Charles Gaba's blog

Of the estimated 12-13 million people who, in the end, appear to have enrolled in ACA exchange policies for this year, around 10-11 million of them are receiving federal tax credits, either as a monthly subsidy towards their premiums or as a "lump sum" tax rebate the following spring.

Either way, exchange enrollees will have to include two important new forms when filing their federal income taxes this year:

UPDATE 2/04/16: OK, I've confirmed that Covered California will be releasing their numbers at around 1pm 4pm this afternoon (whoops...forgot about the time zone difference), while HHS will be holding a call at around 3pm to discuss the Open Enrollment period in general at around 3pm. I don't know if they'll give out just the HealthCare.Gov numbers (38 states) or the national total today, but even if it's HC.gov only, with CoveredCA and the 5 states which have already released their numbers (see below), that'll still be 44 states accounted for representing over 90% of the national total (plus most of the enrollment in the remaining 6 states +DC is already booked as well). Still, I'm pretty sure they'll give the grand total regardless. Stay tuned...

According to Dan Diamond of Politico, the total number won't be released by HHS until Thursday or Friday.

MNsure, the Minnesota ACA exchange, is the first one to report their final, official 2016 Open Enrollment numbers, and they have much to be proud of:

85,390 Minnesotans Enroll in Private Coverage Through MNsure During the 2016 Open Enrollment Period

Enrollment goal exceeded, Minnesota leads the nation in new enrollees

February 01, 2016

ST. PAUL, Minn.—Today, MNsure announced 85,390 Minnesotans enrolled private health insurance coverage through the state exchange during the 2016 open enrollment period, November 1, 2015, through January 31, 2016. MNsure's goal was to enroll 83,000 in private coverage.

In addition, 33,333 Minnesotans newly enrolled in MinnesotaCare and 73,173 newly enrolled in Medical Assistance. MNsure also enrolled 7,144 Minnesotans in a dental-only plan. These numbers are preliminary and are not yet final.

The official Twitter account for the Health & Human Services Dept. just posted the following (emphasis mine):

Open Enrollment by the numbers: 4.46 Billion+ #Twitter impressions garnered by the #GetCovered social media campaign. Thank you.

— HHS.gov (@HHSGov) February 1, 2016

For a split second there I was almost needed my Obamacare-compliant healthcare policy to pay for the cardiovascular surgery I was about to require.

When @ChrisChristie & @JohnKasich were expanding Medicaid, I fought alongside the FL House to prevent expansion.https://t.co/S2cNJNQFfA

— Jeb Bush (@JebBush) January 31, 2016

*(mostly)

Well, it's around 7pm EST on Sunday, 1/31/16. As of this writing, HealthCare.Gov is loading quickly, as are all 13 of the state-based exchange websites. Aside from a "high call volume" message at Covered California and "extended call center hour" messages from CoveredCA and various other SBMs, I'm not seeing any evidence of website server load strain, etc.

In fact, the only site I know of to experience a significant technical snafu this weekend is the Washington Healthplanfinder, which was offline for most of yesterday (but has been up and running all day today).

In fact, the only "overtime/extension period" announcements so far are from the Maryland Health Connection and Covered California, which each announced official "In Line By Midnight" extensions for those who start their enrollment process by midnight tonight.

In short, this seems to indicate that everything is operating pretty smoothly. As for the actual volume, I've already concluded that the "final surge" will likely be decent but fairly muted compared to the first two years of Open Enrollment.

UPDATE 9:40pm: Ut-oh...this can't be good...

This is only appearing on the home page of the Massachusetts exchange website, but the wording of it suggests that it applies to all of the state-based exchanges.

Yeeks. Don't be surprised if there's a few more #ACAOvertime announcements after all....

UPDATE 10:50pm: Hmmm...it's been over an hour and no other state exchange websites are reporting any problems, nor have I seen any Tweets or Facebook posts which indicate any outages.

All websites including HC.gov are still loading smoothly.


UPDATE MIDNIGHT: Welp, that's that, at least for the Atlantic and Eastern Time Zones. *Central, Mountain West and Pacific still have a bit to go, and of course Alaska and Hawaii are 5 hours behind, but I've gotta get some sleep myself...

I assume there'll be some sort of rough tally announcement tomorrow, but all eyes will be on the Iowa Caucuses anyway, so there you go.


Once again, here's my final projection for OE3's QHP Selection Total; I assume the actual total will be announced tomorrow (at least to the nearest half million or so, anyway):

I've probably reposted way too much of this RawStory piece; as an apology, I'll ask folks to visit their site to watch the actual video clip:

Fox News host Chris Wallace cornered Republican presidential candidate Ted Cruz on Sunday about his claim that President Barack Obama’s health care reform law had cost jobs.

The fact checkers say you’re wrong,” Wallace told Cruz. “Since that law went into effect, the unemployment rate fell from 9.9% to 5% as 13 million new jobs were created, and 16.3 million people who were previously uninsured now have coverage.”

“There are plenty of problems with Obamacare, but more people have jobs and health insurance,” the Fox News host added.

...“Wait,” Wallace interrupted. “There’s certainly no question that more people have jobs and more people health insurance.”

...The Texas senator became irritated as the Fox News host pressed for an answer to his original question.

Donald Trump on this morning's This Week with George Stephanopolous:

STEPHANOPOULOS: You say that Ted Cruz is a liar, but you have said that you want everyone to be covered on health care and the government is going to pay for it. How is that not ObamaCare?

TRUMP: I want people takes -- that's true. I want people taken care of. I have a heart. I want people taken care of. If people have no money, we have to help people. But that doesn't mean single payer. It means we have to help people.

STEPHANOPOULOS: How do you do it?

TRUMP: We'll work something out. 

And...scene.

(OK, I admit I left out some of Trump's blather before/after; feel free to click the link for his "fully detailed" response).

Presented without comment:

Senator Ted Cruz is often asked about doing away with President Obama’s health care law. He is less rarely pressed by voters on what will replace it.

But at a middle school cafeteria here, a man, Mike Valde, presented him with a tragic tale. His brother-in-law Mark was a barber — “a small-business man,” he said. He had never had a paid vacation day. He received health insurance at last because of the Affordable Care Act. He began to feel sick and went to a doctor.

“He had never been to a doctor for years,” Mr. Valde, 63, of Coralville, Iowa, said. “Multiple tumors behind his heart, his liver, his pancreas. And they said, ‘We’re sorry, sir, there’s nothing we can do for you.’ ”

The room was silent.

“Mark never had health care until Obamacare,” Mr. Valde continued. “What are you going to replace it with?”

Mr. Cruz expressed condolences and pivoted quickly to a well-worn answer assailing the health care law.

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