Nevada

A 1,000 increase in the number of paid exchange QHPs since 3/22:

Since Nevada Health Link opened, the state's exchange for insurance, there have been many problems in finishing the enrollment process.

More than 24,000 Nevadans have enrolled and paid, far lower than the projected estimates.

Meanwhile, Xerox (which botched the Nevada exchange just as Oracle botched Oregon's) thinks they'll be able to "convert" 57,000 of the partially-completed enrollments into full enrollees during the extension period (which actually runs all the way out until May 30th in Nevada's case...):

Xerox officials told the board that they’ve identified about 77,000 people they’ll target during special enrollment, which runs through May 30. Consumers eligible to sign up then include people who have selected an exchange plan but not paid for it, as well as people who qualified through the exchange for a federal premium subsidy but who have not bought a plan.

Company officials said they believe they could convert about 57,000 of the 77,000 targeted consumers into actual enrollees.

No exact numbers, but the previous update as of 3/15 was 22,533 paid / 10,520 unpaid (33,053 total), so this looks right. NV's March pace is still running around 45% above February's daily average.

As of March 22, more than 35,000 people have signed up for a health insurance plan. Approximately 23,000 of them have already started making payments on their health care coverage.

OK, this is a tiny number but every data point helps...in an article about the final crunch-time outreach efforts is this bit about the Nevada Health CO-OP's success:

The CO-OP sells plans both on and off of the exchange, but the “vast majority” of consumers who ask about plans are subsidy-eligible and buying on the exchange, Egan said. The CO-OP has actually sold more plans through the exchange than any other insurer: It’s responsible for 37 percent of plans sold, beating out industry titans UnitedHealthcare and Anthem, the state’s two biggest insurers. The CO-OP had sold about 9,500 plans on the exchange and just under 1,000 off of it as of Tuesday.

I'm gonna call "just under 1,000" 990 (shrug).

OK, the cutesy title is kind of a misnomer; my two previous entries didn't use that title originally...but they should have, and do now.

March 31st is supposed to be the final day to enroll in QHPs via the exchanges...but it's looking more and more as though that won't quite be the case in not two, not three...but possibly up to seven states now, including a couple whose websites have been working smooth as silk??

On March 7th I pointed out that due to Massachusetts having some 154,000 people stuck in health insurance limbo, they've been granted some sort of temporary extension, twice...out to as far as June 30th in some cases...

On top of today's Big News out of California (1M) and the HHS (5M) comes a smaller, but just as significant update from Nevada. They're up from 20,930 paid / 9,085 unpaid (30,015 total) to 22,533 paid / 10,520 unpaid (33,053 total), a total increase of 3,038 (although the Paid rate in NV is down slightly, from 70% to 68%...although again, none of the new enrollees start coverage until April).

The significance is this: The first week of March, Nevada was averaging 211 QHPs/day, virtually identical to February's 212/day. However, with this addition, their daily average has shot up to 323/day, a 52% increase. Even more impressive, if you only include the 2nd week of the month, that's 3,038/7 = 434/day, or more than twice the daily average. The Surge is definitely here, folks.

Update as of 3/15: 33,053 consumers have confirmed Qualified Health Plan selections through Nevada Health Link, 22,533 have paid.

— Nevada Health Link (@NVHealthLink) March 17, 2014

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!

Nevada just updated their QHP enrollments for the first week of March: 20,930 paid (up from 19,840 on 3/01) and 9,085 unpaid (up from 8,695 on 3/01). The combined tally is an increase of 1,480, from 28,535 to 30,015.

Update as of 3/8: 30,015 individuals have confirmed Qualified Health Plan selections with Nevada Health Link, 20,930 have paid.

— Nevada Health Link (@NVHealthLink) March 10, 2014

 

Small update out of Nevada: Between 2/22 and 3/01,paid QHPs went up 698 from 19,142 to 19,840 while unpaid QHPs increased from 7,893 to 8,695, for a total increase of 1,500 even. Nevada's Paid percentage remains at around 70%.

Update as of 3/1: 28,535 Nevadans have confirmed Qualified Health Plan selections with Nevada Health Link, 19,840 have paid.

— Nevada Health Link (@NVHealthLink) March 4, 2014

Nevada's latest update as of 2/22: Paid QHPs have shot up 2,095 from 17,047 to 19,142; unpaid QHPs are down 702 to 7,893 from 8,595, which means that Nevada, like Washington yesterday, is starting to convert unpaid enrollments to paid more quickly. Total enrollments are therefore up just 1,393.

Update as of 2/22: 27,035 consumers have confirmed QHP selections through Nevada Health Link, 19,142 have paid.

— Nevada Health Link (@NVHealthLink) February 26, 2014

Another update from Nevada: Private QHPs up from 16,030 paid / 7,656 unpaid to 17,047 paid / 8,595 unpaid from 2/08 - 2/15.

This also gives some additional data to work with regarding the February Drop-off issue...and there's some good news here, whether you look at total QHPs or paid only:

Update as of 2/15: 25,642 Nevadans confirmed QHP Selections. 17,047 have paid.

— Nevada Health Link (@NVHealthLink) February 18, 2014

Less than 8 hours after the HHS Dept. released their big January enrollment report, Nevada has already issued another update to their numbers: 

Update as of 2/8: 23,686 consumers have confirmed Qualified Health Plan selections, 16,030 have paid.

The 16,030 number is a 7% bump over a week earlier (14,999), and the unpaid number (7,656) is slightly higher than the prior week (7,598).

Short & sweet...For Nevada I'm defining "fewer than 100" as 95 until a more specific number is provided (not that this is enough to impact things either way...)

Utah had 1,300 people enrolled through its SHOP (Small Business Health Options Program) exchange, including 673 employees, said Utah Exchange spokesman Steve Gooch.

Nevada had “fewer than 100” people enrolled in its SHOP exchange, said exchange spokesman C.J. Bawden.

Worth noting, as the contributor did, that 1,300 / 673 = 1.93, suggesting that my "1.8x" factor for individuals in households is more than reasonable.

Nevada keeps things short & to the point, as usual:

Update as of 2/1: 22,597 confirmed Qualified Plan Selections, 14,999 have paid. 27.1% of paid enrollees are under age 35.

— Nevada Health Link (@NVHealthLink) February 6, 2014

These numbers compare with 13,159 paid and 7,240 unpaid as of January 18th (20,399 total), a 10.7% increase in the past 2 weeks.

Nevada keeps it simple & to the point (which makes sense, since they use their Twitter feed for enrollment updates); an 8% increase in private enrollments from Jan. 11 to Jan. 18, to 20,399 total.

Update as of 1/18: 20,399 consumers confirm Qualified Health Plan selections on Nevada Health Link. 13,159 have paid.

Yesterday I posted an entry on Nevada's enrollment numbers which was a problem because the Nevada Health Link claimed to have lower enrollment figures as of 1/11 than the official HHS report had them at as of 12/28.

I asked them to clarify why HHS had them at 22,566 Private QHP enrollments on 12/28 when they were claiming only 18,864 as of 1/11 (of which only 11,409 were paid).

Today, they responded in a pretty to-the-point fashion:

@charles_gaba Nevada Health Link provides HHS and the public the same stats on a weekly basis. We do not know why the HHS # is incorrect.

— Nevada Health Link (@NVHealthLink) January 16, 2014

Huh.

OK, then...I guess the total just dropped by 3,702, temporarily knocking us back below the 10M total line.

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