As I've noted several times before, two more states have split off from the federal ACA health insurance exchange (HealthCare.Gov) this year. New Jersey and Pennsylvania have joined twelve other states (and DC) in operating their own full ACA enrollment platform.
Over at Xpostfactoid, my colleague Andrew Sprung has been doing a great job of tracking ACA Medicaid expansion enrollment growth since the onset of the COVID-19 pandemic this past February/March at the macro (national) level, by looking at around a dozen states which have monthly reports available. He puts the overall enrollment growth rate at 23.6% from February thorugh October 2020.
Instead of replicating his work, I decided to take a closer look at individual states. The graph below shows how many Alaskans have been actively enrolled in our Medicaid expansion program (Healthy Michigan) every month since it was launched in September 2015:
ST. PAUL, Minn.—Since the start of MNsure's open enrollment period on November 1, nearly 102,000 Minnesotans have signed up for 2021 private health insurance coverage – approximately 10% more than this time last year.
MNsure's open enrollment period runs until December 22, 2020, a week longer than the federal open enrollment period.
“Every Minnesotan should have the peace of mind that comes with knowing you've got comprehensive health coverage, especially during the COVID-19 pandemic,” said MNsure CEO Nate Clark. “You can sign up through MNsure.org through December 22 for coverage beginning January 1, 2021. Don’t delay. Contact a MNsure-certified assister who can walk you through the enrollment process.”
Over at Xpostfactoid, my colleague Andrew Sprung has been doing a great job of tracking ACA Medicaid expansion enrollment growth since the onset of the COVID-19 pandemic this past February/March at the macro (national) level, by looking at around a dozen states which have monthly reports available. He puts the overall enrollment growth rate at 23.6% from February thorugh October 2020.
Instead of replicating his work, I decided to take a closer look at individual states, starting with my own: Michigan. The graph below shows how many Michiganders have been actively enrolled in our Medicaid expansion program (Healthy Michigan) every month since it was launched in April 2014 (we had a 3-month delay in the program due to the state legislature refusing to implement the new law with immediate effect; I have no idea why):
Health Insurance Coverage is More Important Than Ever – In Person Help Still Available during New Statewide Restrictions
The 2021 open enrollment period is underway, and Washingtonians are now signing up for health plans, including in new Cascade Care health plans. After months of a global pandemic – needs have changed due to job loss, or working from home, or family income changes. Individuals seeking health coverage can now shop more options this year, along with financial assistance, by visiting Washington Healthplanfinder to sign up for health and dental coverage.
“With infection rates climbing and economic uncertainty across Washington state, now is the time to sign up for health coverage,” said Chief Executive Officer Pam MacEwan. “There are many resources available to help individuals understand their options.”
It’s still 2020, so it only seems appropriate that we all have a lot on our plates. Despite the Texas v. California court case causing some news as it went before the Supreme Court this week, we continue to stay focused on our current Open Enrollment Period.
It is of note this year that individuals making up to $51,040 per year or a household of four making up to $104,800 annually may be eligible for financial help to lower their monthly premiums, healthcare discounts, or both. Nearly three quarters of all Connect for Health Colorado enrollments are financially assisted.
And, since plans and prices change every year, you can point people to our Quick Cost and Plan Finder Tool to see their options.
LANSING – Emergency orders Gov. Gretchen Whitmer has issued under the Emergency Powers of Governor Act are struck down, effective immediately, the Michigan Supreme Court said Monday in a 4-3 order that added an exclamation mark to an Oct. 2 ruling.
...Monday's Supreme Court ruling is in response to a lawsuit brought by the Michigan Legislature. The Oct. 2 ruling, which was a 4-3 decision striking down the Emergency Powers of Governor Act of 1945, was in response to questions sent to the court by a federal judge handling a lawsuit brought by medical service providers in western Michigan.
Monday's ruling means hundreds of thousands of Michiganders could lose their unemployment benefits "in a matter of days," Whitmer spokeswoman Tiffany Brown said. Among the orders struck down, and not replaced by a health department order, is one that extended Michigan unemployment benefits to 26 weeks, up from 20.
House Speaker Lee Chatfield, R-Levering, hailed the ruling.
The data below comes from the GitHub data repositories of Johns Hopkins University, except for Utah, which come from the GitHub data of the New York Times due to JHU not breaking the state out by county but by "region" for some reason.
Note that a few weeks ago I finally went through and separated out swing districts. I'm defining these as any county which where the difference between Donald Trump and Hillary Clinton was less than 6 percentage points either way in 2016. There's a total of 198 Swing Counties using this criteria (out of over 3,200 total), containing around 38.5 million Americans out of over 330 million nationally, or roughly 11.6% of the U.S. population.
With these updates in mind, here's the top 100 counties ranked by per capita COVID-19 cases as of Saturday, November 14th (click image for high-res version). Blue = Hillary Clinton won by more than 6 points; Orange = Donald Trump won by more than 6 points; Yellow = Swing District
Way back in October 2013, I launched the ACA Signups project as a light, nerdy hobby thing which was only supposed to last around six months, through the end of the first ACA Open Enrollment Period (March 31, 2014). Instead...well, let's just say that it's more than seven years later and I'm still doing this.
The reality is that The Graph itself doesn't serve a whole lot of useful function anymore. The enrollment patterns were erratic the first couple of years but have since settled into a pretty predictable...if not downright boring pattern for both the federal and state exchanges. The main reason I keep doing it each year is mostly out of tradition these days; after all, without The Graph, there wouldn't be an ACA Signups and I wouldn't have become a healthcare policy wonk in the first place.
Access Health CT, Connecticut's ACA exchange, is posting updates to their Open Enrollment Period (OEP) numbers every Friday. Last week they reported 99,406 Qualified Health Plan (QHP) selections during the first 6 days of the 2021 OEP, which sounds more impressive than it is, since 98,127 of those are current enrollees having their auto-renewals front-loaded; only 1,279 of them are actually new enrollees. Nothing wrong with that, of course.
This week, they report that they have 99,952 total QHP selections, of which 2,696 are new. On the surface this sounds off...shouldn't it be 100,823 total? I'm pretty sure the reason for the discrepancy is that not every current enrollee actually renews/re-enrolls for the following year. The exchange plugs them in as renewing, but they can still go in and actively cancel their renewal, which reduces the total a bit. In this case, it sounds like 871 current enrollees have done so over the past week. This gives a net increase of 546 over the past week, or 78 per day.
