'll note that determinations are increasing a bit each day so far:

Anyway, using my 48.5% rule, I estimate that Massachusetts is up to roughly 28,200 QHP plan selections to date...or nearly 89% of their 2014 total. They seem to be averaging around 2,200 QHP selections per day.

That's right: It's conceivable that MA could hit their 2014 total (31,695 as of April 19th) by the end of business tomorrow. Assuming the "selected plans" percentage has gone higher than 48.5% this week, it's even conceivable that they'll hit it today.

Meanwhile, Medicaid enrollments are about to break the 50,000 mark as well.

NOTE: I've decided to make "Short Cuts" the standard name for ACA-related stories which are interesting but which I just don't have time to do full write-ups on. I've also given up on trying to cram the headlines of each story into the blog entry title.

ObamaCare outreach campaigns across the country are diving deeper into the hard-to-reach uninsured populations such as rural areas with hopes of driving up enrollment in its second year, several state directors said Wednesday.

“We have a much better sense because of data from the federal government on where are the uninsured,” Ryan Barker, vice president of health policy for the Missouri Foundation for Health, said in a conference call hosted by Families USA.

The Michigan Primary Care Association said it is trying to “fill the gaps” of health insurance coverage by relocating a majority of its staff to rural, less-populated areas.

I was feeling kind of sour after writing my previous post about Sen. Tom Harkin's unhelpful comments today, so thanks to contributor "Dee" for cheering me up with this bit of idiocy from the Daily Caller from a woman named Sarah Hurtubise:

Obamacare Sign-Ups Stall In Week Two

The number of Americans signing up for Obamacare coverage on HealthCare.gov slowed significantly in the second week of the open enrollment season for the health-care law.

Just over 303,000 people chose plans on HealthCare.gov between Nov. 22 and Nov. 28, down from 462,125 who selected insurance coverage on the federal website during its first week, the Department of Health and Human Services announced Wednesday.

...The number of total applications submitted dropped by half in comparison to the first week. While over one million applications were submitted during the first week, that total fell to just 520,427 in the next seven days.

"Once again, things that could have been brought to my attention YESTERDAY!!!"

What the hell has gotten into the Senate Democrats drinking water recently???

Last week we had NY Sen. Chuck Schumer basically saying that the only reason to win elected office is to keep winning elected office, so why bother doing anything useful for people who don't vote?

Today, he's followed up by IA Sen. Tom Harkin, who has the following incredibly insightful wisdom to spread to Democrats throughout the land:

“We had the votes in ’09. We had a huge majority in the House, we had 60 votes in the Senate," Harkin told The Hill, saying that the first Congress of President Barack Obama's administration should have passed “single-payer right from the get go or at least put a public option (which) would have simplified a lot.”

Huh. OK, I wasn't expecting MNsure's update until Friday this week (they put it out on Wednesday last week due to Thanksgiving), but fair enough:

Latest Enrollment Numbers

December 3, 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 8,874
MinnesotaCare 2,954
Qualified Health Plan (QHP) 7,106
TOTAL 18,934

MNsure is running around 54% higher than their 2014 daily average so far, FWIW.

Massachusetts continues to steam ahead: Assuming at least 48.5% of QHP determinations have already selected policies, they should be at roughly 26,000 QHPs through last night, plus another 45,687 added to Medicaid.

If so, MA has reached 82% of their 2014 total in 18 days, and is on their way to a bare minimum of 134K even without the double-surges around 12/23 and 2/15.

Again, I'm expecting as many as 300K Bay Staters before the dust settles in February.

Over the summer, five different respected national healthcare studies agreed that the overall uninsured rate had plummeted by at least 25% from last fall through the end of June, 2014. The methodology varied a bit from one to another; some included all adults, others only included those under 65. Some included children under 18, others didn't. Some used the September 2013 as the starting point, others started with December 2013. Even with all of these variables, though, the consensus was a 25% reduction, from roughly 42.3 million down to around 31.3 million, give or take.

Today, one of the five, the Urban Institute, released an updated study which includes the third quarter of 2014, and as expected, the trend has continued:

Not a formal press release, but I'll take it for now:

UPDATE: Enrollments top 44,000, including more than 25K QHPs

— MD Health Connection (@MarylandConnect) December 3, 2014

Holy smokes indeed.

Again, for comparison: Last year, Maryland enrolled a total of 67,757 people in 6 1/2 months. They've now achieved 37% of that total in just 18 days.

 

On the one hand, moving from 2,000 in the first 3 days to a minimum of 6,000 (likely more like 10K, since the 6K refers only to "accounts" not "people") in the first 17 days is a perfectly reasonable point for Washington to be at right now.

On the other hand...well, here's the press release:

Today, the Exchange identified an error affecting 6,000 customer accounts enrolled in Qualified Health Plans. Early analysis indicates that our system integrator, Deloitte, ran an automated enrollment cancellation process in error. The affected accounts, which are a portion of the total number of customers who are enrolled in coverage starting on Jan. 1, 2015, experienced an erroneous cancellation of both their enrollment and payment for 2015 coverage.

Oops.

Well, on the plus side, the rest of the PR makes it clear that a) they're on top of it, b) it's gonna get resolved ASAP and c) it looks like this screw-up was Deloitte's fault, not the actual exchange itself (they call them out by name, which is noteworthy).

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