As of last Thursday, total QHP selections on the Massachusetts exchange were up to just shy of 119K. Between the weekend and the massive snowstorm that MA is digging out of, they went 5 days without a dashboard report, until today:

As always, I only have the QHP determinations to go by between their weekly reports. As of yesterday, those stood at 221,877, Subtract the 214,027 as of 2/05 and that's another 7,850 QHP determinations. Assuming 50% of those followed through with selecting a plan (a reasonable assumption at this point) and that's another 3,900 QHPs, or at least 122,600 QHPs to date.

Of course, that means that there's also another 99,000 people who started the process and have been approved for a private policy, but who may--or may not--have actually completed the process. Heading into the final 5 days, I presume that more and more of this enrollee pool will be scratched off the list; if, say, 80% of these folks follow through, Massachusetts would hit at least 200,000 QHPs by Sunday night.

Last year, I started out tracking just 2 numbers: Exchange-based QHPs and Medicaid via official ACA expansion provisions. As time went on, I gradually added other types of Obamacare-specific healthcare policy enrollments:

  • Off-exchange policies which were compliant with the new law;
  • People who were already eligible for traditional Medicaid prior to expansion (and in non-expansion states) but who were only "drawn out of the woodwork" to sign up thanks to outreach efforts, educational programs and streamlining of the enrollment process in many states
  • People who were transferred over from other existing low-income state-run healthcare programs (often with shaky funding) into Medicaid proper;
  • Enrollees in small business policies via the ACA's SHOP program (granted, this never ended up being more than a rounding error...less than 80K total)
  • Young adults aged 19 - 25 who were allowed to stay on their parent's plan thanks specifically to the ACA

As noted earlier, there's a lag between the exchange-based QHP data from HC.gov vs. the Oregon Insurance Division, so you can ignore that number. However, the off-exchange number should be accurate (and this is the official source for it anyway):

Members enrolled,
Nov. 15-Feb. 1
On Healthcare.gov 86,606
Outside of Healthcare.gov 95,859
Total 182,465

Last week the off-exchange total was 92,872, so that's about a 3,000 enrollee increase, for whatever that's worth.

According to the HC.gov weekly snapshot report, as of 2 days earlier (1/30), Oregon's exchange-based total was 94,126...slightly less than the off-exchange number. It'll be interesting to see if that ratio holds steady next week after the final deadline surge goes through.

Remember "Florida Health Choices", the brainchild of Republican Senator Marco Rubio which was supposed to be the Florida GOP's response to the Affordable Care Act health insurance exchanges?

The Florida Republican Party flushed $900,000 in startup funds into a website/"exchange" which signed up a whopping 30 paying customers in 6 months, at a cost of $30,000 apiece...or between 46x - 81x as much per enrollee as the "wasteful" HealthCare.Gov.

Of course, it didn't help that "Florida Health Choices" didn't actually sell, you know, "health insurance" but was basically hawking discount coupons for dental checkups and the like.

This is an important part of the Affordable Care Act debate which I've yet to see anyone else bring up.

I've written about this many times before, and now it's just gotten surreal. Depending on your source, Michigan supposedly has somewhere between 477,000 - 500,000 residents eligible for ACA Medicaid expansion...but they passed the lower end of that range months ago, the upper end several weeks ago, and as of yesterday, reported that a whopping 547,000 people are now enrolled in the Healthy Michigan program:

Healthy Michigan Plan Enrollment Statistics

Beneficiaries with Healthy Michigan Plan Coverage: 546,807
(Includes beneficiaries enrolled in health plans and beneficiaries not required to enroll in a health plan.)

*Statistics as of February 9, 2015 
*Updated every Monday at 3 p.m.

(sorry, couldn't resist)

Connecticut's official 2015 QHP target is an even 100K. They were 99% of the way there as of last night, with no technical problems to speak of gumming up the works:

As of Jan. 30, 95,700 people had signed up for private insurance through Access Health, including about 66,700 repeat customers from 2014. (On Monday, officials said more than 99,000 people had signed up for private insurance plans through the exchange.) By comparison, last year, slightly more than 80,000 people bought insurance through the exchange (though a few thousand dropped out as the year went on).

My own target for CT is 114K. To reach that, they'll have to enroll just 2,100/day for the final week, or less than twice the rate they've averaged so far. This shouldn't be a problem; nationally, I'm expecting QHP enrollments to average around 286K/day all this week, which is around 2.33x more than the average to date, and Connecticut has one of the most solid operations of any state.

Color me shocked (not). You've only had, what, 67 years to come up with one?

Sen. Richard Burr (R-N.C.) said Thursday that Republicans might not be able to pass an alternative to ObamaCare until 2017.

Burr, along with Sen. Orrin Hatch (R-Utah) and Rep. Fred Upton (R-Mich.) unveiled a GOP replacement plan for ObamaCare on Wednesday. But, appearing the next evening on Fox News's "Special Report with Bret Baier," Burr said no single idea is likely to generate consensus.

"I don't think so," he said. "I think that there are going to be a lot of ideas not only in Congress but around the think tanks here in Washington and around the country."

Some positive news to cushion the blow of the CoOportunity meltdown...

Y'know, there's all sorts of ways to spin formal press releases.

For instance: Moments ago, the HHS Dept. of the United States sent out this press release, touting the fact that about 6.5 million people who selected private policies via Healthcare.Gov for 2015 (about 87% of the 7.5 million total confirmed via the federal exchange) qualify to receive tax credits to help cover the cost of their health insurance premiums. The average tax credit for those 6.5 million people is $268/month, or $3,216 per year:

FOR IMMEDIATE RELEASE

Monday, Feb. 09, 2015

Almost 6.5 million consumers qualify for an average tax credit of $268 per month through the Health Insurance Marketplaces

The Feb. 15 deadline is just six days away; 8 in 10 consumers can get coverage for $100 or less

Outgoing Republican Pennsylvania Governor Tom Corbett tried a desperate hail mary play to save his job: Expanding Medicaid via the Affordable Care Act, but doing it in an absurdly complicated and confusing way in order to appease his Republican base. It didn't work; he lost to Democrat Tom Wolf, one of the few bright spots for the Dems in an otherwise lousy 2014 election.

Wolf campaigned, in part, on the promise of scrapping the overly-complicated "Healthy Pennsylvania" plan enacted by Corbett in favor of simply expanding traditional Medicaid up to 138% of the Federal Poverty Level the way it was supposed to be in the first place. This is a good thing, as Corbett's program has had a growing mountain of technical and logistical problems since it kicked off.

Well, today, Gov. Wolf has made good on his promise:

Governor Tom Wolf today announced Pennsylvania’s transition to a simple traditional Medicaid expansion plan.

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