Charles Gaba's blog

Originally posted 12/21/24

North Dakota has around ~43,000 residents enrolled in ACA exchange plans, 91% of whom are currently subsidized. I estimate they also have another ~16,000 unsubsidized off-exchange enrollees.

Combined, that's ~59,000 people, although assuming the national average 6.6% net enrollment attrition rate applies, current enrollment would be back down to more like 55,000 statewide.

Originally posted 12/20/24

Oklahoma has around ~293,000 residents enrolled in ACA exchange plans, 93% of whom are currently subsidized. I estimate they also have another ~7,000 unsubsidized off-exchange enrollees.

Combined, that's ~315,000 people, although assuming the national average 6.6% net enrollment attrition rate applies, current enrollment would be back down to more like 300,000 statewide.

Originally posted 1/20/20

Nebraska has around ~136,000 residents enrolled in ACA exchange plans, 95% of whom are currently subsidized. I estimate they also have another ~2,000 unsubsidized off-exchange enrollees.

Combined, that's 139,000 people, although assuming the national average 6.6% net enrollment attrition rate applies, current enrollment would be back down to more like 130,000 statewide.

Originally posted 1/29/25

Pennsylvania has around ~496,000 residents enrolled in ACA exchange plans, 87% of whom are currently subsidized. I estimate they also have another ~103,000 unsubsidized off-exchange enrollees.

Combined, that's 600,000 people, although assuming the national average 6.6% net enrollment attrition rate applies, current enrollment would be back down to more like 560,000 statewide.

Originally posted 12/05/25

New Hampshire has around ~70,000 residents enrolled in ACA exchange plans, 71% of whom are currently subsidized. I estimate they also have another ~14,000 unsubsidized off-exchange enrollees.

Combined, that's 85,000 people, although assuming the national average 6.6% net enrollment attrition rate applies, current enrollment would be back down to more like 80,000 statewide.

Originally posted 12/26/24

North Carolina has around ~975,000 residents enrolled in ACA exchange plans, 94% of whom are currently subsidized. I estimate they also have another ~37,000 unsubsidized off-exchange enrollees.

Combined, that's just over 1 MILLION people, although assuming the national average 6.6% net enrollment attrition rate applies, current enrollment would be back down to more like 945,000 statewide.

Originally posted 12/28/24

Mississippi has around ~338,000 residents enrolled in ACA exchange plans, 98% of whom are currently subsidized. I estimate they also have another ~14,000 unsubsidized off-exchange enrollees.

Combined, that's 352,000 people, although assuming the national average 6.6% net enrollment attrition rate applies, current enrollment would be back down to more like 330,000 statewide.

Originally posted 1/08/25

The District of Columbia has around ~15,000 residents enrolled in ACA exchange plans. Unlike most states where nearly all ACA exchange enrollees are subsidized, in DC only around 28% are due to the District having an unusually high income eligibility threshold for Medicaid (210%).

DC also has a unique requirement that ACA individual market plans can only be sold on their ACA exchange; I'm assuming perhaps 1,000 off-exchange enrollees regardless but officially I believe this should be pretty much zilch. With net attrition since January, however, it looks like the grand total is actually a bit below 14,000 District-wide.

Originally posted 1/15/25

Montana has around ~77,000 residents enrolled in ACA exchange plans, 89% of whom are currently subsidized. I estimate they also have another ~8,400 unsubsidized off-exchange enrollees.

Combined, that's 85,000 people, although assuming the national average 6.6% net enrollment attrition rate applies, current enrollment would be back down to more like 80,000 statewide.

Originally posted 1/18/25

Missouri has around ~417,000 residents enrolled in ACA exchange plans, 94% of whom are currently subsidized. I estimate they also have another ~3,600 unsubsidized off-exchange enrollees.

Combined, that's ~420,000 people, although assuming the national average 6.6% net enrollment attrition rate applies, current enrollment would be back down to more like 392,000 statewide.