Medicaid Expansion

Iowa

I've once again relaunched my project from last fall to track Medicaid enrollment (both standard and expansion alike) on a monthly basis for every state dating back to the ACA being signed into law.

For the various enrollment data, I'm using data from Medicaid.gov's Medicaid Enrollment Data Collected Through MBES reports. Unfortunately, they've only published enrollment data through December 2020. In some states I've been able to get more recent enrollment data from state websites and other sources.

Today I'm presenting Iowa. For enrollment data from January 2021 on, I'm relying on adjusted estimates based on raw data from the Iowa Dept. of Human Services.

California

I've once again relaunched my project from last fall to track Medicaid enrollment (both standard and expansion alike) on a monthly basis for every state dating back to the ACA being signed into law.

For the various enrollment data, I'm using data from Medicaid.gov's Medicaid Enrollment Data Collected Through MBES reports. Unfortunately, they've only published enrollment data through December 2020. In some states I've been able to get more recent enrollment data from state websites and other sources.

Today I'm presenting The Big One: California. For enrollment data from January 2021 on, I'm relying on adjusted estimates based on raw data from the CA Dept. of Health Care Services. I actually ran the numbers for California a month ago, but the MBES data has been updated and I've started breaking out expansion enrollment between "previously eligible" and "newly eligible" with a different graph format, so I decided to re-do CA as well.

District of Columbia

I've once again relaunched my project from last fall to track Medicaid enrollment (both standard and expansion alike) on a monthly basis for every state dating back to the ACA being signed into law.

For the various enrollment data, I'm using data from Medicaid.gov's Medicaid Enrollment Data Collected Through MBES reports. Unfortunately, they've only published enrollment data through December 2020. In some states I've been able to get more recent enrollment data from state websites and other sources.

Today I'm presenting the District of Columbia. For enrollment data from January 2021 on, I'm relying on adjusted estimates based on raw data from the DC Dept. of Health Care Finance.

Connecticut

I've once again relaunched my project from last fall to track Medicaid enrollment (both standard and expansion alike) on a monthly basis for every state dating back to the ACA being signed into law.

For the various enrollment data, I'm using data from Medicaid.gov's Medicaid Enrollment Data Collected Through MBES reports. Unfortunately, they've only published enrollment data through December 2020. In some states I've been able to get more recent enrollment data from state websites and other sources.

Today I'm presenting Connecticut. For enrollment data from January 2021 on, I'm relying on adjusted estimates based on raw data from the Connecticut Dept. of Social Services.

Connecticut total Medicaid enrollment (including ACA expansion) hovered between 900K - 1.0 million prior to the COVID pandemic hiatting last February/March.

Colorado

I've once again relaunched my project from last fall to track Medicaid enrollment (both standard and expansion alike) on a monthly basis for every state dating back to the ACA being signed into law.

For the various enrollment data, I'm using data from Medicaid.gov's Medicaid Enrollment Data Collected Through MBES reports. Unfortunately, they've only published enrollment data through December 2020. In some states I've been able to get more recent enrollment data from state websites and other sources.

Today I'm presenting Colorado. For enrollment data from January 2021 on, I'm relying on adjusted estimates based on raw data from the Colorado Dept. of Health Care Policy & Financing.

Colorado total Medicaid enrollment (including ACA expansion) reached a high of around 1.38 million people in early 2017 before gradually dropping off to 1.2 million just before the COVID pandemic hit last spring.

Arizona

I've once again relaunched my project from last fall to track Medicaid enrollment (both standard and expansion alike) on a monthly basis for every state dating back to the ACA being signed into law.

For the various enrollment data, I'm using data from Medicaid.gov's Medicaid Enrollment Data Collected Through MBES reports. Unfortunately, they've only published enrollment data through December 2020. In some states I've been able to get more recent enrollment data from state websites and other sources.

Today I'm presenting Arizona. For enrollment data from January 2021 on, I'm relying on adjusted estimates based on raw data from the Arizona Health Care Cost Containment System (AHCCCS).

Arizona total Medicaid enrollment hovered around 1.1 million people (including ACA expansion) for several years until the COVID pandemic hit last spring.

Minnesota

I've once again relaunched my project from last fall to track Medicaid enrollment (both standard and expansion alike) on a monthly basis for every state dating back to the ACA being signed into law.

For the various enrollment data, I'm using data from Medicaid.gov's Medicaid Enrollment Data Collected Through MBES reports. Unfortunately, they've only published enrollment data through December 2020. In some states I've been able to get more recent enrollment data from state websites and other sources.

Today I'm presenting Minnesota. For enrollment data from January 2021 on, I'm relying on adjusted estimates based on raw data from the Minnesota Dept. of Human Services.

Minnesota total Medicaid enrollment hovered around 1.1 million people (including ACA expansion) for several years until the COVID pandemic hit last spring.

Michigan

I've once again relaunched my project from last fall to track Medicaid enrollment (both standard and expansion alike) on a monthly basis for every state dating back to the ACA being signed into law.

For the various enrollment data, I'm using data from Medicaid.gov's Medicaid Enrollment Data Collected Through MBES reports. Unfortunately, they've only published enrollment data through December 2020. In some states I've been able to get more recent enrollment data from state websites and other sources.

Today I'm presenting Michigan. For enrollment data from January 2021 on, I'm relying on adjusted estimates based on raw data from the Michigan Dept. of Health & Human Services, especially their monthly "Green Book of Key Program Statistics".

ASPE Logo

Moments ago I posted the news that the HHS Dept. (via the Centers for Medicare & Medicaid) has confirmed what I wrote about nearly a month ago: Enrollment in ACA healthcare policies are at an all-time high, with over 31 million Americans currently covered by either ACA exchange plans, ACA Medicaid expansion or ACA Basic Health Plan coverage.

This news is based on a formal report issued by the Assistant Secretary for Planning & Evaluation (ASPE). Let's take a closer look!

Health Coverage Under the Affordable Care Act: Enrollment Trends and State Estimates

Based on enrollment data from late 2020 and early 2021, approximately 31 million people were enrolled in Marketplace or Medicaid expansion coverage related to provisions of the Affordable Care Act (ACA), the highest total on record.

KEY POINTS

ACA Signups Logo

A month ago I noted that by my back-of-the-envelope math, total enrollment in ACA healthcare coverage had likely reached 30 million people, concluding that:

#ACA Enrollment Is At An All-Time High Right Now Almost Any Way You Slice It.

I based this on a rough comparison of ACA enrollment in 2016 (which saw the highest ACA Open Enrollment Period enrollment to date, with nearly 12.7 million people selecting Qualified Health Plans (QHPs) during the official OEP) versus the most recent data available as of spring 2021.

My rough math was as follows (spring 2016 / spring 2021):

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