Coloradans Are Getting Covered During the Pandemic
DENVER – Nearly 30,500 Coloradans signed up for a health insurance plan through Connect for Health Colorado’s Marketplace between Nov. 1 and Nov. 20. Through the first three weeks of the Open Enrollment period, approximately 73 percent of applicants qualify for financial help to help pay their monthly premiums.
Unlike many of the state-based exchanges, the Colorado ACA exchange is not "front-loading" their autorenewals of existing enrollees. They address this further down the press release:
“Unfortunately, the pandemic is continuing to grow and affect our communities. That’s why it’s more important than ever that Coloradans have access to affordable and quality health coverage.” said Chief Executive Officer Kevin Patterson. “I urge Coloradans to connect with us online, over the phone, or by making a virtual appointment with a certified Broker or Assister. We are here to make your enrollment as easy as possible.”
I was doing this earlier in the summer but stopped updating it in August; I've started over with a fresh spreadsheet and have expanded it to include every U.S. territory, including not just DC & Puerto Rico but also American Samoa, Guam, the U.S. Virgin Islands and even the Northern Mariana Islands.
I've done my best to label every state/territory, which obviously isn't easy to do for most of them given how tangled it gets in the middle. The most obvious point is that New York and New Jersey, which towered over every other state last spring, are now utterly dwarfed by North & South Dakota, which are skyrocketing.
The data below comes from the GitHub data repositories of Johns Hopkins University, except for Utah, which come 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.
Note that a few weeks ago I finally went through and separated out swing districts. I'm defining these as any county which where the difference between Donald Trump and Hillary Clinton was less than 6 percentage points either way in 2016. There's a total of 198 Swing Counties using this criteria (out of over 3,200 total), containing around 38.5 million Americans out of over 330 million nationally, or roughly 11.6% of the U.S. population.
With these updates in mind, here's the top 100 counties ranked by per capita COVID-19 cases as of Saturday, November 21st (click image for high-res version). Blue = Hillary Clinton won by more than 6 points; Orange = Donald Trump won by more than 6 points; Yellow = Swing District
Over at Xpostfactoid, my colleague Andrew Sprung has been doing a great job of tracking ACA Medicaid expansion enrollment growth since the onset of the COVID-19 pandemic this past February/March at the macro (national) level, by looking at around a dozen states which have monthly reports available. He puts the overall enrollment growth rate at 23.6% from February thorugh October 2020.
Access Health CT, Connecticut's ACA exchange, is posting updates to their Open Enrollment Period (OEP) numbers every Friday. Last week they reported 99,952 Qualified Health Plan (QHP) selections during the first 13 days of the 2021 OEP, which sounds more impressive than it is, since 97,256 of those were current enrollees having their auto-renewals front-loaded; only 2,696 of them are actually new enrollees. Nothing wrong with that, of course.
This week, they report that they have 100,094 total QHP selections, of which 4,237 are new. On the surface this sounds off...shouldn't it be 101,493 total? I'm pretty sure the reason for the discrepancy is that not every current enrollee actually renews/re-enrolls for the following year. The exchange plugs them in as renewing, but they can still go in and actively cancel their renewal, which reduces the total a bit. In this case, it sounds like 1,399 current enrollees have done so over the past week. This gives a net increase of 142 over the past week, or 20 per day.
Way back in October 2013, I launched the ACA Signups project as a light, nerdy hobby thing which was only supposed to last around six months, through the end of the first ACA Open Enrollment Period (March 31, 2014). Instead...well, let's just say that it's more than seven years later and I'm still doing this.
The reality is that The Graph itself doesn't serve a whole lot of useful function anymore. The enrollment patterns were erratic the first couple of years but have since settled into a pretty predictable...if not downright boring pattern for both the federal and state exchanges. The main reason I keep doing it each year is mostly out of tradition these days; after all, without The Graph, there wouldn't be an ACA Signups and I wouldn't have become a healthcare policy wonk in the first place.
Still, The Graph remains a fun way of visualizing ACA Open Enrollment trends. Again, the dotted lines show last year's enrollment patterns for HealthCare.Gov, the 13 state-based exchanges (SBE) and BHP enrollments in Minnesota & New York. This year the lines will shift slightly due to Pennsylvania and New Jersey splitting off onto their own state-based exchanges, but the final totals will likely be similar...or perhaps not!
In Week Two of the 2021 Open Enrollment period, 803,741 people selected plans using the HealthCare.gov platform. As in past years, enrollment weeks are measured Sunday through Saturday.
Every week during Open Enrollment, the Centers for Medicare & Medicaid Services (CMS) will release enrollment snapshots for the HealthCare.gov platform, which is used by the Federally-facilitated Exchange and some State-based Exchanges. These snapshots provide point-in-time estimates of weekly plan selections, call center activity, and visits to HealthCare.gov or CuidadoDeSalud.gov.
The final number of plan selections associated with enrollment activity during a reporting period may change due to plan modifications or cancellations. In addition, the weekly snapshot only reports new plan selections and active plan renewals and does not report the number of consumers who have paid premiums to effectuate their enrollment.
NATIONAL COALITION LAUNCHES “GET COVERED 2021” URGING AMERICA TO MASK UP AND GET INSURED – FOCUS ON COVID AND COVERAGE FOR 16 MILLION AMERICANS ELIGIBLE FOR FINANCIAL HELP NOW
“Get Covered” is a call to wear a mask to prevent the spread of COVID as well as a public statement that you want your family and friends to get health insurance.
COVID underscores why insurance matters - but not just because of the pandemic - coverage can help people stay healthy and provide a pathway to care for diseases like cancer, diabetes, and many others that impact people’s lives.
Get Covered 2021 will focus on getting the estimated 16 million uninsured people across America eligible for financial help – through their Affordable Care Act marketplace, or free coverage through Medicaid – insurance coverage now.
The Get Covered 2021 coalition announced that December 10th will be Get Covered America Day -- a day of action where everyone will be encouraged to keep wearing their mask and post a picture of themselves on social media, including a personal message about how friends, family and neighbors can get financial help for insurance now, sharing the website GetCovered2021.org and using the hashtag #GetCovered2021.
Over at Xpostfactoid, my colleague Andrew Sprung has been doing a great job of tracking ACA Medicaid expansion enrollment growth since the onset of the COVID-19 pandemic this past February/March at the macro (national) level, by looking at around a dozen states which have monthly reports available. He puts the overall enrollment growth rate at 23.6% from February thorugh October 2020.
I've decided to take a closer look at individual states. The graph below shows how many Arizonans have been actively enrolled their Medicaid expansion program (awkward named the Arizona Health Care Cost Containment System, or AHCCCS):
As I've noted several times before, two more states have split off from the federal ACA health insurance exchange (HealthCare.Gov) this year. New Jersey and Pennsylvania have joined twelve other states (and DC) in operating their own full ACA enrollment platform.
