I'm assuming this is due to correction of some clerical errors, double entries, unpaid or cancelled acounts and so on, but the 4/26 county-by-county tally from Connect for Health Colorado is actually about 1,500 lower than the 4/19 total from the HHS report:
Given that they were only at 8,742 just a few days earlier, Hawaii managed to pull off an impressive (relatively-speaking) mini-surge in the final few days:
The Hawaii Health Connector, the online marketplace responsible for implementing President Barack Obama’s Affordable Care Act in Hawaii, enrolled 9,800 residents as of Wednesday’s final deadline for its first year of providing coverage.
The Connector collected 31,310 individual applications as of Saturday but was unable to enroll two-thirds of those applicants despite a push in the final two months.
Wow. I'm not certain what the "strict expansion" vs. "woodworker" breakout is here, but am assuming it's roughly a 3:1 ratio:
An even greater number in Ohio, 156,899, were deemed eligible for Medicaid or the Children's Health Insurance Plan, or CHIP, government plans for low-income families that have been expanded under the act. That, however, is only a partial number, based on information that individuals provided when they contacted the federal health care marketplace to see about insurance. According to state figures released by the U.S. Department of Health and Human Services, Ohio has seen a combined Medicaid-CHIP surge of 208,280 since the Affordable Care Act, or ACA.
This is really more of a confirmation of my own estimates than anything; I had Iowa down as around 81K "Strict Expansion" plus another 800 or so "Woodworkers". The actual total appears to be slightly less: 78,860. Not sure what the breakout between the two is, I'm going to assume roughly 75K "strict" and another 3,860 "woodworkers" for now:
The federal report also said that 78,860 Iowans more were enrolled in Medicaid or related programs at the end of March than were enrolled in those programs last fall. Medicaid is a joint federal and state health-care program for the poor. Under the Affordable Care Act, states could opt to expand their Medicaid programs' rules to allow more poor, working-age adults to join. Iowa chose to do so with a pair of programs, the Health and Wellness Plan and the Marketplace Choice Plan, which have similarities to Medicaid. There is no deadline for Medicaid enrollment. People who qualify for the public plans can sign up any time.
Remember, the HHS report from yesterday only runs through 4/19...there's still 11 days worth of data missing from most states...
DOVER, Del. (AP) — Final enrollment numbers released by state officials Thursday show that 14,397 Delawareans signed up for health insurance coverage under the federal Affordable Care Act in the first year of open enrollment.
....Health and Social Services Secretary Rita Landgraf told the state Health Care Commission that 4,217 other Delawareans were found eligible for coverage under expanded Medicaid rules the state adopted as part of an effort to reduce the number of uninsured residents.
There's some off-exchange numbers here as well (6,171), but that's from Highmark, so I can't double-count it (part of BCBSA).
However, the Medicaid/CHIP numbers continue to astonish in WV:
The DHHS also reported that 136,418 West Virginians enrolled in Medicaid and CHIP through the end of March. According to Jeremiah Samples, deputy secretary for the state’s Department of Health and Human Resources, West Virginia has enrolled 117,522 people in expanded Medicaid — more than twice the 63,000 that actuarial studies had predicted for the first year of enrollment.
According to the Kaiser Family Foundation, the total number of people eligible for ACA Medicaid expansion in WV is around 143,000...meaning that they've managed to achieve an amazing 82% of this goal in the just 7 months.
A reader sent in an interesting report on the DoD's TRICARE program, which apparently was already an existing military version of the ACA "young adults on parents plans" provision. Prior to the ACA, TRICARE only covered young adults up to 21 or 23; the ACA expanded this to the same 26 year old cut-off as non-military families:
Page 52 - As shown in the chart at left, enrollment went from over 21,000 in FY 2012 to almost 31,000 in FY 2013.
Also, although TYA began with the Standard option, Prime now accounts for almost 60 percent of total TYA enrollment.
This is in reference to the Tricare Young Adult program coverage for those under 26. This is a small amount but doesn't seem to fit anywhere except the under 26 coverage.
Tricare used to cover dependents under 21 with extension to 23 for those in school. The ACA enable expansion to under 26 for a fee ($180/month)
I'm not adding this to the actual spreadsheet since a) it's such a tiny number and b) it's hard to say how many of the 10K increase is specifically due to the ACA, but I thought it was worth at least mentioning.
As I noted yesterday, there are three states which had unusually large discrepancies between the official HHS and state exchange QHP enrollments:
New York came in over 65,000 lower than the number I had for a simple reason: The New York exchange lumps enrollees in their Child Health Plus program in with QHPs, even though technically this isn't a QHP program. There were over 40,000 of these as of the end of February; this number has climbed to 65,028 as of 4/19.
Since Child Health Plus is privately funded (and therefore isn't on the Medicaid/CHIP side), but also isn't officially a QHP either according to HHS, I've moved it over to the "Off Exchange QHP" column.
Hmmm...this article about Michigan's final ACA exchange tally is very specific about the Healthy Michigan program (Michigan's ACA expansion program), claiming the total is nearly 200K total...but if so, this would be an increase of over 41,000 from just 3 days earlier, which I find hard to believe (though that'd be awesome if it's correct).
199,862 minus the 36,307 who were bulk-transferred over from the existing state program = 163,555. The update from just 3 days ago had the total as 158,654.
HOWEVER, it occurs to me that I may have actually assumed that the 158K figure included the 36K transferees...if it didn't, then this makes much more sense, since the difference over those 3 days is only 4,901 people.
If that's the case, then this is VERY impressive indeed, and I apologize for lowballing the earlier number! I'll go ahead and use the higher number for now; on Monday there will a new official update on the state government site, and I can verify things one way or the other:
Don't forget, there's still a few states with exchange QHPs trickling in...in the case of Oregon, they can tack on an extra 1,300 to their QHP tally & another 4,700 Medicaid enrollees...in addition to the 128,434 "fast track" Medicaid enrollees they added earlier this year. Their new grand totals now stand at nearly 70K exchange QHPs and over 305K Medicaid additions:
May 1, 2014
Update: Private coverage and Oregon Health Plan enrollment through Cover Oregon
Medical enrollments through Cover Oregon: 251,240
Total private medical insurance enrollments through Cover Oregon 1: 74,103
Oregon Health Plan enrollments through Cover Oregon: 177,137
Total private dental insurance enrollments through CoverOregon 1: 14,992
Net enrollments Net private medical: 69,586
Net private dental: 13,729
Well, I had it down as 8.03M as of 4/15; the actual was 8.02M as of 4/19. So...hard to say precisely how accurate I was since the dates don't match, but obviously I slightly overshot the mark. On the other hand, I also called 8.14M as of 4/30, so presumably there will be a follow-up report in another week or so with the "mop-up" enrollments from the final 11 days.
TEXAS: Was 295K as of 3/01; 734K as of 4/19
FLORIDA: Was 442K as of 3/01; 984K as of 4/19
GEORGIA: Was 139K as of 3/01; 317K as of 4/19
I'll start plugging the actual numbers into the spreadsheet next.
UPDATE: OK, I've plugged all of the official HHS numbers into the spreadsheet. There are a handful of states where the numbers don't quite match, presumably due to clerical cleanup, double-entries being removed, etc. However, there are six states with significant differences, two of which I can't figure out: