Charles Gaba's blog

Maryland's latest tally has just been released. They went from 11,715 private enrollments on 12/21 to 18,257 as of 12/28, a whopping 55% increase in the final enrollment week. They also added another 13,000 people to Medicaid either via the exchange or transfers from the MD Primary Adult Care program.

Through December 28, 18,257 Marylanders have chosen to enroll in private health plans through Maryland Health Connection.

91,570 Marylanders signed up through the Primary Adult Care (PAC) program to be automatically enrolled in Medicaid coverage on January 1, 2014, and now have full Medicaid coverage. Separately, through December 28, 43,065 Marylanders have been found eligible for a Medicaid program through Maryland Health Connection. As of January 1, 19,578 of those individuals were enrolled in Medicaid, and we expect many more of those found eligible to be enrolled in the coming weeks, with coverage retroactive to January 1. 

There's no specific breakdown given between private and public accounts, but the previous numbers were 14K and 24K, so I'm assuming the extra 2,000 are broken out in a similar 37/63 ratio. The article also reaffirms the 100,000 enrollments in the publicly-funded Oregon Health Plan.

The website still has not enrolled anyone, though roughly 40,000 have enrolled using the exchange's paper applications, and more than 100,000 have enrolled in the Oregon Health Plan using a system set up by the state in August to bypass the exchange.

It looks like my previous source for Colorado's Medicaid Expansion tally (114,192) was mistaking applications for actual enrollments. This number has been reduced by 27,760 as of 12/31/13.

In addition, in a previous entry I mentioned a study by the Commonwealth Fund from earlier this year which claimed that the correct number of "Under 26'ers" on their parent's plans thanks to the ACA is actually closer to 7.8 million instead of the 3.1 million figure that I've been using. However, I've been reluctant to switch to that figure since a) it's much larger and b) the HHS itself is only using the 3.1 million number. Today I found out why this is the case; contributor jdld provided a link to this report on the HHS website which states:

Colorado has increased their private total enrollment from 42,771 on Christmas Eve to 52,773 as of New Year's Eve.

Not too much to add here. This is significant not just because of the hard number, which is impressive and pushes CO ahead of their CBO enrollment schedule (92K by 3/31/14; they're 57% of the way there while the period is only 50.5% over), but because of the implication--the state extended their January enrollment deadline to 12/27, and managed to increase their tally by more than 23% in that last week. If this trend held true for other late-enrollment states, it could mean some nice last-minute mini-spikes.

On Christmas Day I posted "New ACA Attack: "But how many have actually PAID???" in which I pointed out that unless there prove to be significant technical issues preventing large numbers of premium payments from going through, this is pretty weak tea in terms of being an anti-ACA talking point...or at least it won't have any teeth to speak of until after January 10th, the date which most insurance companies have agreed to extend their January payment deadlines out to.

However, in the interest of completeness, I did point out that in at least one case (Washington State), the enrollment numbers are indeed broken out between paid and unpaid; specifically, 65,000 out of 134,000 total enrollments had been paid, or 48.5%. The next day, Nevada's numbers came out and once again, 49% (6,219 out of 12,740) were paid. So the short answer I gave at the time was "almost half of enrollees have paid."

Mississippi: Private up to 2,000 from 802 (h/t Steve Mullinax, aka rsmpdx)

Transcript from Jeffrey Hess of Mississippi Public Radio, NPR Audio:

Only two insurance companies are offering plans in Mississippi, and they only overlap in four of the state’s 82 counties. However, those two companies appear to be betting that the web site problems and skepticism about the exchange in general are passing. One of the two companies, Humana, launched a late-December ad campaign to drive more people to the site, says spokesman Mitch Lubitz. “There’s been a ramp-up as the HealthCare.gov web site has gotten easier to use and there have been other options for people to go on and get information and enroll.” Mississipi’s Insurance Commissioner Mike Chaney says the improvements to the enrollment process are good, but he’s still skeptical they’ll be able to get enough people signed up this year. “From zero to ten, I’d give it a confidence level of about a three.” Hess: “That’s still not very good.” Chaney: “That’s not, but it’s better than where I was, a one, a week before last. “Chaney says the unofficial count is around two thousand people enrolled, but he says if the confidence trend continues upward, his confidence will rise to a five.”

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My only update today was to finally post the F.A.Q.

I have a dozen or so submitted updates to check into, so hopefully I'll have a lot to add tomorrow, but otherwise I'm spending a quiet New Year's Day curled up in front of James & the Giant Peach and Hugo with my family.

Happy 2014, everyone!

Fireworks

Two quick last-minute updates before the ball drops on 2013:

Rhode Island: private enrollments up to 9,800 (h/t to Betsy Cazden aka rugbymom)

Individuals and families had until the end of the day Tuesday to enroll throughHealthSource RI for coverage beginning Wednesday. About 9,800 people had signed up from Oct. 1 through Dec. 28 for commercial plans offered in the marketplace. It was not immediately clear how many of them were previously uninsured.

As Ms. Cazden notes: "We were at a bit over 5,000 at the end of November, so this means it's almost doubled. Our CBO target number is 12,000, which we're on track to hit by mid-January at this pace....there will be more numbers coming out since people can sign up until midnight tonight (12/31)."

NOTE: This was originally posted over at Daily Kos. I've since ported it over here for archival purposes.

Sorry to disappoint everyone, but I've run into my first major data error (to my knowledge) in weeks.

Read the whole blog post for details, but the short version is that I had Minnesota up to 125K total (50K private, 75K public), when it turns out that those numbers should only be 19,420 and 33,759 respectively. It also means that last week's Minnesota numbers were wrong as well.

I've already corrected the spreadsheet; this means the total is 30,580 less than I had it last night.

My apologies for the error...which came on the same day that a White House representative apparently mentioned me by name on MSNBC this morning. Lovely.

Oh, I should note that I know I promised an update to the IA/NE numbers and how this relates to "off-exchange" enrollments, but between the Minnesota correction and the actual paying work that I'm way behind on (you know, my job and all...) that'll have to wait until later today (I hope).

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