Hah...I knew I should've waited a couple more hours to send out the newsletter for the evening...
In the first week of open enrollment, 2,659 new customers signed up for private insurance plans and 8,945 people signed up for Medicaid through Access Health CT, the state’s health insurance exchange.
To reiterate: This is new enrollees only, not renewals:
The figures include people who had not previously had coverage through Access Health. The exchange did not release the number of people who currently have coverage through the exchange and signed up for 2015 coverage.
Oh, yeah, and I'm guessing that #ObamaDentata will mean more clarifications of this nature going forward:
Separately, 123 people signed up for dental coverage sold through the exchange.
Well, there's your transparancy improvement, folks...
If there are currently 74,334 enrolled, that means there are 2% more enrolled (and paying) today than there were 6 months ago, which is right in line with my projections as well as the national 7.3 million figure mentioned by HHS Secretary Burwell as of August.
Meanwhile, Medicaid enrollees via the exchange are now up to 208,468. This is only a small increase over a month ago (around 1,400 people), but there's a very good reason for that:
A ton of great ACA news coming out of Connecticut this morning, courtesy of Arielle Levin Becker (posted in reverse-chronological order, newest at the top):
Arielle Levin Becker provides some updated numbers out of Connecticut, which is great...but I'll have to do some calculations to parse the data out for my purposes:
Current Access Health membership: 76,094 in private insurance, 207,020 in Medicaid (total Medicaid enrollment is much higher)
OK, so those are the current enrollment numbers. 76,094 QHPs is 4% net attrition from the 4/19 total of 79,192, or less than 0.8% per month, which is fantastic.
However, since that 76K figure combines both additions and subtractions (ie, it's the net total, not gross), I can't really tell what the cumulative total is, which is what I use for my off-season projection chart.
The news broke just a few hours ago that Kevin Counihan, the head of AccessHealthCT (Connecticut's extremely successful ACA exchange, which works so well that they were able to actually sell the software platform to Maryland to replace MD's original broken system) is leaving the CT exchange for an unspecified position at the HHS Dept:
Access Health CT CEO Kevin Counihan, who spearheaded Connecticut's largely successful first round of Obamacare enrollment through the state's public insurance exchange, is departing, a source close to the matter confirmed.
Access Health has scheduled a noon press conference Tuesday to make the announcement. No replacement will be named today, according to the source, who said Counihan is leaving to take a federal position within the U.S. Department of Health and Human Services.
Well, Sarah Kliff over at Vox.com has now broken the news about just what that new HHS position actually is...and it's very good news indeed:
Breaking: White House announces Kevin Counihan will be new Healthcare.gov CEO. Currently runs the Connecticut exchange.
Over at the CT Mirror, Arielle Levin Becker does the same type of wonky number-crunching that I specialize in here at ACASignups.net to figure out whether the state's recent claims of the ACA slashing their uninsured rate in half (from 8% to 4%) hold water.
It gets a bit involved, but her conclusion is that yeah, it probably has been cut significantly, but a specific percent number is hart to pinpoint since there's still a lot of noise on the ESI side as well as continuous churn across the board as people move on & off of different plans.
However, it does include a few nuggets which help me update my own data. For one thing, CT's SHOP enrollment has gone up from 500 as of February to a whopping...602 people last month:
Access Health also operates an exchange for small businesses, although uptake has been low. As of mid-July, it covered 602 people.
A couple of weeks ago, I posted about how insurance providers in Connecticut requested rate changes ranging up to 12.8%...but the approved rate increase, overall, appeared to only be around 4.5% when weighted by market share. However, that was based on the assumption that the largest provider, Anthem BCBS, would end up with an approved average of around a 6% increase.
Today, it was revealed that Anthem's actual rate changes for 2015 will be an average of 0.1% lower:
Anthem, the state’s largest insurer, initially requested approval to raise rates by an average of 12.5 percent. But the insurance department rejected the proposal and asked the company to resubmit its plan using different calculations.
The result: An average premium decrease of 0.1 percent for Anthem customers.
A few days ago, AccessHealthCT (Connecticut's state-run ACA exchange) gave me their exact total enrollments as of 8/02: 250,633. Unfortunately, they were unable to provide a breakout between QHPs and Medicaid/CHIP enrollments. Yesterday the Hartford Courant reported a higher combined total:
Access Health CT, the state-run onlinehealth insurance marketplace created under the federal Affordable Care Act, has enrolled more than 256,000 state residents in private health plans or Medicaid since the website launched last fall.
The open enrollment period total of 218,100 (including everything through 4/19) broke out roughly 36:64. Assuming "more than 256K" is roughly 256,100, that means about 38,000 more people since then. If that ratio has stayed consistent, it should be around 13,700 QHPs and 24,300 Medicaid. However, as I noted the other day, with off season enrollment being limited for QHPs but open-ended for Medicaid/CHIP, the ratio has almost certainly shifted substantially in Medicaid's favor.
Sometimes you just have to go straight to the source. I flat-out asked Access Health CT (Connecticut's ACA exchange) if they could provide an off-season enrollment update, and here's their response:
@charles_gaba our total as of July 22nd is 250,633 overall enrolled. That's all I can share now, but more coming near OE
They weren't able to provide a breakdown between private QHPs and Medicaid/CHIP enrollment, but I can make a pretty good guess.
According to the final HHS report, Connecticut's official exchange QHP total as of 4/19 was 79,192, and Medicaid determinations were 138,908, for a combined total of 218,100. Since then, this total has gone up 32,533. The QHP/Medicaid ratio during open enrollment was roughly 36/64, which, if consistent during the off season would mean around 11,700 more QHPs to around 20,800 Medicaid enrollees.
There's been a recent batch of insurance rate change requests reported across various states which has gotten a lot of press. However, as I noted a couple of weeks ago, there can be a big difference between what the insurance companies ask for and what the state insurance commissioner approves. This is one of the most important (and least-written about) aspects of the ACA: Insurance companies can no longer just jack up their prices however much they feel like; those rates have to be approved by the insurance commissioner for the state they're operating in if they want to sell their wares on the exchange.
