It's important to remember that unlike most states, Minnesota (and New York) operate Basic Health Plan (BHP) programs (also created by the ACA, although Minnesota's program, called MinnesotaCare, actually existed prior to the ACA and was simply retooled after the law passed). BHP programs fit in between Medicaid expansion (which covers adults earning up to 138% FPL) and standard ACA Qualified Health Plans (QHPs), which start at 200% FPL and above in MN/NY.
As a result, Minnesota & New York ACA enrollees who earn between 138 - 200% FPL are enrolled in MinnesotaCare instead, which significantly reduces the number of Minnesotans officially listed as being "ACA exchange enrollees."
TRENTON — Governor Phil Murphy, Department of Banking and Insurance Commissioner Marlene Caride, federal officials and health insurance Navigators today urged New Jersey residents in need of health coverage to act now to explore their health insurance options and take advantage of record levels of financial help available at Get Covered New Jersey (GetCovered.NJ.gov), the state’s official health insurance marketplace.
Open enrollment is the one time of year residents who do not have health insurance through an employer or other program such as Medicaid or Medicare can enroll in a plan. Consumers must enroll by December 31, 2021 for their coverage to take effect on January 1, 2022.
Six months into the pandemic, the United States continues to suffer the worst outbreak of COVID-19 in the developed world. Considerable blame belongs to a federal response that offloaded responsibility for the crucial task of testing to the states. The irony is that, after assembling the team that came up with an aggressive and ambitious national testing plan, Kushner then appears to have decided, for reasons that remain murky, to scrap its proposal.
DISCLAIMER: HealthSherpa is one of two Enhanced Direct Enrollment (EDE) ACA brokers which run banner ads on my site. EDEs are basically authorized private, 3rd-party versions of ACA exchange sites which have their back ends integrated directly into the federal exchange (HealthCare.Gov) (W3LL is the other EDE which advertises here).
Having said that, I believe Sherpa is the largest ACA EDE out there, and they're pretty transparent about their enrollment metrics, so until CMS posts their official Weekly Snapshot Enrollment Report (which should happen later this week), Sherpa's updates are pretty good indicators of how things are going overall.
Back in early September, I began noticing something very odd going on with my county-level scatter-plot graphs which broke out COVID cases/deaths by what percent of the population had been fully vaccinated:
As you might expect, there's a clear drop-off in new COVID cases per capita as the vaccination rate of the counties goes up. There seems to be a slight drop-off starting around 50% fully vaccinated, followed by a steep drop-off starting around 65% vaxxed. There's a third drop-off at around 75%, but there's literally only a handful of counties which have achieved that high a vaccination rate so far anyway.
HOWEVER, there's one major outlier over the 65% threshold...Miami-Dade County.
According to the Centers for Disease Control, Miami-Dade has fully vaccinated 68% of their entire population (1.84 million out of 2.72 million residents). I use the slightly lower official 2020 U.S. Census popualtion count for Miami-Dade County (2,701,767), which makes the vaccination rate slightly higher still: 68.24%.
I go by FULLY vaccinated residents only (defined as 2 doses of the Pfizer or Moderna vaccine or one dose of the Johnson & Johnson vaccine).
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).
For most states + DC I use the daily data from the Centers for Disease Control, but there are some where the CDC is either missing county-level data entirely or where the CDC data is less than 90% complete at the county level. Therefore:
For California, I'm using the CDC data for most counties and the state health dept. dashboard data for the 8 small counties which the CDC isn't allowed to post data for.
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 2.84x higher per capita in the reddest tenth of the country than the bluest tenth, down from 3.0x higher three weeks ago:
The Centers for Medicare & Medicaid Services (CMS) is reporting that in week one of the 2022 Open Enrollment Period, approximately 774,000 people selected individual market plans in the 33 states that utilize the HealthCare.gov platform. During Open Enrollment, CMS will release weekly enrollment snapshots that provide point-in-time estimates of weekly plan selections, Marketplace Call Center activity, and visits to HealthCare.gov and CuidadoDeSalud.gov for states that utilize the platform.
As longtime readers know, every summer/fall I run analyses of the annual premium rate change filings for both the individual and small group health insurance markets for all 50 states +DC. However, I tend to put most of my focus on the individual market, since that tends to have a lot more interest and activity surrounding it.
The individual market has been rocked by both economic and policy changes from year to year (in both good and bad ways) far more than the small group market, which hasn't been in the news nearly as much. You tend to read a lot of stories about the Individual Market (both ACA-compliant as well as so-called "junk plans" like Short Term, Sharing Ministries, Farm Bureau and the like), and of course the Large Group market is massive (something like 40% of the U.S. population), so even minor changes to that are big news...but the Small Group market (which generally includes companies with 50 or fewer full-time employees, though a few states include companies with 100 or fewer) tends to get short shrift in both the news as well as healthcare wonkery.
Biden-Harris Administration Extends Hundreds of Millions of Dollars to New York’s Essential Plan, its Basic Health Program, Key Connection to Coverage Supported by American Rescue Plan
The Centers for Medicare & Medicaid Services (CMS) is providing approximately $750 million in additional funding in 2022 to support the Essential Plan, New York’s Basic Health Program (BHP), as well as added funds for 2020 and 2021. The additional funds, made available through the American Rescue Plan, increase New York’s ability to provide health care coverage to approximately 1 million individuals.
