The graph purported to break out "Obamacare applications by state for 2025" by states which voted for Donald Trump vs. those which voted for Kamala Harris in November 2024. Here's what it looked like:
As I noted at the time, this graph was technically accurate...while simultaneously being jaw-droppingly misleading, for several reasons, including:
The Maryland Health Benefit Exchange hasn't released any press releases since Oct. 31st, so the only official 2025 Open Enrollment Period (OEP) data I have for the state is from this snapshot report issued by the Centers for Medicare & Medicaid Services (CMS) back on Dec. 4th, which placed Maryland enrollment at just 30,270 people as of Nov. 23rd...plus another 185,438 current enrollees who were categorized as having been automatically re-enrolled, for a total of 215,708 QHP selections as of early December.
By comparison, by the end of the 2024 OEP, Maryland reported a total of 213,895 QHP selections, so it certainly looks like the Old Line State is running ahead of last year.
With that in mind, this article from WTOP News sounds about right, although the exact phrasing of some of the numbers make it a little confusing:
This morning, the Twitter account NewsWire_US, which claims to be a "U.S. and world news aggregator," posted an amazing-looking graph which purports to break out "Obamacare applications by state for 2025" by states which voted for Donald Trump vs. those which voted for Kamala Harris last month.
Here's the graph, which includes no further context (including any data sources...NewsWire claims it came from Reuters but I can't find the original link to a story by them with this graph) beyond making it look like a whopping 82% of ACA enrollees live in Trump states:
Update: Here's the original Reuters article, which was actually published on Dec. 11th, which at least explains why it only includes data through Nov. 16th/9th, anyway.
The Centers for Medicare & Medicaid Services (CMS) has published two 2025 ACA Open Enrollment Period "snapshot reports," both of which had above-the-fold numbers which make it look as though enrollment numbers are lagging significantly behind last year's record-breaking totals:
The Centers for Medicare & Medicaid Services (CMS) is committed to creating a robust Marketplace Open Enrollment process for consumers so they can effortlessly purchase high-quality, affordable health care coverage. CMS reports that nearly 988,000 consumers who do not currently have health care coverage through the individual market Marketplace have signed up for plan year 2025 coverage.
The Centers for Medicare & Medicaid Services (CMS) is committed to creating a robust Marketplace Open Enrollment process for consumers so they can effortlessly purchase high-quality, affordable health care coverage. CMS reports that nearly 988,000 consumers who do not currently have health care coverage through the individual market Marketplace have signed up for plan year 2025 coverage.
Yep, my wife & I screwed up royally. Yes, I know: I'm "The ACA Guy" and yes, it's incredibly embarrassing to tell this story, but I'm doing so in the hopes of helping others avoid making the same mistake.
It's been several years since we enrolled in an ACA policy ourselves via HealthCare.Gov, since we were enrolled in my wife's student plan up until recently (she returned to college to get her master's degree). The last few times we were able to enroll or renew our policies without any issues, so we assumed it wouldn't be an issue this time.
However, there seem to have been a few changes to some of the questions during the application process, and one of them threw us for a loop.
In the household income section of the application process, Healthcare.Gov asks both how much you expect to earn this month specifically (November 2024) as well as how much you expect to earn for all of 2025.
It was the first of these questions which is what caused the problem for us.
You see, both my wife and I are self-employed, which means we have highly variable incomes--we may earn $10,000 one month but not earn anything the next.
Over 496,000 New Consumers Selected Affordable Health Coverage in ACA Marketplace
The Centers for Medicare & Medicaid Services (CMS) is committed to creating a robust Marketplace Open Enrollment process for consumers so they can effortlessly purchase high-quality, affordable health care coverage. CMS reports that 496,000 consumers who do not currently have health care coverage through the individual-market Marketplace have signed up for plan year 2025 coverage.
BALTIMORE (Oct. 1, 2024) – Marylanders can now preview 2025 health plans and prices on MarylandHealthConnection.gov, the state’s online health insurance marketplace. Use the “Get an Estimate” tool to compare health plans and savings.
Open enrollment to sign up for a 2025 health plan runs from Nov. 1, 2024 through Jan. 15, 2025. New this year, Marylanders can enroll in plans from Wellpoint Maryland, Inc. Other insurance companies include: Aetna, CareFirst, Kaiser Permanente, and UnitedHealthcare. Vision and dental plans also are available.
“Health insurance makes an impactful difference in the lives of Marylanders every day," said Michele Eberle, executive director of the Maryland Health Benefit Exchange. “With savings through Maryland Health Connection, health care is within reach. In fact, 9 out of 10 Marylanders who enroll get financial help with their health coverage.”
