Charles Gaba's blog

Covered California Logo

via Covered California...

  • The American Rescue Plan provides new and expanded financial help that dramatically lowers health insurance premiums for people who purchase health insurance through Covered California.
  • More than 52,000 people in the Santa Barbara, Santa Maria and San Luis Obispo regions — including the uninsured and people currently enrolled directly through a health insurance carrier — stand to benefit from the new financial help that is now available.
  • In order to maximize their savings, consumers need to enroll by June 30 so they can begin saving and benefiting from the new law on July 1.
  • Many people will be able to get a high-quality plan for as little as $1 per month, and currently insured consumers could save hundreds of dollars per month on their coverage if they switch to Covered California.
ACA Signups Logo

Yesterday's big story on the ACA front was that the HHS Dept. confirmed more than 1.24 million additional Qualified Health Plan (QHP) selections via the federal exchange (HealthCare.Gov) so far during the ongoing Special Enrollment Period (which runs through 8/15).

In addition to that, however, I've also been tracking the (admittedly scattershot) SEP enrollments across the other 15 states (including DC) which operate their own ACA exchanges. So far only 10 of the State-Based Marketplaces (SBMs) have released any SEP enrollment data, and even then it's been very incomplete. Washington State only released data for the first 9 days of the SEP, for instance...while Pennie (Pennsylvania) just released data all the way through yesterday.

Pennie Logo

On top of yesterday's confirmation by the Centers for Medicare & Medicaid that over 1.24 million Americans have enrolled in ACA coverage via HealthCare.Gov so far during the ongoing Special Enrollment Period, I've also just been informed that Pennsylvania (one of the 15 states operating their own ACA exchange) has enrolled nearly 39,000 people during their SEP since 2/15 as well:

West Virginia

I've once again relaunched my project from last fall to track Medicaid enrollment (both standard and expansion alike) on a monthly basis for every state dating back to the ACA being signed into law.

For the various enrollment data, I'm using data from Medicaid.gov's Medicaid Enrollment Data Collected Through MBES reports. Unfortunately, they've only published enrollment data through December 2020. In most states I've been able to get more recent enrollment data from state websites and other sources.

For January 2021 and beyond, I'm using adjusted estimates based on raw data from the West Virginia Bureau for Medical Services.

HealthCare.Gov Logo

This just in from CMS...

2021 Marketplace Special Enrollment Period Report: February 15 – May 31, 2021

The Centers for Medicare & Medicaid Services (CMS) reports that over 1.2 million Americans have signed up for health insurance through HealthCare.gov since February 15, the start of the 2021 Marketplace Special Enrollment Period (SEP) opportunity, through May 31, with 376,000 consumers signing up for health insurance in the month of May.[1]

I projected at least 1.2 million SEP enrollees via HC.gov a week or so ago. On the other hand, I also noted that President Biden appeared to have let this number slip a week earlier anyway, so it wasn't that impressive of a projection:

Washington State

I've once again relaunched my project from last fall to track Medicaid enrollment (both standard and expansion alike) on a monthly basis for every state dating back to the ACA being signed into law.

For the various enrollment data, I'm using data from Medicaid.gov's Medicaid Enrollment Data Collected Through MBES reports. Unfortunately, they've only published enrollment data through December 2020. In most states I've been able to get more recent enrollment data from state websites and other sources.

For Washington State, I'm using adjusted estimates based on raw data from the Washington State Health Care Authority.

Virginia

I've once again relaunched my project from last fall to track Medicaid enrollment (both standard and expansion alike) on a monthly basis for every state dating back to the ACA being signed into law.

For the various enrollment data, I'm using data from Medicaid.gov's Medicaid Enrollment Data Collected Through MBES reports. Unfortunately, they've only published enrollment data through December 2020. In most states I've been able to get more recent enrollment data from state websites and other sources.

For Virginia, I'm using adjusted raw data from the Virginia Dept. of Medical Assistance Services.

Vermont

I've once again relaunched my project from last fall to track Medicaid enrollment (both standard and expansion alike) on a monthly basis for every state dating back to the ACA being signed into law.

For the various enrollment data, I'm using data from Medicaid.gov's Medicaid Enrollment Data Collected Through MBES reports. Unfortunately, they've only published enrollment data through December 2020. In most states I've been able to get more recent enrollment data from state websites and other sources, but Vermont isn't among them.

Vermont is one of only two states (the other is Massachusetts) where everyone enrolled in Medicaid via ACA expansion was already previously eligible before the law passed via state programs or federal waivers. However, those programs (and funding) have presumably long since been discontinued, so if the ACA is struck down, those enrollees would be in the same boat as those enabled specifically due to the ACA unless funding was immediately restored.

Utah

I've once again relaunched my project from last fall to track Medicaid enrollment (both standard and expansion alike) on a monthly basis for every state dating back to the ACA being signed into law.

For the various enrollment data, I'm using data from Medicaid.gov's Medicaid Enrollment Data Collected Through MBES reports. Unfortunately, they've only published enrollment data through December 2020. In most states I've been able to get more recent enrollment data from state websites and other sources. Unfortunately, Rhode Island is among the few states where I haven't been able to get ahold of post-2020 data yet, even estimates.

Rhode Island

I've once again relaunched my project from last fall to track Medicaid enrollment (both standard and expansion alike) on a monthly basis for every state dating back to the ACA being signed into law.

For the various enrollment data, I'm using data from Medicaid.gov's Medicaid Enrollment Data Collected Through MBES reports. Unfortunately, they've only published enrollment data through December 2020. In most states I've been able to get more recent enrollment data from state websites and other sources. Unfortunately, Rhode Island is among the few states where I haven't been able to get ahold of post-2020 data yet, even estimates.

Rhode Island's total Medicaid enrollment (including ACA expansion) reached an all-time high of around 313,000 back in mid-2017. Since then it gradually dropped to around 290,000 just ahead of the COVID pandemic...but since then non-expansion enrollment has gone up by 7% and the ACA expansion population has risen by over 30%, meaning total enrollment is up 12% overall.

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