Missouri

Part of the key to the successful enrollment of over 8 million* people last year and around 12 million* this year in the various ACA exchange policies has been the army of so-called "navigators" or "assisters" who, along with private health insurance brokers, helped educate millions of people about how the exchanges work, what their best options were and how to go through the procedure.

Unfortunately, some states (those run by administrations of a certain crimson hue, shall we say) decided, in their effort to obstruct Obamacare at every possible opportunity, to be utter jackasses by ginning up absurd regulations/restrictions about who "qualified" to be an ACA navigator.

The poster child for this ass-jackery was Ralph Hudgens, the Insurance Commissioner of Georgia, who actually bragged about his efforts:

Last October, at the height of the botched HC.gov rollout, I repeatedly commented over at Daily Kos:

 I still don't know why they didn't roll it out one state per day; if they'd gone alphabetically, they would have had a solid week to work the kinks out with a (relatively) low volume before hitting a big state:

  • Alabama, Alaska, Arizona and Arkansas are all relatively low-population.
  • California, Colorado, Connecticut and Delaware* are all state-run exchanges.
  • That means they wouldn't have hit Florida on the federal site until tomorrow.

I know that the system still would have had serious software issues, but at least they wouldn't have to deal with the massive overload of traffic at the same time that they were trying to fix the issues.

*(Obviously I was mistaken at the time about Delaware running their own exchange, but it's still a low-population state so my point was still valid...and of course the District of Columbia does run their own exchange).

Well, obviously it was too late for that at the time, and they've since scrambled to get their act together on the individual exchange side.

UPDATE: On the down side, I was off by 4% this time around.

On the up side, I UNDERESTIMATED:

Actual Feb. enrollments: 942,833, for a total of 4,242,325 thru 3/01/14.

Sarah Kliff at Vox just announced that the February HHS report is expected to be released today at around 4:00pm. A few items in anticipation of that:

  • As I've noted several times, I'm projecting the report to total around 902,000 exchange-based private QHP enrollments for the month of February (technically 2/02 - 3/01)
  • If accurate, this would bring the cumulative total of exchange-based private QHP enrollments to 4.202 million (from 10/1/13 - 3/01/14)
  • From the data I have, the average daily enrollment rate in February was almost identical to that of January, which had about 1.146 million QHP enrollments. HOWEVER, the January report included five weeks of data (12/28 - 2/01), while the February report will only include four weeks (2/02 - 3/01). Therefore, even at the same daily average, it'll be about 20% lower no matter what.
  • Don't be surprised if Peter Lee of CoveredCA decides to steal some thunder by announcing that California has enrolled 1,000,000 QHPs all by itself either today or tomorrow. However, that would include the past 10 days, while the HHS number will only run thru 3/01.
  • If you want to get REALLY specific, call it 902,800 and 4,202,292.
  • I've been dead-on target 6 times in a row without hyping up my projections beforehand. This time I am hyping myself up beforehand, so I'll probably be way off...but as long as I've UNDERestimated the tally, I'll be perfectly fine with that...
  • The report will be released in about 5 minutes, but my kid gets home from school in about 10, so it'll be a good 20 minutes before I can really post anything. Feel free to follow Sarah Kliff of Vox in the meantime!

I believe this is my first Missouri-specific QHP update: Their private enrollments went up from 54,147 as of February 1st to "about 68,000" by February 20, an increase of 13,853. Like the average of the other 17 states I have post-2/1 data for, Missouri's February enrollment rate appears to be very close to what it was in January, so I'm still confident of my appx. 902,000 February HHS report projection.

As of Feb. 20, about 68,000 Missouri residents had enrolled in private health plans through the online insurance marketplace, most of whom received federal subsidies to help offset the cost of premiums, said Ryan Barker, vice president for health policy at the Missouri Foundation for Health, a nonprofit group that's promoting the insurance marketplace.

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