Charles Gaba's blog

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.

Originally posted 1/01/25

Louisiana has around ~293,000 residents enrolled in ACA exchange plans, 96% of whom are currently subsidized. I estimate they also have another ~13,000 unsubsidized off-exchange enrollees.

Combined, that's 306,000 people, although assuming the national average 6.6% net enrollment attrition rate applies, current enrollment would be back down to more like 286,000 statewide.

Originally posted 12/06/24

Maryland has around 247,000 residents enrolled in ACA exchange plans, 76% of whom are currently subsidized. I estimate they also have another ~73,000 unsubsidized off-exchange enrollees.

Combined, that's 320,000 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.

How did we get here?

Originally posted 12/13/24

Michigan has around 531,000 residents enrolled in ACA exchange plans, 91% of whom are currently subsidized. I estimate they also have another ~64,000 unsubsidized off-exchange enrollees.

Combined, that's 595,000 people, although assuming the national average 6.6% net enrollment attrition rate applies, current enrollment would be back down to more like 556,000 statewide.

How did we get here?

Originally posted 12/04/24

Massachusetts has around 390,000 residents enrolled in ACA exchange plans, 83% of whom are currently subsidized. I estimate they also have another ~27,000 unsubsidized off-exchange enrollees.

Combined, that's ~417,000 people, although assuming the national average 6.6% net enrollment attrition rate applies, current enrollment would be back down to perhaps ~400,000.

Originally posted 12/03/24

Minnesota has around 151,000 residents enrolled in ACA exchange plans, 61% of whom are currently subsidized. I estimate they also have another ~62,000 unsubsidized off-exchange enrollees.

Combined, that's ~213,000 people, although assuming the national average 6.6% net enrollment attrition rate applies, current enrollment would be back down to more like 200,000 statewide.

Originally posted 1/02/25

Kansas has around 200,000 residents enrolled in ACA exchange plans, 94% of whom are currently subsidized. I estimate they also have another ~6,000 unsubsidized off-exchange enrollees.

Combined, that's ~206,000 people, although assuming the national average 6.6% net enrollment attrition rate applies, current enrollment would be down to more like 192,000 statewide.

Originally posted 12/14/24

Kentucky has around 97,000 residents enrolled in ACA exchange plans, 86% of whom are currently subsidized. I estimate they also have another ~6,800 unsubsidized off-exchange enrollees.

Combined, that's 104,000 people, although assuming the national average 6.6% net enrollment attrition rate applies, current enrollment would be back down to more like 97,000 statewide.

Originally posted 12/09/24

Indiana has around 359,000 residents enrolled in ACA exchange plans, 90% of whom are currently subsidized. I estimate they also have another ~6,700 unsubsidized off-exchange enrollees

Combined, that's 5.3% of their total population.

Assuming the national average 6.6% net enrollment attrition rate thru April reported by the Centers for Medicare & Medicaid Services applies to Indiana, however, that would knock the current enrollment down to more like 341,000 statewide.

Originally posted 12/11/24

Iowa has around 136,000 residents enrolled in ACA exchange plans, 88% of whom are currently subsidized. I estimate they also have another ~9,600 unsubsidized off-exchange enrollees.

Combined, that's over 146,000 people, although assuming the national average 6.6% net enrollment attrition rate applies, current enrollment would be down to more like 136,000 statewide.