I was so caught up in the national tally implications, I forgot to actually devote a proper entry to California itself. There's some additional key numbers to look at here:
From April 1-15, 205,685 consumers – including a one-day record of more than 50,000 on the final day – completed their applications and selected health plans through the Covered California exchange, bringing the total to 1,395,929 at the end of the historic, first open enrollment period. The total exceeds the base projection for Covered California for the entire six-month enrollment period by more than 815,929.
As noted earlier, let's assume that "over 50,000" means, say, 50,100. To put this in context, they're saying there were (205,685 - 50,100) = 155,585 QHP enrollments in the first 14 days (about 11,100/day)...followed by 50,100 on the last day. That's 4.5x the rate it had been.
From April 1-15, 205,685 consumers – including a one-day record of more than 50,000 on the final day – completed their applications and selected health plans through the Covered California exchange, bringing the total to 1,395,929 at the end of the historic, first open enrollment period. The total exceeds the base projection for Covered California for the entire six-month enrollment period by more than 815,929.
Let's assume that "over 50,000" means, say, 50,100.
To put this in context, they're saying there were (205,685 - 50,100) = 155,585 QHP enrollments in the first 14 days (about 11,100/day)...followed by 50,100 on the last day. That's 4.5x the rate it had been.
Until this, I was estimating that the national 4/01 - 4/15 average would be around 45K - 55K/day nationally during the extension period, or around 675K - 825K total, for a grand total of around 7.77- 7.93 million exchange QHPs total. I settled on 7.78M as my "official" projection to be on the cautious side.
According to L.A. Times reporter Chad Terhune, CoveredCA has confirmed enrolling another 70,000 people in private QHPs in the first 9 days of the extension period. They had 1,221,727 as of 3/31, so that brings their total to 1.29 million as of last night:
#CoveredCA added 70,000 (on top of 1.2M) who picked a plan in the 9 days of the "grace period" since March 31 to April 15. @charles_gaba
OK, this is why CoveredCA was holding off on announcing their numbers: Peter Lee had to testify before Congress today anyway:
Enrollment in Covered California private health insurance plans hit 1,221,727 through March 31. In fact, March was the highest single month of enrollment, with more than 416,000 people signing up for a health insurance plan.
...Medi-Cal enrolled approximately 1.9 million people through the end of March, including 1.1 million through the Covered California portal and county offices, approximately 650,000 former Low Income Health Program (LIHP) members who were transitioned to Medi-Cal by the California Department of Health Care Services (DHCS) and 180,000 individuals who applied through the state’s Express Lane program.
OK, in addition to the appx. 7.041 million enrollments on the Federal exchange (HC.gov), I've brought CO, CT, DC, HI, KY, MD, MN, NY, RI and WA completely up to date, with all QHP data through midnight on 3/31 (some of the Medicaid/CHIP data is still missing, but that's a lesser concern at the moment).
However, I'm still missing the following exchange QHP data:
California: 22 hours (that's right...the current tally runs thru 2am on 3/31)
Massachusetts: 3 days (current is thru 3/28)
Nevada: 2 days (current is thru 3/29)
Oregon: 3 days (current is thru 3/28)
Vermont: 1 day (current is thru 3/30)
I can't tell you how frustrating it is to be this close to full data while still missing it.
So, how much is actually missing? Well, if these states were running at their prior average March daily rate, it would be
CA: 11,754
MA: 512 x 3 = 1,536
NV: 427 x 2 = 854
OR: 502 x 3 = 1,506
VT: 775
Total: 16,425
However, this obviously doesn't apply since the final weekend and especially yesterday were insane.
Without the final day's numbers, this update is both helpful and frustrating, because it's so close yet so far away. The QHP number is actually somewhat lower than I had thought a few days ago (not that I'm complaining; HC.gov more than took up the slack, and CA was going nuts on the final day anyway...which is why I'm so anxious to get the data from the 31st):
Consumer interest in Covered California has been strong, with 1,209,791 Californians signing up as of 2 a.m. March 31. From March 24 through 2 a.m. March 31, 155,988 individuals signed up for coverage. During the same week, 389,840 accounts were started — including 123,787 on Saturday and Sunday, as consumers hurried to meet the deadline.
“We’ve set records on accounts created five of the past six days,” Lee said.
I included the 80K in 4 days info yesterday, but didn't realize the implications of the second sentence until a commentor pointed it out:
The Covered California exchange said sign-ups have been building throughout the week with about 80,000 people picking a health plan Monday through Thursday. An additional 150,000 households created an online account and started the shopping process in the last three days, officials said.
That's 50,000 households--not individuals--PER DAY who JUST ceated an account for 3 days straight.
Pretty sure most of those are actually enrolling even as I type this.
I think this final weekend surge is going to be MUCH larger than even I've been projecting.
Gotta run for the moment, but I'm going ahead and calling it 6.7 million exchange-based QHPs as of now.
Looks like the 39K on Monday & Tuesday continued at the same pace all week...supporting my "California 20%" rule (20K in CA = 100K nationally):
SACRAMENTO (AP) — California is seeing a late surge in the number of people signing up for healthinsurance coverage ahead of next week’s deadline – and state officials are encouraging more people to apply.
The state already reported surpassing 1 million enrollees. But Covered California Executive Director Peter Lee said Friday that another 80,000 people enrolled in the past four days alone.
20,000 per day in California is 4x the rate they hit in February.
I'm pretty sure California has now broken 1.2 million all by itself (which makes sense if the 20% rule holds...1.2M = 20% of 6M...)
Based on this and the Oregon entry, I'm increasing my projection from 6.54M to 6.58M as of 3/31.
Blammo. Remember how I noted that back in December, California managed to hit 30K exchange QHPs in a single day, and 20K/day for several other days between Christmas and New Year's Eve?
The site — the main portal for insurance marketplaces in 36 states — drew 1.2 million visitors Tuesday and 1.1 million visitors Monday, according to the administration.
Over the same period, call centers received more than 500,000 calls. California's state-run health insurance exchange reported a similar surge in interest, with nearly 40,000 people picking a health plan Monday and Tuesday.
Now, this is awesome news, as it suggests a national rate of around 100K/day (CA has averaged around 20% of the national QHP enrollments all along).
However, it also poses a slight dilemma for me, since there's an 8 day gap between the existing March data (03/02 - 03/15) and these 2 days (03/24 - 03/25).