For those who just want the capsule version, here it is:
The official ACA Medicaid/CHIP enrollment number that the HHS Dept. has been touting up until now has been 3.9 Million. The number that I've been claiming on the spreadsheet is currently around 4.5 Million. However, based on a very detailed analysis of the first 3 HHS reports, as well as the 2 CMS reports issued last fall, I've concluded that the actual grand total of Medicaid/CHIP enrollments since the ACA exchanges launched on October 1st is actually even higher, possibly as many as 6.4 Million. While they can't officially confirm my numbers and some caveats apply (described below), a CMS official did review my work and concluded that "the methodology appears to be accurate".
Now, before everyone starts freaking out about this claim--and it's an admittedly major one--I want to make two VERY important caveats:
...and, just like that, we're back up above the 10M grand total mark again. Connecticut's private QHP enrollment tally just increased from 40,000 to 44,720, cancelling out the 3,702 that we just "lost" from Nevada a few moments ago. Medicaid/CHIP enrollments also went up by several thousand.
As of Thursday morning, Access Health CT had enrolled a total of 86,000 people, said Kevin Counihan, the marketplace's chief executive. He said about 500 to 1,000 enrollees are being added a day. That means the marketplace, also called an exchange, is on track to meet or exceed its goal of enrolling 100,000 people once the open enrollment period ends on March 31, he said.
Of those 86,000 people, Counihan said 52 percent signed up for private coverage and 48 percent for government-funded Medicaid.
These 3 updates push the Private QHP enrollment tally up to about 2.4 million; add about 4.5 million Medicaid/CHIP enrollments and 3.1 million "sub-26'ers" added to their parents plan thanks to the ACA, and you hit just over 10 million total.
A few days ago the New York exchange released an oddly-worded press release which mixed some numbers through December 24 with other numbers through January 12. My reading of it at the time was that the state had added roughly 53,000 (private QHP + Medicaid/CHIP combined) since 12/30.
However, today, the Deputy Director of the NY exchange stated that they've been enrolling "about 7,000 per day" total in January...which adds up to 98,000 if you assume that runs through yesterday, the 14th. Even subtracting the extra 2 days, this means her number is 31,000 higher than yesterday's press release, but I'm not about to argue with the Deputy Director of the exchange, so another 98K it is. Assuming this breaks down roughly 72% Private QHP to 28% Medicaid/CHIP (as prior numbers have in NY), that comes to about 70.6K private and 27.4K public.
In addition, this pushes New York over the top in terms of their original CMS projection of 218,000 private QHP enrollments by March 31st. They should easily double that number by the end of the enrollment period, and could potentially hit 2.5x at this rate.
I really, really like the way that the Washington Health Exchange does their press releases. No screwing around, they make the key numbers clear and obvious, and they make sure to separate out unpaid private QHPs as well as Medicaid "redeterminations" (ie, those who already had Medicaid under the pre-ACA rules and are simply renewing it).
As a result, here's where Washington State stands as of January 9: Private enrollments went from 71,205 paid / 72,178 unpaid (143,383 total) to 73,098 / 76,058 (149,156 total), while new Medicaid enrollments increased from 177,065 up to 197,770.
Thus, since Jan. 2nd, WA has increased private QHPs by 4% and Medicaid enrollments by almost 12%.
As an added bonus, WA also separates out the other Big, Important Number: How many Medicaid enrollees are renewals vs. how many are new. I do not include renewals in the spreadsheet in cases where I can separate them out.
Qualified Health Plans: 73,098
Medicaid Newly Eligible Adults: 134,700
Medicaid Previously Eligible but not Enrolled: 63,070
Qualified Health Plan Applicants – Need to Pay 76,058
Some slightly updated numbers out of Oregon today, revealed during a conference call with the director of the beleaguered Cover Oregon exchange. Private enrollments are up from 20K to 23K, and exchange-based Medicaid enrollments up from 39,711 to about 42,000.
In addition, some info on the method of the 115,000 "direct transfers" to Medicaid off of the exchange: Apparently they used food stamp income information to do so, which is pretty clever if you think about it.
More than 65k enrolled so far through exchange, he says, 23k in private plans
As we recall, HealthCare.gov and most state insurance exchanges moved their enrollment deadline for January 2014 coverage, first from 12/15 to 12/23, then to 12/28 or as close to the New Year as possible.
That, however, will not be the case for February coverage. That deadline is firm – and it is today.
Thus the number of enrollment days in January will be roughly half that of December. Or to put it in an amusing way: January is almost half a month shorter than December. We must bear this in mind when examining any statistics of how many people have ACA-compliant insurance on February 1st, not drawing overly hasty conclusions about the declining enrollment rate.
Yesterday, HHS extended its coverage of people in the Federal High-Risk Pool. The new deadline is March 15th, coinciding with the deadline for the ACA’s open enrollment. This adjustment will help ensure a smoother transition for patients with pre-existing conditions.
Already, more than 55,000 of the 85,000 people that were in the PCIP programs per October 1st have enrolled in other healthcare plans. This is a reduction of at least 65 %. According to HHS, less than 30,000 people now remain in the federal high-risk pool.
Since it was launched in late 2010, the PCIP program, has provided coverage for a total of 135,000 people with serious pre-existing conditions who would otherwise have unable to obtain insurance.