MNsure Logo

via MNsure:

ST. PAUL, Minn.—New data released by the Minnesota Department of Health shows actions taken by state officials and the Biden administration helped drop the state’s uninsured rate in 2021 to 4.0%, the lowest level ever measured.

“The Minnesota Heath Access Survey shows that more Minnesota families have been able to access and maintain their health insurance during this critical time,” said MNsure CEO Nate Clark. “Minnesota has been able to reduce the uninsured rate thanks in part to targeted, effective policies, including the expansion of premium tax credits that lower the cost of monthly premiums for private health plans available through MNsure.”

Access Health CT Logo

via Access Health CT:

Access Health CT Announces New Special Enrollment Period for Connecticut Residents with Lower Income

HARTFORD, Conn. (April 25, 2022) — Access Health CT (AHCT) today announced a new Special Enrollment Period (SEP) for Connecticut residents with lower income beginning April 25. This new SEP will provide access to no- or very low-cost health insurance plans made possible by the American Rescue Plan Act (ARPA).

To be eligible for this SEP, Connecticut residents must:

  • Be new or returning customers who are not currently enrolled in a health insurance plan through Access Health CT.
  • Have a household income at or below 150% of the Federal Poverty Level (FPL). 

If you don't know what 150% FPL is, it depends on your household size:

NOTE: With national COVID deaths continuing to thankfully drop off (the 7-day avg. is down to ~410/day now), I've decided to switch to monthly updates going forward unless COVID deaths start spiking again.

I also recently stopped posting the relative case rates as they've been pretty much stable for the past couple months and the rise of home-based testing, which usually isn't reported to county/state health departments anyway, has made that data somewhat less meaningful.

I've been posting weekly looks at the rate of COVID-19 cases & deaths at the county level since the point at which every U.S. adult could theoretically have received 2 COVID vaccination doses nearly a year ago, broken out by partisan lean (i.e, what percent of the vote Donald Trump received in 2020), as well as by the vaccination rate of each county in the U.S. (nonpartisan).

COVID-19 Vaccine

Methodology reminders:

  • I go by county residents who have received the 2nd COVID-19 shot only (or 1st in the case of the J&J vaccine).
  • I base my percentages on the total population via the 2020 U.S. Census including all ages (i.e., it includes kids under 12).
HealthSourceRI Logo

Yeah, they're a bit late to the party on this, but it's still nice to see HealthSource RI issue their official 2022 Open Enrollment Period report:

EAST PROVIDENCE, R.I. (April 14, 2022) HealthSource RI’s Open Enrollment period was held from November 1, 2021 and ended on January 31, 2022. This was a very successful Open Enrollment period for HealthSource RI (HSRI), with enrollments increasing to 31,445 in 2022 compared to 30,071 in 2021. These mark HealthSource RI’s highest enrollment numbers since 2020.

The American Rescue Plan Act (ARPA), enacted by the federal government in February 2021, provided historically high savings in the form of subsidies/tax credits for eligible individuals and families in Rhode Island. ARPA also created a new opportunity for individuals and families whose income is over 400% of the federal poverty level (FPL) to receive financial assistance.

A month ago I posted an analysis which gave a general idea of how much more various households will have to pay in health insurance premiums if the expanded financial subsidies provided by the American Rescue Plan (ARP) are allowed to expire at the end of this year.

Again, here's what the subsidy tables look like under the ACA itself and under the American Rescue Plan. The premium caps are the maximum percent of household income which a household has to pay for the benchmark Silver plan at various income ranges:

I've been posting weekly looks at the rate of COVID-19 cases & deaths at the county level since the point at which every U.S. adult could theoretically have received 2 COVID vaccination doses nearly a year ago, broken out by partisan lean (i.e, what percent of the vote Donald Trump received in 2020), as well as by the vaccination rate of each county in the U.S. (nonpartisan).

For a long time I used July 1st, 2021 as my start point, but in recent months I decided to back this up to May 1st, 2021 instead. Pinning down an exact date for this is a bit tricky since a) different populations were made eligible at different points in 2021, and b) it takes 3-4 weeks after getting your first vaccination dose before you can get the second one, but May 1st is what I've finally settled on.

As always, here's my methodology:

New York State of Health

via NY State of Health:

Enrollment Assistors Visit Public Libraries in Upstate New York Throughout April and May to Educate Patrons on Their Health Plan Options and Help Them Enroll

ALBANY, N.Y. (April 13, 2022) - NY State of Health, the state’s official health plan Marketplace, today announced that certified enrollment assistors will be available at public libraries across upstate New York this spring.  The enrollment assistors will visit libraries throughout April and May to educate New Yorkers about enrolling in quality, affordable health insurance. Assistors will provide in-person support to library patrons by educating them on their plan options, answering questions, scheduling appointments, and helping with enrollment. 

It's been several years since I've written anything substantive about "grandfathered" or "grandmothered" (aka "transitional") individual market healthcare policies. As a quick refresher:

  • Grandfathered Policies: These are non-ACA compliant policies which people were already enrolled in prior to March 2010, when the ACA was signed into law. Anyone enrolled in one of these can keep renewing them until the day they die if they wish (as long as they keep paying the premiums), or until the carrier chooses to (voluntarily) discontinue the policy.
  • Transitional (or "Grandmothered") Policies: These are non-ACA compliant policies which people enrolled in between March 2010 and October 2013. This category was created by President Obama and the HHS Dept. in November 2013 during the ugly "If You Like Your Plan You Can Keep It!" backlash. Basically, the ACA originally would have required that these policies be terminated as of 12/31/13. However, after a bunch of people received cancellation notices from their carrier, there was a massive backlash, leading Obama to announce an extension program.
Medicaid

As I (and many others) have been noting for many months now, the official end of the federal Public Health Emergency (PHE), whenever it happens, will presumably bring with it reason to celebrate...but will also likely create a new disaster at the same time:

What goes up usually goes back down eventually, and that's likely to be the case with Medicaid enrollment as soon as the public health crisis formally ends...whenever that may be.

Well, yesterday Ryan Levi and Dan Gorenstein of of the Tradeoffs healthcare policy podcast posted a new episode which attempts to dig into just when that might be, how many people could be kicked off of the program once that time comes and how to mitigate the fallout (I should note that they actually reference my own estimate in the program notes):

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