OK, Covered California hasn't actually released an official press release or Open Enrollment Report, but I have acquired a single slide which was delivered at a university presentation by Covered CA head Peter Lee the other day. It doesn't provide tons of detail but give the most important toplines (the way the graph breaks out the numbers is a little confusing but I figured it out:

  • Total QHP selections from 11/01/20 - 1/31/21: 1.63 million, a record high for the state

This is a 5.9% increase year over year from the 2020 OEP's 1.54 million (it says 1.57 million on the graph but the official CMS tally is 1,538,819).

The data below comes from the GitHub data repositories of Johns Hopkins University, except for Utah, which comes from the GitHub data of the New York Times due to JHU not breaking the state out by county but by "region" for some reason.

I've made some more changes:

  • Every county except those in Alaska lists the 2020 Biden/Trump partisan lean; Alaska still uses the 2016 Clinton/Trump results. I define a "Swing District" as one where the difference between Biden & Trump was less than 6.0%. FWIW, there's just 187 swing districts (out of over 3,100 total), with around 33.7 million Americans out of 332 million total, or roughly 10.2% of the U.S. population.
  • For the U.S. territories, Puerto Rico only includes the case breakout, not deaths, which are unavailable by county equivalent for some reason.

With these updates in mind, here's the top 100 counties ranked by per capita COVID-19 cases as of Thursday, February 25th, 2021 (click image for high-res version).

Blue = Joe Biden won by more than 6 points; Orange = Donald Trump won by more than 6 points; Yellow = Swing District

Aside from Health Sherpa's announcement the other day that they enrolled over 3x as many people in ACA exchange plans in the first week of the COVID Special Enrollment Period than they normally would via traditional SEPs during the same time period, there's been no hard COVID SEP data released...until now. Via the Washington HealthPlan Finder:

Special Enrollment Period for Health Coverage Now Available

  • Currently uninsured or those seeking new coverage can enroll today on Washington HealthplanfinderOLYMPIA, Wash.

Washington Healthplanfinder is now offering a special enrollment period for Washingtonians who are currently uninsured or seeking new coverage. This special enrollment period, in response to the current public health emergency, opened Feb. 15 and runs for 90 days, ending May 15, 2021.

via MNsure:

Last Chance for March 1 Coverage Through MNsure; Special Enrollment Period Continues Through May 17

February 24, 2021

ST. PAUL, Minn.—Minnesotans looking for private health insurance coverage through MNsure that begins on March 1 need to enroll by 11:59 p.m. on Sunday, February 28. Plans selected in March will have an effective date of April 1. MNsure's special enrollment period continues through Monday, May 17, and is available to any Minnesotan who is uninsured or who is not currently enrolled in a qualified health plan through MNsure.

“If you’re looking for health insurance coverage, be sure to check out your options at MNsure.org and get access to comprehensive coverage as soon as possible or prevent a gap in current coverage,” said MNsure CEO Nate Clark. “MNsure's special enrollment period continues through May 17, but Sunday, February 28, is your last chance to get coverage starting in March. Don’t miss out."

Instructions to enroll and frequently asked questions about this special enrollment period can be found here.

Help is available:

Disclosure: Health Sherpa is a paid sponsor of this site.

Back in January, before the ongoing COVID Enrollment Period was officially announced, I ran some back-of-the-envelope math to try and project just how many additional ACA exchange enrollees might sign up nationally due to the addition of a "no questions asked" Special Enrollment Period (SEP) being formally launched across every state, as opposed to the patchwork of COVID SEPs we saw across a dozen states last spring/summer.

I extrapolated those numbers out nationally and estimated that total on-exchange enrollment might increase by perhaps 400,000 more people thanks to a 60-day COVID SEP...that is, 400K more than the "normal" number who typically enroll during that same time period for traditional SEP reasons (losing employer coverage, turning 26, getting married/divorced, moving, giving birth/adopting, etc).

Much has been written by myself and others (especially the Kaiser Family Foundation) about the fact that millions of uninsured Americans are eligible for ZERO PREMIUM Bronze ACA healthcare policies.

I say "Zero Premium" instead of "Free" because there's still deductibles and co-pays involved, although all ACA plans also include a long list of free preventative services from physicals and blood screenings to mammograms and immunizations with no deductible or co-pay involved.

If you have a fairly healthy year, you really could go the entire year without paying a dime in healthcare costs while still taking advantage of many of these free services, and also having the peace of mind that in a worst-case scenario, at least you wouldn't go bankrupt. Not perfect, but a lot better than going bare especially since you wouldn't pay a dime in premiums.

 CMS Offers Comprehensive Support to the State of Texas to Combat Winter Storm 

The Centers for Medicare & Medicaid Services (CMS) announced today that efforts are underway to support Texas in response to severe winter storms that have affected the state over the past several days.  On February 17, 2021, Health and Human Services Acting Secretary Norris Cochran declared a public health emergency (PHE) for Texas retroactive to February 11, 2021. CMS is working to ensure hospitals and other facilities can continue operations and provide access to care despite the effects of the storm. 

Below are key administrative actions CMS is taking in response to the PHE declared in Texas:

Waivers and Flexibilities for Hospitals and other Healthcare Facilities: CMS has already waived many Medicare, Medicaid and CHIP requirements for facilities because of the pandemic. 

Evidence

Millions of Americans are nervously awaiting the official ruling on the fate of the Affordable Care Act in response to the CA v. TX lawsuit (previously Texas vs. U.S. or Texas vs. Azar, though I've given it the hashtag #TexasFoldEm due to the Trump Administration's Justice Department deciding to not only throw the fight but to actively support the plaintiffs against the law of the land).

While the U.S. Supreme Court isn't expected to issue their decision until April at the earliest, it's possible that they'll publish their ruling earlier than that...potentially as soon as this Thursday morning, February 25th.

The data below comes from the GitHub data repositories of Johns Hopkins University, except for Utah, which comes from the GitHub data of the New York Times due to JHU not breaking the state out by county but by "region" for some reason.

I've made some more changes:

  • Every county except those in Alaska lists the 2020 Biden/Trump partisan lean; Alaska still uses the 2016 Clinton/Trump results. I define a "Swing District" as one where the difference between Biden & Trump was less than 6.0%. FWIW, there's just 187 swing districts (out of over 3,100 total), with around 33.7 million Americans out of 332 million total, or roughly 10.2% of the U.S. population.
  • For the U.S. territories, Puerto Rico only includes the case breakout, not deaths, which are unavailable by county equivalent for some reason.

With these updates in mind, here's the top 100 counties ranked by per capita COVID-19 cases as of Friday, February 19th, 2021 (click image for high-res version).

Blue = Joe Biden won by more than 6 points; Orange = Donald Trump won by more than 6 points; Yellow = Swing District

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