Colorado issued a rough update the other day ("over 124K"), but they gave the official 4/15 tally today:

  • Exchange-based Commercial Health Insurance (QHPs): 127,233
  • New Medicaid Enrollees: 178,508

Oh, by the way: The "over 124K" press release issued on the 14th was a big part of the reason why I downshifted my total projection from the 7.9-8.0M range down to around 7.78M a few days back. I assumed that the only reason they would issue a number press release the day before the deadline would be if the enrollments were tapering off so much that there would only be a handful left to count on the final day.

Obviously I was wrong; CO managed to add another 3K QHPs on the last day.

Oregon continues to plug along, adding an impressive 3.8K more NET QHPs and 7.3K more Medicaid enrollees the past week...not sure if this runs through 4/15 exactly or if it includes yesterday as well (Oregon is one of the states going beyond 4/15), but I'm lining them up at 4/15 for the moment:

April 17, 2014
Update: Private coverage and Oregon Health Plan enrollment through Cover Oregon

Medical enrollments through Cover Oregon: 228,795
Total private medical insurance enrollments through Cover Oregon 1: 67,474                   

Oregon Health Plan enrollments through Cover Oregon: 161,321

Net enrollments 
Net private medical:  63,709

Update as of 4/15: 44,468 consumers confirmed Qualified Health Plan selections through Nevada Health Link, 30,176 have paid.

— Nevada Health Link (@NVHealthLink) April 17, 2014

I felt kind of bad for turning FOX News down for their kind offer to have Bill O'Reilly or Sean Hannity scream at me for 10 minutes (Then again, I don't recall which show they wanted me to appear on...perhaps it was FOX & Friends?)

Fortunately, my friend LOLGOP has provided a gift for me to pass along to them to make up for any hard feelings:

And there you have it:

President Barack Obama announced Thursday that 8 million Americans had enrolled in private health coverage under Obamacare.

"The bottom line is the share of Americans with health insurance is up," he said from the White House briefing room. "This thing is working."

In a fact sheet released simultaneously, the White House said 28 percent of those enrollees were ages 18 to 34, the key "young and healthy" population, up from 25 percent at the end of February.

Details to follow as they're released (where's that HHS report, darn it???)

One thing to note: The NY Times is reporting that it's 35% "under 35". Presumably the 7% difference between the two numbers are made up of children under 18:

So, now that I have the data through at least 3/31 (and in most cases, through mid-April) for all 15 state-run exchanges, I can start to play with the statistics a bit.

At the end of February (technically March 1st), the 15 state-run exchanges totalled 1,621,239 QHPs. As of 4/15, these add up to at least 2,564,005, or 58.1% higher. There's anywhere from 2-14 days missing from some of these, however (perhaps 30,000 total, for a total of around 2.59 million), so let's call it about a 60% increase since then.

However, we also know that the total exchnage QHP enrollment figure is a minimum of 7.5 million, and almost certainly closer to 7.9 - 8.1 million. Let's assume the low end: 7.9M total.

I was so caught up in the national tally implications, I forgot to actually devote a proper entry to California itself. There's some additional key numbers to look at here:

From April 1-15, 205,685 consumers – including a one-day record of more than 50,000 on the final day – completed their applications and selected health plans through the Covered California exchange, bringing the total to 1,395,929 at the end of the historic, first open enrollment period. The total exceeds the base projection for Covered California for the entire six-month enrollment period by more than 815,929.

As noted earlier, let's assume that "over 50,000" means, say, 50,100. To put this in context, they're saying there were (205,685 - 50,100) = 155,585 QHP enrollments in the first 14 days (about 11,100/day)...followed by 50,100 on the last day. That's 4.5x the rate it had been.

Holy Crap on a Stick!

From April 1-15, 205,685 consumers – including a one-day record of more than 50,000 on the final day – completed their applications and selected health plans through the Covered California exchange, bringing the total to 1,395,929 at the end of the historic, first open enrollment period. The total exceeds the base projection for Covered California for the entire six-month enrollment period by more than 815,929.

Let's assume that "over 50,000" means, say, 50,100.

To put this in context, they're saying there were (205,685 - 50,100) = 155,585 QHP enrollments in the first 14 days (about 11,100/day)...followed by 50,100 on the last day. That's 4.5x the rate it had been.

Until this, I was estimating that the national 4/01 - 4/15 average would be around 45K - 55K/day nationally during the extension period, or around 675K - 825K total, for a grand total of around 7.77- 7.93 million exchange QHPs total. I settled on 7.78M as my "official" projection to be on the cautious side.

Just a reminder: Assuming that Inside Health Policy has it right, the official HHS report should be released sometime today and should include about 99% of the exchange QHP enrollment data through 4/15.

In the past, they've usually released the monthly reports around the 11th or 12th of the following month. In this case they've obviously been delayed because of a) the insanity at the end of March and b) thankfully, they apparently want to squeeze in the first half of April as well (as you know, I was deeply concerned that they might lop off the last 2 days of the month and roll them over to an April report next month, which would cause no end of confusion among sloppy media outlets which can't take a glance at the calendar and do basic math).

They generally release these reports around 4pm. I know this because there've been at least 2 cases where the conference call with Kathleen Sebelius started up right as I was waiting for my kid to get home from school, so we'll see if that holds true today as well.

This is a guest post by Paul Mullen, Consultant Economist, Austin, TX; former Economic Advisor to the UK Minister for Local Government, Minister for Housing & Secretary for the Environment:

I would love to believe RAND's estimated 8.2 million increase in ESI between September and March but my experience in commissioning similar polls suggests to me that it is not real but due to an unanticipated side effect of the poll methodology.

We know that there is a pretty large "churn" in insurance status. Some people will gain jobs with insurance, while others lose them. Some people retire, get sick, or die. But one would expect the number gaining and losing employer coverage would be about equal. RAND's 8.2 million increase is the difference between 14.5 million estimated to have gained employer sponsored insurance and 6.3 million estimated to have lost it (with an estimated 102.4 million having employer coverage in both polls).

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