Confirmed 2015 QHPs: 3,485,663 as of 12/17/14
Estimated 2015 QHPs (Cumulative):
610K (462K HCgov) • 11/28: 1.02M (765K HCgov) • 12/05: 1.80M (1.35M HCgov)
12/12: 3.26M (2.46M HCgov) • 12/15: 4.70M (3.52M HCgov) • 12/17: 7.63M (5.72M HCgov)

FINAL 2014 QHPs (as of 11/14/14): 6.7M Current / 8.4M PAID / 9.6M Total
TOTAL: 6.7M Exchange QHPs, 8.0M Off-Exchange QHPs, 10.7M Medicaid/CHIP, 2.0M assorted

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January Enrollment Deadline Status

The enrollment deadline for January coverage has passed in most states, but you have a few days to still get January coverage if you started the process by 12/15 in California (complete by 12/21), Colorado (no specific cut-off given) or Connecticut (12/19). Residents of the 37 states operating off of can still arrange for January coverage if they left their callback/contact info with the federal exchange by midnight on 12/15.

Residents of the following states still have time to enroll for January 1st coverage: Idaho (12/20); Maryland (12/18); Massachusetts (12/23); Minnesota (12/20 @ 4:30pm); New York (12/20); Rhode Island (12/23); Vermont (12/31) and Washington State (12/23).

Residents of ALL state (+DC) can still enroll for policies starting on February 1st until 1/15/15.

OK, I've been considering this for a few days now, but I wanted to wait for the actual 3rd week snapshot to come in before committing to it.

Until now, I've kept my 2015 Open Enrollment Period projections pretty solid: 7.0 million by Dec. 15th; 8.0 million by Jan. 15th and 12.0 million by February 15th.

Of that 12.0 million total, I figured that around 88% will (eventually) pay for at least their first month's premium, or around 10.6 million.

OK, that's more like it...about 500 people in DC are being contacted by exchange personnel regarding technical issues, but over 2,600 made it through under the wire:

D.C. Health Exchange Director Mila Kofman said as many as 500 applications were left in limbo at 9 p.m. Monday, the cutoff for selecting coverage that would take effect on Jan. 1.

Kofman said 2,631 people enrolled successfully.

Employees at the exchange, known as D.C. Health Link, will spend the next several days contacting each applicant by phone or e-mail to walk them through a follow-up process to ensure unfinished applications are processed and those residents can begin receiving coverage beginning next month as planned, Kofman said.

DC had around 10,000 enrollees to start with; presumably the 2,631 figure is a mix of renewals and new additions.

A nice, no-BS, pretty comprehensive enrollment update out of Colorado:

DENVER, CO – In the first month of Open Enrollment, 136,315 Coloradans enrolled in healthcare coverage for 2015, either in Medicaid, Child Health Plan Plus (CHP+) or in commercial health insurance purchased through the state health insurance Marketplace, according to new data released today by Connect for Health Colorado® and the Colorado Department of Health Care Policy and Financing.

“These initial sign-ups during this first month were consistent with our projections and culminated with a single-day record of 12,600 enrollments on December 15th,” said Connect for Health Colorado Interim CEO Gary Drews. “It’s also important to remember that it’s not too late for people to purchase health insurance for 2015. Open enrollment continues until February 15th.”

Dec. 15 was the deadline for individuals and families to select plans for coverage to begin on Jan. 1. Connect for Health Colorado will continue working with those who started their application by Dec. 15 to help finish it so they can be covered by the New Year. Customers also have to take the last step to ensure their coverage: make the first payment on time.

Just over a month into open enrollment at HealthSource RI, nearly half of the people who purchased health insurance in 2014 have renewed coverage for another year,  the state-based exchange created under the Affordable Care Act announced Wednesday.

Through Dec. 13,  9,825 people, or 48 percent had renewed coverage, with  close to 60 percent opting to switch to different plans.

Another 2,522 have signed up for health insurance for the first time, bringing total enrollment to 12,347.

The numbers in RI are small, but there's some important data points here:

Massachusetts continues to chug along, with another 4.243 QHP eligibility determinations; assuming a minimum 60% plan selection rate, that should add another 2,500 or so to the total, for around 59K QHPs to date.

Meanwhile, Medicaid (MassHealth) enrollments have broken 94,000:

OK, strictly speaking this isn't directly ACA-related, but come on...

Shumlin: "The time is not right"

Vermont has long had a two-pronged approach to building a single-payer health care system. First, they would figure out what they would want the system to look like. Then, they would figure out how to pay for it.

The state passed legislation outlining how the single-payer system would work in 2011. And ever since, the state has been trying to figure out how to pay for a system that covers everybody. Most estimates suggest that the single payer system would cost $2 billion each year. For a state that only collects $2.7 billion in revenue, that is a large sum of money.

What Shumlin appears to be saying today is that the "time is not right" to move forward on the financing of the single-payer system. And that means putting the whole effort aside, with no clear moment when the debate would be reopened.


Thanks to Morgan True for the link to this PowerPoint report which explains why VT is pulling the plug on their ambitious Single Payer attempt:

As of Thursday the 12th, MNsure had enrolled about 14.4K people for private 2015 policies. Thanks to the December Surge Weekend, this has jumped up by more than 9,300 more:

Latest Enrollment Numbers

December 17, 2014

Health Coverage Type Cumulative Enrollments
Medical Assistance 17,888
MinnesotaCare 7,681
Qualified Health Plan (QHP) 23,797
TOTAL 49,366

Hmmm...MNsure is currently enrolling people at 3x the rate they did all of last year. Assuming that this doesn't include automatic renewals, that's pretty good. They bumped their enrollment deadline for January coverage out until Friday afternoon (4:30pm, for some reason), which is even better.

UPDATE: According to this Modern Healthcare article, only about 42% of MN's enrollments to date are renewals. In one sense, this is good since it suggests that they still have a good 31K potential renewals to work with.

Dan Goldberg of Capital New York reports that there have been 40K additional enrollments in NY since the previous update, which ran through Thursday the 11th:

NY enrolled 40k more since last Thursday. # inc. Medicaid and QHP. no breakdown yet. #Obamacare cc: @charles_gaba @charlesornstein

— Dan Goldberg (@DanGoldbergCNY) December 17, 2014

@charles_gaba @charlesornstein 60:40 says ny health leader

— Dan Goldberg (@DanGoldbergCNY) December 17, 2014

I'll update this as details come in, but a 60/40 split would make it around 24K Medicaid & 16K private policies, for totals of:

No formal press release yet, but CT is the 2nd state (after Kentucky) to announce how many 2014 enrollees were automatically renewed (as opposed to manually renewing):

66,000 of our customers were auto enrolled in our system and continue to have health coverage for 2015. #OEUpdate

— Access Health CT (@AccessHealthCT) December 17, 2014

We added roughly 20,000 new QHP customers & 46,000 new Medicaid customers over the last month. #OE2015Update

— Access Health CT (@AccessHealthCT) December 17, 2014

The most recent update I have from Connecticut was 13,000 new enrollees, but that was only through last Friday, before the big weekend push. That means they added another 7K over the weekend; not bad!


As CoveredCA has noted before, they have no plans on posting renewed policy enrollments until January, but this at least gives data on the new additions:


Demand for Coverage Continues to Be Strong, with Applications Submitted for More Than 592,000 People Through Dec. 15

SACRAMENTO, Calif. — More than 592,000 people sought coverage and were determined eligible for private health insurance and eligible or likely eligible for Medi-Cal in the first month of open enrollment, Covered California and the California Department of Health Care Services announced Wednesday.

The consumers, who applied for coverage through Covered California since open enrollment began on Nov. 15, include 157,361 eligibility determinations and an additional 144,178 plan selections for private coverage, as well as 216,423 enrollments into Medi-Cal coverage and 74,965 who are likely eligible for Medi-Cal. So far in 2014, Medi-Cal has enrolled more than 2.2 million consumers.