On Wednesday, CMS's Week 5/6 Snapshot report confirmed 4,015,709 QHP selections via the federal exchange (, but also noted that "over 700,000" additional ACA enrollments came in on Monday and Tuesday. About an hour ago, President Obama confirmed a 1-day record-breaking 670,000 people signed up yesterday alone. A press release from the HHS Dept. was also just released stating:

  • On Monday, over 325,000 Americans selected plans on On Tuesday, over 380,000 Americans selected plans on This marked two of the biggest days in history.

Unfortunately, there's no hard numbers for Sunday or Wednesday, but I have a pretty good idea where they fell:

President Obama

Some guy, 5:12pm last night:

So, how about my projections? Well, for today specifically (12/15), I've been assuming roughly 700,000 QHP selections nationally (540K via plus 160K via the dozen state exchanges), bringing the cumulative total up to 7.70 million nationally.'s one-day enrollment record was set exactly a year ago today (12/15/15), when they enrolled 600,000 people in a single 24-hour period. I've been assuming that fewer people would enroll today specifically this year, if only because so many current enrollees have been actively renewing earlier than in the past; I figured this would've taken some of the heat off of the final day, so I knocked 10% off of the top.

Instead, it looks like I may have underestimated today's haul. The federal exchange could conceivably hit 700K today, and the national tally could potentially hit 800K or so. Then again, if they announce a deadline extension, some of that might spill over into the weekend.

On September 26, 2013, just 5 days before the disastrous initial launch of HealthCare.Gov (as well as ugly rollouts of many of the state-based exchanges), President Obama gave a speech pumping up the impending start of the first Open Enrollment Period at Prince Geroge's Community College.

At one point in the speech, he touted how easy and handy the website would be to use:

Starting on Tuesday, every American can visit to find out what’s called the insurance marketplace for your state.  Here in Maryland, I actually think it's called  (Applause.)  But if you go to, you can look and they'll tell you where to go.  They'll link to your state. 

Now, this is real simple.  It’s a website where you can compare and purchase affordable health insurance plans, side-by-side, the same way you shop for a plane ticket on Kayak -- (laughter) -- same way you shop for a TV on Amazon.  You just go on and you start looking, and here are all the options. 

(note: I'm live updating as I type this stuff, so keep checking back, I'll be adding more updates/analysis over the next hour)

Wow! OK, I'm back from my kid's field trip (nature center; they learned about how animals handle the winter via hibernation, migration & adaptation...learned about fossils...went on the nature trail to look for animal tracks...and even dissected owl pellets, hooray!!). Of all the days to miss a major HHS/CMS conference call, this was a big one. I'm furiously poring over the HHS Dept's ASPE January Enrollment Report  which, as I expected this morning, was just released less than two hours ago.

Some Guy, 12/30/15:

So what about this week? Well, it should play out very much the same: Practically all QHP selections going forward should be for new additions, and we have New Year's Eve and Day included. Sure enough, last year there were just 103K added to from 12/27 - 01/02...slightly more than Christmas week.

Assuming this year follows a similar pattern, there should be roughly 80,000 people tacked onto the total for Week 9, bringing the cumulative total up to just over 8.6 million.

If this does happen, then yes, I'll have to seriously re-evaluate my current 14.7 million OE3 projection...because that will suggest that the final 5 weeks are gonna play out a good 20% lower than my expectations.

And if that's the case, then instead of another 3.5 million new folks signing up, it'll only be around 2.8 million...bringing a grand total of right around 14.0 million even.

As expected, Week Eight was extremely quiet; not only did the entire week take place after the (extended) deadline for January coverage, but there was also Christmas Eve and Christmas Day to contend with. Needless to say, very few people feel like enrolling in healthcare coverage on December 24th or 25th.

Last year, just 96,000 people chose to do so between 12/20 - 12/26 in the 37 states covered by I was expecting slightly more this year (100K even), but only 74,000 did...26% fewer than the same week in 2014. Whatever else is going on, it's safe to say that the Open Enrollment Periods are starting to become more and more "front-loaded".

As I noted last Tuesday, the Week Seven Snapshot Report threw a bit of a curveball; while they did add most of the bulk auto-renewals to the total, they also stated that some unknown number had yet to be added. As far as I can tell, that number could be as low as 1...or (theoretically) as high as 680,000. My best spitball take is that it was somewhere around 150,000, which presumably have all been added to this week's report.

As for new enrollments, with Week Eight taking place a) entirely after even the extended deadline for January coverage and b) the same week as Christmas Eve and Day, I'm not expecting many to be added; perhaps 100,000 or so, for a grand total of roughly 250,000 for the week, which in turn would bring the cumulative total (for the federal exchange only) up to right around 8.50 million even.

NOTE: Today is October 1st, 2016, the 3rd anniversary of the disastrous launch of HealthCare.Gov. To mark the occasion, I'm dusting off this post from last December.

There were a lot of numbers tossed around in today's big HealthCare.Gov enrollment news, but I want to focus on just one number in particular:


Six hundred thousand people actively enrolled in private healthcare policies on Tuesday, December 15, 2015 by using HealthCare.Gov.

Forget about the cumulative total for a moment. Forget about the auto-renewals still to be added. Forget about the state-based exchanges. Just focus on the fact that in a single 24-hour period, 600,000 people signed up through the federal exchange site only.

Now think back to October 2013, when and 17 state-based exchange websites launched...and, for the most part, immediately crashed and burned.

This Just In...

“Because of the unprecedented demand and volume of consumers contacting our call center or visiting, we are extending the deadline to sign-up for January 1 coverage until 11:59pm PST December 17. Hundreds of thousands have already selected plans over the last two days and approximately 1 million consumers have left their contact information to hold their place in line. Our goal is to provide access to affordable coverage, and the additional 48 hours will give consumers an opportunity to come back and complete their enrollment for January 1 coverage. ”

--Kevin Counihan, CEO of the Health Insurance Marketplaces

Welp, you can probably throw The Graph out the window now, at least in terms of the "spike" hitting right around now. My model was based on the assumption that yes, there'd be a huge spike yesterday and today, followed by perhaps 3 million auto-renewals being tacked on all at once tomorrow/Thursday.