HC.gov

Georgia

Back in November I put out a Break Glass In Case Of Fire-style call to action:

About 2 years ago, GOP Georgia Governor Brian Kemp submitted an ACA Section 1332 Waiver request to the Centers for Medicare & Medicaid Services. As Katie Keith of Health Affairs explained at the time, it consisted of two parts...the first of which was fairly noncontroversial, the second of which was...well, not good:

The application reflects a two-phase approach: a state-based reinsurance program to begin in plan year 2021, followed by a transition to the “Georgia Access” model beginning in plan year 2022. Both components of the waiver application would extend through plan year 2025.

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Hot off the presses, via the Centers for Medicare & Medicaid:

Week 6, December 5 - December 15, 2021

In week 6 of the 2022 Open Enrollment Period, approximately 5.8 million people selected individual market plans or were automatically re-enrolled in a plan through the 33 states that use the HealthCare.gov platform. During the Open Enrollment Period, to date, approximately 9.7 million people have selected individual market plans or were automatically re-enrolled in a plan through HealthCare.gov. While past snapshots this year have measured enrollment weeks Sunday through Saturday, this week’s snapshot for week six also includes the final few days prior to the deadline for January 1 coverage.

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Hot off the presses, via the Centers for Medicare & Medicaid:

Week 4, November 21-November 27, 2021

In week four of the 2022 Open Enrollment Period, approximately 569,000 people selected individual market plans through the 33 states that use the HealthCare.gov platform. During the Open Enrollment Period, to date, approximately 3,004,000 people have selected individual market plans on HealthCare.gov. As in past years, enrollment weeks are measured Sunday through Saturday.

The final number of plan selections associated with enrollment activity during a reporting period may change due to plan modifications or cancellations. In addition, the weekly snapshot only reports new plan selections and active plan renewals and does not report the number of consumers who have paid premiums to effectuate their enrollment.

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Hot off the presses, via the Centers for Medicare & Medicaid:

Week 3, November 14-November 20, 2021

In week three of the 2022 Open Enrollment Period, approximately 810,000 people selected individual market plans through the 33 states that use the HealthCare.gov platform. During the Open Enrollment Period, to date, approximately 2,435,000 people have selected individual market plans on HealthCare.gov. As in past years, enrollment weeks are measured Sunday through Saturday. 

The final number of plan selections associated with enrollment activity during a reporting period may change due to plan modifications or cancellations. In addition, the weekly snapshot only reports new plan selections and active plan renewals and does not report the number of consumers who have paid premiums to effectuate their enrollment.

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Hot off the presses, via the Centers for Medicare & Medicaid:

Week 2, November 7 - November 13, 2021

In week two of the 2022 Open Enrollment Period, approximately 851,000 people selected individual market plans through the 33 states that use the HealthCare.gov platform. During the Open Enrollment Period, to date, more than 1,624,000 people have selected individual market plans on HealthCare.gov. As in past years, enrollment weeks are measured Sunday through Saturday.

The final number of plan selections associated with enrollment activity during a reporting period may change due to plan modifications or cancellations. In addition, the weekly snapshot only reports new plan selections and active plan renewals and does not report the number of consumers who have paid premiums to effectuate their enrollment.

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Hot off the presses, via the Centers for Medicare & Medicaid:

Marketplace Weekly Enrollment Snapshot: Week One

The Centers for Medicare & Medicaid Services (CMS) is reporting that in week one of the 2022 Open Enrollment Period, approximately 774,000 people selected individual market plans in the 33 states that utilize the HealthCare.gov platform. During Open Enrollment, CMS will release weekly enrollment snapshots that provide point-in-time estimates of weekly plan selections, Marketplace Call Center activity, and visits to HealthCare.gov and CuidadoDeSalud.gov for states that utilize the platform.

Georgia

UPDATE 12/17/21: I've already submitted my comment to the Health & Human Services Dept. Now, the National Health Law Program’s My Care Counts project has created an easy-to-use public comment tool for you to submit your own. PLEASE DO SO before January 9th!

MAKE SURE *NOT* TO USE THE GENERIC DEFAULT LANGUAGE IN THE FORM, HOWEVER; MAKE IT YOUR OWN.

See the rest of the post below for the background/details on this issue.

About 2 years ago, GOP Georgia Governor Brian Kemp submitted an ACA Section 1332 Waiver request to the Centers for Medicare & Medicaid Services. As Katie Keith of Health Affairs explained at the time, it consisted of two parts...the first of which was fairly noncontroversial, the second of which was...well, not good:

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I've received an important reminder from the folks at HealthCare.Gov:

Continued Enrollment Opportunity for Consumers with Unemployment Compensation

The American Rescue Plan (ARP) provides additional savings to help consumers access affordable, quality health coverage options, including expanded opportunities for those who received or are approved to receive unemployment compensation in 2021.

Starting July 1, 2021, the Centers for Medicare & Medicaid Services (CMS) added a new function to HealthCare.gov to allow consumers who receive or are approved to receive unemployment compensation for any week beginning during 2021 to access new savings on health insurance coverage, if they qualify.

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The previous CMS Special Enrollment Period report put the HC.gov total at 1.52 million via HC.gov as of the end of June. In addition, the press release and Sec. Becerra's comments noted that there were at least 600,000 additional SEP enrollments via the 15 state-based ACA exchanges (SBMs), for a total of at least 2.1 million nationally as of the end of June.

Last week I gave a rough estimate of perhaps another 340K more new enrollees via HC.gov for the month of June along with another ~135K via the 15 SBMs, which would bring the grand total up to around 2.57 million nationally.

As I noted this morning, CMS has confirmed almost exactly this total as of the end of July: Over 1.8 million via HC.gov plus another 723,000 via the SBMs, or over 2.5 million total. In fact, when you read the exact figures in the HC.gov report, it's even closer than that:

ACA Signups

Five days ago I noted that, based on an offhand comment I heard during a White House webinar about the ongoing ACA Special Enrollment Period, it sounds like HealthCare.Gov quietly added over 100,000 new enrollees during the final week of July.

Based on this and the existing data I have from HealthCare.Gov and the 15 state-based ACA exchanges, I concluded that:

Also, as always, remember that everything above refers to the federal exchange only; the 15 states which operate their own ACA exchanges comprise roughly 29% of the 2.1 million QHP selections nationally as of the end of June. A couple of state-based exchanges have already terminated their own SEPs (Idaho, Minnesota and Massachusetts), but the rest are still chugging along, so assuming a similar ratio for July, that would put the monthly total at around 475,000 nationally, for a grand total of roughly 2.57 million or so as of July 31st.

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