COVID19

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As I noted recently, I've 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 total monthly Medicaid enrollment, the official Medicaid.gov monthly enrollment data is only available dating back to late 2013, and it's only current through November 2020. The Kaiser Family Foundation has also compiled the pre-2014 average enrollment for each state based on the 3rd quarter of 2013. In some states I've been able to find more recent enrollment data for December 2020 or later.

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As I noted recently, I've 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 total monthly Medicaid enrollment, the official Medicaid.gov monthly enrollment data is only available dating back to late 2013, and it's only current through November 2020. The Kaiser Family Foundation has also compiled the pre-2014 average enrollment for each state based on the 3rd quarter of 2013. In some states I've been able to find more recent enrollment data for December 2020 or later.

COVID-19 Icon

A picture is worth 1,000 words and all that.

I've done my best to label every state/territory, which obviously isn't easy to do for most of them given how tangled it gets in the middle.

NOTE: Starting this week, I've updated the spreadsheet to account for the official 2020 Census Bureau populations of every state. In most cases this has nudged their case & mortality rates down slightly.

Nearly 1 out of every 7 residents of South Dakota, North Dakota and Rhode Island have tested positive for COVID-19 to date.

More than 1 out of every 9 residents of Iowa, Tennessee, Utah, Arizona, South Carolina, Oklahoma, Nebraska and Arkansas.

More than 1 out of 10 in New Jersey, Indiana, Delaware, Mississippi, Kansas, Alabama, Illinois, Florida, New York, Georgia, Idaho, Wisconsin, Nevada, Minnesota, Wyoming and Montana.

More than 1 out of 20 in every state & territory EXCEPT Guam, Maine, Oregon, Vermont, U.S. Virgin Islands, Hawaii, N. Mariana Islands & American Samoa.

Alabama

As I noted a couple of weeks ago, I've 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 total monthly Medicaid enrollment, the official Medicaid.gov monthly enrollment data is only available dating back to late 2013, and it's only current through November 2020. The Kaiser Family Foundation has also compiled the pre-2014 average enrollment for each state based on the 3rd quarter of 2013. In some states I've been able to find more recent enrollment data for December 2020 or later.

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This just in from Covered California...

  • The American Rescue Plan provides new and expanded financial help that will dramatically lower health care premiums for people who purchase health insurance through Covered California.
  • Nearly 200,000 San Diegans, including the uninsured and people 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, San Diegans need to enroll before the end of this month so they can begin benefitting from the new law on May 1.
  • Many people will be able to get a high-quality plan for as little as $1 per month, while currently insured consumers could save up to $700 per month on their coverage if they sign up through Covered California.

SACRAMENTO, Calif. — Covered California announced that San Diegans have until April 30 to sign up for health insurance coverage, and start benefitting from new financial help available through the American Rescue Plan as early as May 1st. The landmark law provides new and increased federal tax credits that will lower health care premiums for an estimated 200,000 people in the region.

Covered California Logo

This just in from Covered California...

  • The American Rescue Plan provides new and expanded financial help that will dramatically lower health insurance premiums for people who purchase coverage through Covered California
  • More than 400,000 Asian Americans in California, including the uninsured and people 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 before the end of this month so they can begin benefitting from the new law on May 1.
  • Many Asian Americans will be able to get a high-quality plan for as little as $1 per month, while currently insured consumers could save up to $700 per month on their coverage if they sign up through Covered California.

SACRAMENTO, Calif. — Covered California announced the state’s Asian American community has until April 30 to sign up for health insurance coverage, and start benefitting from new financial help available through the American Rescue Plan as early as May 1. The landmark law provides new and increased federal tax credits that will lower health care premiums for more than 400,000 Asian Americans in California.

COVID-19 Icon

A picture is worth 1,000 words and all that.

I've done my best to label every state/territory, which obviously isn't easy to do for most of them given how tangled it gets in the middle.

Nearly 1 out of every 7 residents of North Dakota and Rhode Island have tested positive for COVID-19 to date.

More than 1 out of every 8 residents of South Dakota has tested positive to date.

More than 1 out of every 9 residents of Iowa, Utah, Tennessee, Arizona, Nebraska, Oklahoma, New Jersey and South Carolina.

More than 1 out of 10 in Arkansas, Alabama, New York, Kansas, Indiana, Delaware, Mississippi, Idaho, Illinois, Georgia, Florida, Wisconsin, Nevada, Montana and Minnesota.

More than 1 out of 20 in every state & territory EXCEPT Guam, Maine, Oregon, Vermont, zU.S. Virgin Islands, Hawaii, N. Mariana Islands & American Samoa.

I've noted before that enrollment in Michigan's ACA Medicaid expansion program, "Healthy Michigan", has risen sharply over the past year since the COVID-19 pandemic hit; it's up by over 1/3 since last February.

However, it's also worth noting that non-ACA Medicaid enrollment has also jumped significantly since the pandemic arrived. I've dug into data from the Centers for Medicare & Medicaid, the Kaiser Family Foundation and Michigan's Health Dept. archives and put together the graph below, showing that non-ACA Medicaid enrollment has risen from around 1.66 million Michiganders in February 2020 to over 1.92 million today, a 16% increase.

Combined, total Medicaid enrollment is up by around 21% to over 2.82 million as of April 2021.

I should also note that in addition to this, 267,000 Michiganders enrolled in ACA exchange coverage during the 2021 Open Enrollment Period, of which a good 90% (240,000)paid their first monthly premium based on past ACA data. At the time I noted that around 83% were subsidized, or perhaps 200,000.

Around half the 50 states (+DC) expanded Medicaid under the Affordable Care Act starting in 2014. Since then, roughly half of the remaining states have also done so, either via executive order by the Governor, a new state legislature coming around or, most frequently, via statewide ballot initiative.

Idaho is an example of the latter: In November 2018, voters in Idaho (along with Utah and Nebraska) passed a ballot proposal to fully expand Medicaid under the ACA. After some legal wrangling, the state officially launched Medicaid expansion starting in January 2020, with more than 35,000 Idahoans signing up within the first few days of being allowed to do so.

This Just In from Your Health Idaho:

Final Deadline for 2021 Health Insurance is April 30

  • Last Chance for Idahoans to Receive Enhanced Subsidies

BOISE, Idaho – Your Health Idaho, the state health insurance exchange, announced the final day to enroll in 2021 health insurance, without a Qualifying Life Event, is April 30.

“This is the last chance for Idahoans to take advantage of the increased tax credits and enroll in 2021 coverage,” said Pat Kelly, Your Health Idaho Executive Director. “These savings can be significant for Idaho families who may have thought health insurance was out of reach prior to the American Rescue Plan Act.”

I've confirmed that unlike other state exchanges which have bumped out their deadlines repeatedly, Your Health Idaho explicitly does not intend on extending this deadline out again: April 30th is the final deadline.

After extending the special enrollment period deadline from March 31, exchange officials are urging Idahoans to apply for savings from a health insurance tax credit and make their final plan selection by 11:59 p.m. (MT) on Friday, April 30.

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