Today, he's followed up by IA Sen. Tom Harkin, who has the following incredibly insightful wisdom to spread to Democrats throughout the land:
“We had the votes in ’09. We had a huge majority in the House, we had 60 votes in the Senate," Harkin told The Hill, saying that the first Congress of President Barack Obama's administration should have passed “single-payer right from the get go or at least put a public option (which) would have simplified a lot.”
Huh. OK, I wasn't expecting MNsure's update until Friday this week (they put it out on Wednesday last week due to Thanksgiving), but fair enough:
Latest Enrollment Numbers
December 3, 2014
MNsure will release 2015 enrollment metrics weekly, and will present a more robust metrics summary to the MNsure Board of Directors at each regularly-scheduled board meeting. During weeks that MNsure is closed on Friday, the enrollment metrics update will be released earlier in the week.
Health Coverage Type Cumulative Enrollments
Medical Assistance 8,874
MinnesotaCare 2,954 Qualified Health Plan (QHP) 7,106
TOTAL 18,934
MNsure is running around 54% higher than their 2014 daily average so far, FWIW.
Massachusetts continues to steam ahead: Assuming at least 48.5% of QHP determinations have already selected policies, they should be at roughly 26,000 QHPs through last night, plus another 45,687 added to Medicaid.
If so, MA has reached 82% of their 2014 total in 18 days, and is on their way to a bare minimum of 134K even without the double-surges around 12/23 and 2/15.
Again, I'm expecting as many as 300K Bay Staters before the dust settles in February.
Over the summer, five different respected national healthcare studies agreed that the overall uninsured rate had plummeted by at least 25% from last fall through the end of June, 2014. The methodology varied a bit from one to another; some included all adults, others only included those under 65. Some included children under 18, others didn't. Some used the September 2013 as the starting point, others started with December 2013. Even with all of these variables, though, the consensus was a 25% reduction, from roughly 42.3 million down to around 31.3 million, give or take.
Today, one of the five, the Urban Institute, released an updated study which includes the third quarter of 2014, and as expected, the trend has continued:
On the one hand, moving from 2,000 in the first 3 days to a minimum of 6,000 (likely more like 10K, since the 6K refers only to "accounts" not "people") in the first 17 days is a perfectly reasonable point for Washington to be at right now.
Today, the Exchange identified an error affecting 6,000 customer accounts enrolled in Qualified Health Plans. Early analysis indicates that our system integrator, Deloitte, ran an automated enrollment cancellation process in error. The affected accounts, which are a portion of the total number of customers who are enrolled in coverage starting on Jan. 1, 2015, experienced an erroneous cancellation of both their enrollment and payment for 2015 coverage.
Oops.
Well, on the plus side, the rest of the PR makes it clear that a) they're on top of it, b) it's gonna get resolved ASAP and c) it looks like this screw-up was Deloitte's fault, not the actual exchange itself (they call them out by name, which is noteworthy).
Colorado's first official enrollment report is simple, to the point, and includes not only new Medicaid/CHIP data after all (I was concerned that they'd stopped doing so, but apparently not), but also includes a handy 2015 vs. 2014 comparison chart, the SHOP number and even the number of QHP enrollees receiving tax credits/cost sharing!
In fact, the only gripes I have here are the lack of a new vs. renewal breakout (which it looked like they were going to include at first). They also don't include Medicaid/CHIP for 2014, but I already know that number went up 310K so far this year.
Regarding the King v Burwell ACA case which is headed to the Supreme Court soon (with a ruling likely sometime next summer, after the 2nd Open Enrollment Period is long behind us), Mitch McConnell had this to say this morning (h/t to Greg Sargent of the Washington Post for the story):
The moment, which was flagged by a Democrat, comes in an interview that McConnell gave to the Wall Street Journal’s Gerald Seib this morning (see second video). Seib notes that some Republicans have advocated for repeal, and asks: “How do you approach the Affordable Care Act now?” McConnell answers (emphasis added):
“It bears the president’s name. The chances of his signing a full repeal are pretty limited. There are parts of it that are extremely toxic with the American people. The elimination of the 40 hour work week. The individual mandate. The medical device tax. The health insurance tax. I think you could anticipate those kinds of things being voted on in the Senate. Such votes have not been allowed in the past.
Based on yesterday's Massachusetts update, I'm knocking my "% selected of total determinations" down from an even 50% to 48.5% on any given day. Even so, 48.5% of 48,902 QHP determinations still means roughly 23,700, up nearly 2K on Monday.
As MA's 2014 OE total was only 31,695, this means the state is alread up to 75% of their 2014 total in the first 17 days of the 2015 period.
Put another way, at their current rate, MA is on track to enroll a minimum of 130,000 people for 2015...and that would be even without a December 15 or February 15 surge.
Meanwhile, MassHealth (Medicaid) enrollment continues to steam ahead, now standing at 41,762 people.
