COVID

Instead of looking at the cumulative county-level COVID death rates by 2020 partisan lean since the Delta Variant wave hit the United States in June, the graphs below look at how that has played out for each individual month since then.

Again, the COVID death data comes from Johns Hopkins University for 47 states + DC; the data for Nebraska and Utah comes from the New York Times COVID tracker github; and for Florida, it comes from the White House COVID-19 Team Community Profile Report.

The data does not include the U.S. territories (since they don't vote in the November Presidential election), and it's also missing around 4% of total COVID deaths across the 50 states + DC due to their county of residence being unknown.

With that in mind, here's what the Delta wave has looked like in June, July, August, September, October, November and the first 2 weeks of December 2021:

BeWellNM Logo

This just in via BeWell NM, New Mexico's just-launched state-based ACA exchange website:

BeWellnm is excited to provide the Open Enrollment report through Week five.  The  report overview includes, but is not limited to plan selections, customer engagement center volume and website traffic.

Approximately 39,200 New Mexicans have a plan selection. In an effort to ensure the accuracy of all numbers, new consumers and re- enrollees are not being reported on this week. A return of these fields is anticipated soon.

As a reminder, passive enrollees were handled earlier for this year to support the transition from Healthcare.gov to New Mexico’s solution. This offers additional time for payment to ensure that New Mexicans who have a plan stay covered. Individuals can still shop, compare, and change their plan until January 15th, 2022.

Final numbers, where accounts have been reviewed for errors or duplication, will be reported at the appropriate time after Open Enrollment.

Access Health CT Logo

After doing this for 8 years you'd think I would know better, and yet here we go again: Just a day after Your Health Idaho extended their 2022 ACA Open Enrollment Deadline out by a week (from 12/15 to 12/22), the Connecticut ACA exchange, Access Health CT, just announced their own enrollment extension:

Connecticut Residents Have More Time To Enroll In A Health Insurance Plan Through Access Health CT With Coverage Starting January 1, 2022

COVID-19 Vaccine

Methodology reminders:

  • I go by county residents who have received the 2nd COVID-19 shot only (or 1st in the case of the J&J vaccine). Data for 3rd/booster shots aren't available at the county level in most states yet.
  • I base my percentages on the total population, as opposed to adults only or those over 11 years old (or even over 4 years old).
COVID

Here's the weekly look at the rate of COVID-19 cases & deaths at the county level since the end of June, broken out by partisan lean (i.e, what percent of the vote Donald Trump received in 2020).

The ratio of case rates has started to drop; new cases are now running 2.59x higher per capita in the reddest tenth of the country than the bluest tenth, down from 3.0x higher seven weeks ago:

Access Health CT Logo

via Access Health CT:

  • Connecticut residents can work one-on-one with enrollment specialists to help them shop, compare and enroll in quality health insurance  

HARTFORD, Conn. (Dec. 13, 2021) — Access Health CT(AHCT) today announced it will host two enrollment fairs in January to help Connecticut residents get free, in-person help to shop, compare and enroll in quality health insurance plans. Enrollment fairs are one-day events in addition to Access Health CT’s five other enrollment locations and Navigator partner locations where Connecticut residents can find free, in-person help until Open Enrollment ends Jan. 15, 2022. 

Both in-person enrollment fairs will be held from 10:00 a.m. – 1:00 p.m. at the following locations: 

Your Health Idaho Logo

While the final Open Enrollment Period (OEP) deadline for 2022 healthcare coverage has been extended back out until January 15th in every other state, there's one exception. Your Health Idaho, the Gem State's ACA exchange, chose to defy the other 49 states + DC by keeping the same OEP deadline which has been the norm for the past few years.

In most states, you still have to enroll by December 15th if you want your 2022 policy coverage to start on January 1st...but if you miss the first deadline, you still have until January 15th to enroll for coverage starting February 1st. Idaho, however, decided to stick with December 15th as their final enrollment deadline; anyone who misses that cut-off is out of luck for the rest of the year unless they qualify for a Special Enrollment Period due to a qualifying life experience.

TODAY, however, Your Health Idaho just announced that they're bumping out that final deadline by a week after all:

Access Health CT Logo

This is a very minor update, but since there was such a massive enrollment data dump this morning for every state (including Connecticut), I figured I should be as comprehensive as possible.

In this morning's CMS report, the put Connecticut's Qualifed Health Plan (QHP) selection total at 93,060 as of November 27th (75,197 auto-renewals plus 17,863 active renewals/new enrollments).

Access Healths own News/Press Releases webpage, however, has slightly more recent data:

Stats as of December 10, 2021 (Updated every Friday during Open Enrollment)

Qualified Health Plans (QHP):

  • QHP Enrollment In 2022 Coverage: 98,220
  • 2022 OE Acquisition Summary: 8,247

Medicaid:

Washington HealthPlan Finder

via the Washington HealthPlan Finder:

This open enrollment period has seen a record number of Washingtonians sign up for health care coverage through Washington Healthplanfinder, the state’s online health insurance marketplace. Currently, more than 217,000 customers have selected a new plan or reenrolled in their existing coverage for 2022. Individuals seeking coverage that will start on Jan. 1, 2022 have until Dec. 15 to enroll.

This is up slightly from the 212,815 QHPs reported in Washington State as of 11/27 by the Centers for Medicare & Medicaid Services this morning, which makes sense since the 217K figure presumably runs through 12/08.

CMS Logo

So, in addition to their standard Weekly Snapshot Report, CMS issued a more comprehensive mid-OEP (Open Enrollment Period) press release this morning which not only finally breaks out the HealthCare.Gov enrollment data by state, but also includes partial 2022 OEP data for the 18 state-based ACA marketplaces (SBM). Each press release has some unique information, while some of it is duplicated, so this post sort of merges the two together, along with some additional analysis by myself.

First "National Snapshot" press release:

The Centers for Medicare & Medicaid Services (CMS) reports that nearly 4.6 million Americans have signed up for 2022 individual market health insurance coverage through the Marketplaces since the start of the 2022 Marketplace Open Enrollment Period (OEP) on November 1. This includes 3.9 million plan selections in the 33 states using the HealthCare.gov for the 2022 plan year, through December 4, 2021 (Week 5), and 625,000 plan selections in the 17 states and the District of Columbia with State-based Marketplaces (SBMs) that are using their own eligibility and enrollment platforms, through November 27, 2021 (Week 4). Total nationwide plan selections include 923,000 consumers (20% of total) who are new to the Marketplaces for 2022, and 3.6 million consumers (80% of total) who have active 2021 coverage and returned to their respective Marketplaces to renew or select a new plan for 2022.

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