Yesterday I posted an analysis of the current enrollment trends and gave a range of possible final QHP tallies through the end of March, ranging from 5 to 7 million depending on a variety of factors. However, I didn't really go into what those factors actually are, so here's a simple list of the forces supporting and opposing higher or lower enrollment going into the final 6-week stretch:
With the October website disaster at HC.gov and serious problems still plaguing some of the state exchanges, is it still even remotely conceivable that private QHP enrollment could reach the CBO's original 7 Million projection? Well, the CBO doesn't think this is likely; they issued a revised projection last month which dropped that projection down to 6 million.
IMPORTANT: I should stress that this ONLY refers to exchange-based, individual/group policy enrollments. It doesn't include SHOP small business enrollments (about 58,000 to date) or direct/off-exchange enrollments (almost half a million confirmed, likely several million more as well). It also doesn't include Medicaid/CHIP enrollments either, though you probably figured that already.
However, let's look at the possible scenarios, about 6 weeks away from the enrollment deadline.
This is a great article; not only does it update West Virginia's Medicaid Expansion tally (up 16,561 from the current 70,574 number), but it gives other useful info, such as the total number of WV residents eligible for the expansion program (130K). Most importantly, it specifically states that these 87K are in Medicaid due to the ACA expansion provision, an important clarification.
According to West Virginia Department of Health and Human Services, over 87,000 residents have been enrolled for health care coverage through the Medicaid Expansion...
Jeremiah Samples, assistant secretary for the DHHS, said that number is about 70 percent of everyone eligible for the expansion....
The total estimated number of West Virginians eligible for coverage under the expansion is 130,000, according to Samples.
By Feb. 13, a total of 87,135 people have enrolled, which Samples said is about 25,000 more than the projected number for 2014.
Well I'll be damned! Oregon has finally managed to enroll a small number of people through their website! (Until today, all 35,247 private QHP enrollments in OR have been processed manually...literally, paper forms filled out by hand and then manually entered into the system). With only 6 weeks to go, this may seem a bit underwhelming, but it's still something...
A Cover Oregon official says insurance agents and community groups have been able to enroll about 700 people in health coverage entirely online.
Chief Information Officer Aaron Karjala revealed the number to a state legislative committee on Friday.
Cover Oregon launched its website for a limited group of experts earlier this week, more than four months after it was originally scheduled to be operational.
There's still no date for when the system will launch to the general public. Karjala says developers are regularly testing and fixing elements of the system.
Individuals working without an agent or certified expert can continue to apply, but Cover Oregon staff will have to process a portion of their application by hand.
Massachusett's ACA exchange website is still undergoing massive technical problems, but there's been significant progress made in processing a mountain of paper applications. The immediate impact isn't that significant (11,000 total enrollments = only 2,861 more than the Feb. 1st tally), but the article suggests that another 50,000 applications should be getting pushed through the system any day now...
Officials running the state’s troubled health insurance marketplace reported progress on Friday toward addressing its most immediate problem -- a massive backlog in processing applications...
As a result, people were urged to file paper applications instead, both to replace expiring policies and to enroll for the first time. The nearest-term problem has been simply processing 72,000 applications, many of which come from uninsured residents....
Overall, a spokesman for the marketplace said that there have been about 11,000 people who have newly enrolled successfully for coverage since October, almost all in unsubsidized coverage.
Maryland continues to creep along, adding 2,139 to their QHP tally (about 7%) and another 8,581 to their Medicaid enrollments (a bit under 6%).
Through February 15,33,251 Marylanders have chosen to enroll in private health plans through Maryland Health Connection.
95,889 Marylanders signed up through the Primary Adult Care (PAC) program were automatically enrolled in Medicaid coverage on January 1, 2014, and now have full Medicaid coverage. As of February 18, 2014, an additional 60,672 individuals were newly enrolled in Medicaid effective January 1.
Minnesota issued an official update today (as opposed to the estimate that I came up with a few days ago based on a "nearly 95K" line in an unrelated press release); I was only off by 888 people on the private enrollment side, but by more than 5,500 on the Medicaid/CHIP side of the equation:
ST. PAUL, Minn. — Today MNsure announced that more than 100,000 Minnesotans have enrolled in quality, affordable health insurance through the state’s new insurance marketplace. MNsure is working to enroll thousands more Minnesotans in coverage before open enrollment concludes on March 31, 2014. Today’s new milestone highlights the progress MNsure has made to significantly improve its performance, and the services it provides to Minnesota consumers....
31,088 Minnesotans selected private health plans;
21,574 Minnesotans enrolled in MinnesotaCare; and
48,682 Minnesotans enrolled in Medical Assistance (MA).
101,344 total enrollments
This update/correction also makes a slight improvement in the overall Feb/Jan enrollment model (from 75.6% of January's total to 75.8%).
Well this was unexpected...apparently at a fundraiser, President Obama gave a very rough update on the current ACA exchange tally:
President Obama said Thursday that "close to 4 million Americans" had signed up for insurance on the ObamaCare exchanges, a hint that enrollments may be accelerating as the deadline to purchase coverage nears....
"Right now, we've already got close to 4 million Americans who signed up for exchanges," Obama told a gathering of Democratic donors and governors at a luxury hotel just blocks from the White House.
Quite a day for Direct/Off-Exchange Enrollment news. First the Washington revelation, now this profile in USA Today of eHealth Insurance, a private web-based health insurance exchange that's seen tremendous success selling ACA-compliant plans to people who don't qualify for tax credits through the government-run exchanges.