OE8

Access Health CT, Connecticut's state-based ACA exchange, has updated their enrollment summary and now reports 104,946 residents have selected policies for 2021, including 19,056 new enrollees.

Last year they had a total of 107,833 QHP selections during Open Enrollment, so they end the 2021 Open Enrollment Period down 2.7% year over year.

There's no formal press release, so this total might not be official but it should be pretty close.

UPDATE: I've been sent the full powerpoint slideshow from Access Health CT's monthly board meeting, which is chock full of the details; I've pulled the most important ones:

Customer Interactions:

Way back in October 2013, I launched the ACA Signups project as a light, nerdy hobby thing which was only supposed to last around six months, through the end of the first ACA Open Enrollment Period (March 31, 2014). Instead...well, let's just say that it's more than seven years later and I'm still doing this.

The reality is that The Graph itself doesn't serve a whole lot of useful function anymore. The enrollment patterns were erratic the first couple of years but have since settled into a pretty predictable...if not downright boring pattern for both the federal and state exchanges. The main reason I keep doing it each year is mostly out of tradition these days; after all, without The Graph, there wouldn't be an ACA Signups and I wouldn't have become a healthcare policy wonk in the first place.

via Get Covered NJ:

As Open Enrollment Deadline Nears, Residents Urged to Sign Up for Health Insurance at Get Covered New Jersey

  • ​8 in 10 Qualify For Financial Help to Lower Costs

TRENTON – As the Open Enrollment deadline nears, Governor Phil Murphy, Department of Banking and Insurance Commissioner Marlene Caride, and state legislators today urged residents in need of health insurance for 2021 to sign up for a plan at Get Covered New Jersey.

Open enrollment for the state’s official health insurance marketplace, Get Covered New Jersey ends January 31, 2021. Commissioner Caride reminded New Jerseyans that open enrollment is the only time during the year when residents can enroll in coverage, unless they have a major life event that qualifies them for a Special Enrollment Period or they qualify for NJ FamilyCare. With nearly two weeks left in open enrollment, now is the time to visit Get Covered New Jersey to shop for quality, affordable health insurance and to enroll in a plan by the January 31, 2021 deadline.

via the Washington Health Benefit Exchange:

2021 Open Enrollment for Health Coverage Ends This Friday

  • Act before midnight, Jan. 15, to secure health insurance for this year

Washington Healthplanfinder is alerting all Washingtonians still seeking health insurance that they have until midnight, Jan. 15, to select a health and dental plan for the upcoming 2021 plan year. Coverage for those who enroll before the deadline will start Feb. 1.

“This is the last call for any individuals and families who have not signed up for a health and dental plan,” said Chief Executive Officer Pam MacEwan. “With only a few hours remaining before the deadline, people that still need 2021 coverage should sign up before it is too late.”

via Your Health Idaho:

More than 79,000 Idahoans Enroll in 2021 Health Insurance Coverage

BOISE, Idaho – More than 79,000 Idahoans signed up for 2021 health insurance coverage through the state health insurance exchange, Your Health Idaho, during the annual open enrollment period.

Compared to the same time last year, enrollments on the exchange are down by approximately 10,000. This decline is attributed in large part to the ongoing impacts of the COVID-19 pandemic and resulting public health emergencies and protected coverage policies.  

Last year's official Idaho Open Enrollment Period (OEP) Qualified Health Plan (QHP) total was 78,431, so 79,000 should be slightly higher, not 10,000 lower. What's going on here?

Way back on November 30th (a lifetime ago!), my contact at the Massachusetts Health Connector gave me an unofficial mid-period 2021 enrollment report:

Here's where we are at, currently:

  • January effectuations: 275,003
  • Feb. and March effectuations: 5
  • Plan Selections: 9,143
  • Total enrollments: 284,151

As a reminder, "effectuations" have paid the first month premium and are good to go. Plan selections still need payment to start.

As I noted at the time, MA is one of just two states (the other is Rhode Island) which handles premium payments internally, which means they can easily track not just how many people have enrolled but how many have actually made their payments.

Yesterday I requested and received an update six weeks later, and was surprised to see the total number drop slightly:

via DC Health Link:

Hispanic leaders to discuss the vulnerability of Hispanic communities to COVID-19 and state of enrollment opportunities at 6th Annual Hispanic Leadership Health Forum; Virtual enrollment and outreach events scheduled throughout the week

WHAT: 
Despite national studies showing the Hispanic community saw the biggest drops in uninsured rates thanks to the Affordable Care Act (ACA), the uninsured rate for the Hispanic community continues to be significantly higher than in other minority communities, according to a recent United States Census report.

In celebration of the National Hispanic Enrollment Week of Action, DC Health Link—in partnership with the Mayor’s Office of Latino Affairs (MOLA), Greater Washington Hispanic Chamber of Commerce (GWHCC), Mary’s Center and other community based organizations—will host its Annual Hispanic Enrollment Week of Action. DC Health Link is using this Enrollment Week of Action to accelerate outreach efforts to promote, educate and motivate Hispanics to enroll in quality, affordable health insurance. The Hispanic Enrollment Week of Action runs from January 12, 2021 through January 16, 2020.

via the Nevada Health Link:

COVID-19 treatment, diagnosis and vaccines included in all Nevada Health Link plans

  • Open Enrollment ends at 11:59 p.m. Jan. 15, 2021 – three more days remaining

(CARSON CITY, NV) – With only three days remaining in Open Enrollment for 2021 health coverage, Nevada Health Link, the online health insurance marketplace operated by the state agency, the Silver State Health Insurance Exchange (Exchange), reminds Nevadans that all plans include access to COVID-19 related diagnosis and treatment, including COVID-19 vaccines when they become available.

via the Washington Health Benefit Exchange:

Last Days before Washington Healthplanfinder Open Enrollment Deadline

With the Jan. 15 deadline looming, Washingtonians still seeking 2021 health coverage must act now to select a plan on Washington Healthplanfinder. Customers have less than three days to shop for coverage that begins Feb. 1.

Traffic on Washington Healthplanfinder continues to be brisk this week as customers rush ahead of Friday’s deadline. So far, over 218,000 Washingtonians have signed up for 2021 coverage, including more than 40,000 new customers.

“The surge of enrollees securing health and dental coverage has been steady and shows the impact that the pandemic has had on our state,” said Chief Executive Officer Pam MacEwan. “There is limited time left for those who still haven’t enrolled in coverage and I encourage them to review their options on Washington Healthplanfinder.”

Back on December 19th, my colleagues Colin Baillio and Andrew Sprung picked up on something I had posted in response to the semi-final 2021 Open Enrollment snapshot report:

STATE LEVEL:
--25 out of 36 states outperformed last year
--Best % increase y/y: TEXAS (+14.9%)
--Worst $ decrease y/y: KENTUCKY (-6.7%)

I have no idea if there's anything special in either state which caused either to do as well/poorly as they did relative to last year.

Sprung decided to look into it further. He broke out the states between Medicaid expansion and non-expansion states, and voila:

From the state totals one obvious pattern leaps out: enrollment is up 9.7% in states that have not enacted the ACA Medicaid expansion -- and down 0.5% in states that have expanded the expansion (including Nebraska, which opened the Medicaid expansion doors in October of this year).

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