OK, for the first time this Open Enrollment Period, my expections were off base...significantly. The past two years, HHS was posting "weekly snapshot" reports of enrollments at the federal exchange (HC.gov). This year they switched to 2-week reports, but today they decided to issue a special "week-plus" version which covers enrollments through the (extended) 12/19 deadline for coverage starting January 1st.

As I noted last Friday, based on the massive surge in enrollments (a record-breaking 670,000 people) on the final original deadline day (12/15), I bumped up my estimates for the 4-day extension period from my original 6 million or so up to an even 7 million (assuming 250K/day). However, I later realized that two of those days fell over the weekend, when enrollments drop off substantially (and since the original deadline had already passed, even the extended deadline wouldn't make much difference weekend-wise). I pulled back my projection somewhat to 6.75 million.

However, it turns out I was still overestimating, although the numbers are still pretty impressive:

Last week, the Rhode Island exchange reported 27,555 QHP enrollees as of 12/10, a tiny increase over the prior week mainly due to auto-renewed enrollees dropping out, cancelling out most of the increase.

Rhode Island is one of 3 states which are still taking enrollments for January, but they've released another report (thorugh 12/17) which brings the tally up to 

INDIVIDUAL AND FAMILY ENROLLMENT As of December 17, 2016

Yay! The DC exchange has issued their first OE4 enrollment report of the year! Boo! It doesn't include renewing enrollees (either active or passive):

DC Health Link Enrollment up Nearly 50% at First Deadline for 2017 Coverage  •  60% of new enrollees are 34 years old and younger

Washington, DC­­ – Today, the DC Health Benefit Exchange Authority (HBX) released preliminary individual marketplace data for the fourth open enrollment period for DCHealthLink.com, the District’s online health insurance marketplace for individuals, families and small businesses.

These preliminary data show that through December 19, 2016:

From Aaron Blake of the Washington Post:

Donald Trump's campaign and its supporters spent a good portion of the 2016 campaign arguing that Hillary Clinton was secretly very ill and not up to the task of being president.

Trump's doctor, by contrast, isn't too worried about his patient dying in office — at least, not when it comes to the future of the country.

“If something happens to him, then it happens to him,” Harold Bornstein says. “It’s like all the rest of us, no? That’s why we have a vice president and a speaker of the House and a whole line of people. They can just keep dying.”

BRILLIANT!

Why didn't anyone else ever think of this? No need to worry about "going to the doctor" or "receiving medical care"...it's much easier and more cost-effective for all of us to simply die!

If you're married or have children, no worries; you'll have a whole line of successors to pick up where you left off!

Me, November 15th:

IMPORTANT: I cannot guarantee accurate federal data after 1/20/17.

...HOWEVER, their bosses...the HHS Secretary and, I presume, the head of CMS...will be appointed by Donald J. Trump and confirmed by a 100% Republican-controlled Senate.

Given Trump's long, disturbing history of flat-out misstatements (aka "making sh*t up out of whole cloth"), and the type of sycophants he's likely to put into place, I can't guarantee with 100% certainty that the numbers spouted off by them are going to bear any connection with reality. Maybe they'll be accurate. Maybe they'll be off slightly. Maybe they'll be completely removed from any actual numbers. Who the hell knows?

Earlier today it was reported that Ben Carson was being considered for HHS Secretary. Then the rumor mill turned to Bobby Jindal. At the moment, I'm hearing it could be Rep. Tom Price, who (like pretty much every other GOP member of Congress) despises the ACA. That doesn't guarantee that he'll Make Sh*t Up, of course, but under a Trump regime, anything's possible. Anything.

I noted a couple of weeks ago that Massachusetts has a unique methodology for reporting their ACA exchange enrollments. For one thing, they only officially count people who sign up for policies as "enrollees" after they've made their first monthly premium payment. In addition, like some other state exchanges, they "pre-renew" their current enrollees before the December deadline, and then reduce the official number from there as some people choose not to renew their coverage. As a result, instead of their "QHP selection" tally increasing, it actually starts out huge and then drops a bit as the enrollment period continues.

As a result, instead of 260,275 QHP selections, their number is a bit lower today:

Through Sunday, the 18th: 224,211 2017 enrollments. Plus, an additional 26,868 plans selected but unpaid at this point.

3/22/17: Now that the GOP is apparently going to try and cram through killing off Essential Health Benefits and so forth in the #Trumpcare bill after all, it seems like a good time to repost this.

George Orwell, 1984:

But actually, he thought as he re-adjusted the Ministry of Plenty’s figures, it was not even forgery. It was merely the substitution of one piece of nonsense for another. Most of the material that you were dealing with had no connexion with anything in the real world, not even the kind of connexion that is contained in a direct lie. Statistics were just as much a fantasy in their original version as in their rectified version. A great deal of the time you were expected to make them up out of your head.

I actually missed this press release because it wasn't posted on their website in the usual spot, but someone at Your Health Idaho just forwarded this to me:

December 16, 2016 • Enrollment Numbers Up at Idaho Health Insurance Exchange

Business as Usual at Your Health Idaho as Enrollment Numbers Climb

BOISE, Idaho - Early enrollment numbers show a record number of Idahoans are enrolling for health insurance through the state-based health insurance exchange, Your Health Idaho. Over 98,000 Idahoans have selected a 2017 health insurance plan since open enrollment began on November 1, 2016. The numbers were announced at today's board of directors' meeting.

Nearly 85 percent of Idahoans currently enrolled in a plan on the exchange receive a tax credit to help offset monthly premium costs. Your Health Idaho is the only place in the state offering individuals premium tax credits.

Hot off the presses from the Colorado exchange (CO is one of six states which stuck with the original January enrollment deadline):

DENVER — More than 144,000 Coloradans selected healthcare coverage for 2017 through the state health insurance Marketplace through Sunday, December 18, a rate 18 percent ahead of signups one year ago, according to new data released today by Connect for Health Colorado®.

“We have seen a definite increase in the pace of sign-ups during the first half of this Open Enrollment period,” said Connect for Health Colorado CEO Kevin Patterson.  “These Coloradans have protected their health and their finances with healthcare coverage next year. I encourage anyone who does not yet have health insurance for 2017 to go to our site, Connectforhealthco.com, check to see if they qualify for financial assistance, review the available plans, and complete an enrollment. They can have coverage in place February 1 if they act by January 15.”

This Just In...(Minnesota was one of the few states which stuck with the original 12/15 deadline for January coverage):

ST. PAUL, Minn.— MNsure has enrolled 54,586 Minnesotans in private health care coverage, far outpacing the approximately 27,000 who had enrolled at a similar stage of open enrollment last year.

Additionally, since the start of open enrollment, 14,020 Minnesotans have eligibility determinations in MinnesotaCare and 43,327 in Medical Assistance.

The 2015-2016 open enrollment period set a record for the most Minnesotans enrolled in private health plans, but the 2016-2017 period has been even more brisk. By December 28, 2015, the deadline for January 1 enrollment last year, about 27,000 had enrolled, meaning enrollment numbers are twice what they were at the same time last year.

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