Access Health CT, Connecticut's state-based ACA exchange, has updated their enrollment summary and now reports 102,049 residents have selected policies for 2021, including 15,310 new enrollees.

Last year they had a total of 107,833 QHP selections during Open Enrollment, which they're just 5.4% away from breaking.

In addition, as noted a few days ago, they're also extending their deadline by a full month (whcih they also did last year):

via Access Health CT:

Access Health CT Extends 2021 Annual Open Enrollment Period As A Result Of Current Health Crisis

CT residents can shop and enroll in health insurance coverage until January 15, 2021

A picture is worth 1,000 words and all that.

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.

North and South Dakota are the first two states where more than 10% of the entire population has tested positive (in fact, North Dakota is about to hit 12%. Iowa, Wisconsin, Nebraska and Utah could all potentially hit the 10% milestone by New Year's Eve as well.

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.

Hot off the presses, via the Centers for Medicare & Medicaid:

Week Six, December 6 - December 15, 2020

In Week Six of the 2021 Open Enrollment period, 4,416,057 people selected plans using the HealthCare.gov platform or were automatically re-enrolled in a plan. While past snapshots this year have measured enrollment weeks Sunday through Saturday, this week’s snapshot for week six also includes the final few days of the Open Enrollment Period.

Annnnnnd add Your Health Idaho to the list:

Deadline to Get Health Insurance Extended
Idahoans have until December 31 to get covered for 2021

Today, for the first time ever, the Your Health Idaho Board of Directors voted to extend the Open Enrolment deadline. Idahoans now have until Dec. 31, 2020, to sign up for health insurance coverage that begins Jan. 1, 2021.

Your Health Idaho saw the largest single-day enrollment since 2018 on Tuesday, Dec. 15, the original deadline date. This increased activity coupled with ongoing impacts from the coronavirus pandemic spurred Your Health Idaho to extend the deadline.

“An unprecedented year calls for unprecedented measures,” said Your Health Idaho Chairman of the Board, Stephen Weeg. “Given the challenges faced by Idahoans in 2020 and the renewed need for comprehensive health insurance, we hope that by extending the deadline a few more weeks, every Idahoan will have access to the coverage they need for the coming year.”

Earlier this week California bumped out their "soft" enrollment deadline for January coverage from 12/15 to 12/30. Yesterday Colorado bumped theirs out to 12/18, and Connecticut tacked on an entire extra month to their Open Enrollment Period (though enrollees there won't start coverage until February at this point).

Today New York continues the trend:

Press Release: NY State of Health Reminds New Yorkers There is Still Time to Sign up for Coverage that Begins on January 1, 2021

Dec 17, 2020

(ALBANY, N.Y) December 17, 2020-- NY State of Health, New York’s official health plan Marketplace today announced New Yorkers applying for Qualified Health Plan coverage have until December 31 to sign up for health coverage starting January 1, 2021. Individuals who were unable to enroll by the December 15 deadline should enroll now by visiting the NY State of Health website.

This is interesting...via Connect for Health Colorado:

DENVER – Connect for Health Colorado®, the official health insurance marketplace for Coloradans, has formally launched a Public Benefit Corporation (PBC).

The PBC will offer health care ancillary products and services across the state as well as work to increase Coloradans’ health literacy.

This new organization will be a wholly-owned subsidiary of Connect for Health Colorado and will be a separate entity from Connect for Health Colorado.  It will not affect residents’ ability to buy Qualified Health Plans and apply for financial help through our Marketplace.

On the surface, the purpose of this PBC seems a bit vague...it sounds like it has something to do with the ACA Navigator program to help people shop for insurance on the exchange, to help them enroll in Medicaid and so forth...and those may still be part of its mission.

However, the more important part is this:

via the Centers for Medicare & Medicaid:

Total national healthcare spending in 2019 grew 4.6%, which was similar to the 4.7% growth in 2018 and the average annual growth since 2016 of 4.5%, according to a study conducted by the Office of the Actuary at the Centers for Medicare & Medicaid Services (CMS) and published today ahead of print by Health Affairs.

This report includes health expenditure data though 2019 and therefore does not include any of the effects of the coronavirus disease 2019 (COVID-19) pandemic on health care spending. Future reports for 2020 forward will measure health expenditures based on the latest available data and will reflect the impacts of the pandemic on total health care spending as well as on the distribution of spending among the services, payers, and sponsors of health care.

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.

Hot off the presses from Maryland Governor Larry Hogan's office (interestingly, the announcement is being made by him, not by the Maryland Health Connection ACA exchange itself, which is unusual):

Governor Hogan and Maryland Health Connection Announce Record Enrollment for Health Coverage

ANNAPOLIS, MD—Governor Larry Hogan today announced that more than 166,000 Marylanders enrolled in private health coverage for 2021 through Maryland Health Connection—the largest enrollment ever on the state’s health insurance marketplace—which represents a 4.5% increase of about 7,100 enrollees since the previous year.

“I am pleased to see so many Marylanders taking advantage of our state’s impressive health insurance marketplace, especially as we battle the COVID-19 pandemic, ” said Governor Hogan. “With one of the longest COVID-19 special enrollment periods in the country, we continue to work to increase healthcare access and affordability in Maryland.”

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