The quotes around "final" are there because DC also announced that they're bumping out the extension period one more time, to April 30th:
The exchange had 699 people enroll for coverage in the two weeks after open enrollment was originally supposed to close, with 22 percent of those signups coming on Tuesday, the final possible day. That brings the total number of private health coverage enrollments to 10,630, Medicaid signups to 19,217, and small business enrollments to 13,118.
The third state-based exchange (well...technically not a state) to release their 3/31 total is the District of Columbia. Fortunately, they specifically separate out the SHOP numbers:
The DC Health Benefit Exchange Authority today released new data showing strong enrollment activity through DCHealthLink.com as of March 31st. Since the marketplace opened for business on October 1, DC Health Link has enrolled 40,234 people. This includes District residents who enrolled in private health plans and in Medicaid, as well as people with coverage through their employers. In the final week alone, more than 2,000 people enrolled through the individual and family marketplace -- accounting for over 21% of all individual enrollments in private coverage.
As of March 31, 2014, 40,234 people have enrolled through DC Health Link in private health plans or Medicaid:
9,838 people enrolled in private health plans through the DC Health Link individual and family marketplace;
17,489 people were determined eligible for Medicaid coverage through DC Health Link; and
12,907 people enrolled through the DC Health Link small business marketplace.
This is kind of a thin article; it doesn't give an exact number, doesn't specify the date of the conference (I'm assuming it was yesterday), and doesn't break out the total between QHPs, Medicaid...and the DC SHOP exchange. DC is the only exchange in which SHOP enrollments outnumber the Individual QHPs due to the to the wording of the ACA requiring Congressional staffers to use the DC SHOP.
The existing breakout was 7,926 individual / 12,743 SHOP and 14,379 Medicaid, or around 22.6% / 36.4% / 41%. I'm assuming the 37K figure is broken out similarly until I learn otherwise, which adds 443 QHPs, 710 SHOP and 800 Medicaid.
More than 37,000 have signed up for health insurance through the D.C. Health Link exchange under the Affordable Care Act, officials said during a news conference.
A nice little update out of DC...they even did the net gain math for me! Unfortunately they didn't separate out QHPs from Medicaid (the 17,899 number includes both).
If I assume the a slightly lower 32/68 breakout of the new enrollments (it was 36/64), that should mean an extra 1,410 QHPs and 2,996 Medicaid enrollees.
That gives a total of 7,926 exchange QHPs and 14,379 new Medicaid total.
DC's numbers are so small that I'd normally say that even if my breakout is wrong, it won't impact the projection enough to worry about...but in this case, they were running 40% below the February rate, so this jump to 26% higher actually bumps the projection back up a smidge after all, to a solid 6.4M.
Since March 10 (the last data release), enrollment through DC Health Link increased significantly. To date a total of 22,305 people have enrolled through DC Health Link’s individual marketplace, up from 17,899 on March 10. This is an increase of 4,406 people just in the last few weeks. (Note this data does not include enrollment through the small business marketplace.)
Earlier today, contributor Esther Ferington brought an old New York Times article from last October to my attention. The article is actually about off-exchange enrollments as an option to using the exchanges, but the opening line of the story includes an interesting snippet:
WITH so much attention being paid to the troubled debut of the Obama administration’s health insurance exchanges, another alternative has largely gone unnoticed: unless you live in Washington, D.C., or Vermont, you can also buy insurance outside the exchanges — by going directly to insurance brokers, agents or company Web sites.
DC itself has an unusual situation: Due to the quirky ACA rule that has Congressional Staffers (some 10,000 of them) enroll via the Small Business SHOP exchange instead of the individual exchange (or that of their home state), DC's SHOP exchange actually has twice as many enrollees as individual QHPs. Anyway, QHPs have gone up 267 in the first week or so of March, while SHOP enrollees have gone up 104. Meanwhile, new Medicaid enrollees are up 506.
As of March 9, 2014, 30,642 people have enrolled through DC Health Link in private health plans or Medicaid:
6,516 people enrolled in private health plans through the DC Health Link individual and family marketplace; 11,383 people gained Medicaid coverage through DC Health Link; and 12,743 people enrolled through the DC Health Link small business marketplace.
Since January 9th, Private QHP enrollments in DC are up 40% (from 3,646 to 5,090, Medicaid/CHIP enrollments are up over 80% to 8,451 and SHOP (Small Business) enrollments are up about 5% to 12,639 people.
Since the exchange opened for business on October 1, DC Health Link has enrolled 26,180 people. This includes District residents who enrolled in private health plans and in Medicaid, as well as people with coverage through their employers.
5,090 people enrolled in private health plans through the DC Health Link individual and family marketplace and 965 of those have coverage that will be effective March 1, 2014;
8,451 people gained Medicaid coverage through DC Health Link; and
12,639 people enrolled through the DC Health Link small business marketplace.
Similar to the first three months of open enrollment, the largest enrollment – 37% of enrollees in private coverage (individual not SHOP) through DC Health Link – is 26 to 34 year olds; the second largest is 35 to 44 year olds (21%).
Well, that just figures. Right after I post a screed whining about the lack of big numbers since New Year's--in which I specifically call out the DC Health Link for not releasing any data since mid-November--what happens? Whammo: Private enrollments have skyrocketed from 1,115 on Nov. 15 to 15,613, a whopping 14x increase. They also released the first Medicaid expansion figure at all, since neither the HHS nor anyone else has had a number for that since the exchanges lauched on October 1st: 4,677 people.
Amusingly, it looks like the majority of enrollments (up to 10,000 of the 12,000 small business enrollments) were from Congressional staffers who were, ironically, required to do so due to a clause insisted upon by Congressional Republicans.
The top line talking point: More than 20,000 people have secured medical coverage.
But nearly 60 percent, or 11,967, enrolled through the small business side of the exchange, which is designed for companies with fewer than 50 workers but also — via the Republican amendment and Obama administration rules — Congress.