Connecticut

In a classic case of missing the forest for the trees, I posted two very wonky, detailed entries over the past couple of days about Minnesota and Connecticut's latest enrollment numbers...but completely missed one crucially important data point.

Investor's Business Daily's Jed Graham picked up on some of my work for his post today, including the enrollment data for both Minnesota and Connecticut...but in addition to that extra data point (which I'll come back to in a moment), he also nabbed the latest number out of a third state, Oklahoma, from one of Adam Cancryn's updates on what I'm calling the UnitedHealthcare Disenrollment Odometer:

The go-to journalist in Connecticut for all things Obamacare-related is Arielle Levin Becker. Judging from her feed this AM, it sounds like she's livetweeting the monthly AccessHealthCT board meeting. Here's her key points:

CT exchange enrollment down about 9.2 percent from end of open enrollment. Also about 2% shift from subsidized to unsubsidized.

— Arielle Levin Becker (@ariellelb) April 21, 2016

CT exchange getting about 3,100 enrollments through special enrollment periods each month.

— Arielle Levin Becker (@ariellelb) April 21, 2016

Out of 116k members at end of open enrollment, 18.8k canceled covg or had it terminated; 7,983 people have signed up.

— Arielle Levin Becker (@ariellelb) April 21, 2016

To be clear: UnitedHealthcare dropping out of almost all of the 34 states they're operating in this year is not good news by any means. So far they've only confirmed sticking around Virginia and Nevada, while confirming that they won't be available in 13 others so far: AR, CT, GA, LA, MI, MO, NE, NC, OK, PA, TN, TX, WA.

However, it's also worth keeping in mind that in many of these states, United has a pretty small presence to begin with. Case in point: Connecticut:

LT. GOVERNOR WYMAN, ACCESS HEALTH CT CEO WADLEIGH STATEMENTS ON UNITED HEALTHCARE ANNOUNCEMENT

(HARTFORD, CT) – Lieutenant Governor Nancy Wyman, Chair of the Access Health CT (AHCT) Board, and AHCT CEO Jim Wadleigh today issued the following statements on the announcement that in 2017, United Healthcare is pulling out of most state healthcare marketplaces:

Thanks to Richard Mayhew for bringing this to my attention (and Arielle Levin Becker for the story):

About 8,000 CT exchange customers didn’t pay first bill

About 8,000 people who signed up for coverage through the Connecticut’s health insurance exchange missed the deadline for their first payment and lost coverage, exchange CEO Jim Wadleigh said Monday.

“This number is bigger than we were anticipating,” Wadleigh said. Just over 116,000 people signed up for private insurance through Access Health CT, the state’s exchange, during the open enrollment period that ended Jan. 31. “The fact that all these customers have not made their first payment was kind of a shock to even us.”

Very nicely done, Access Health CT:

In all, 116,019 Connecticut residents signed up for private insurance through the state’s health insurance exchange, Access Health CT, during the open enrollment period that ended last week, officials said Monday.

That figure is slightly higher than the 110,095 who signed up during last year’s enrollment period and exchange officials’ goal for this year of signing up 105,000 to 115,000.

Connecticut only improved over last year by about 5.4%, but much of that is because, according to the Kaiser Family Foundation, CT only had around 62,000 uninsured people eligible for APTC assistance to begin with (they also have around 100K more uninsured who'd have to pay full price if they enrolled via the exchanges, but those people can get the same policies off-exchange anyway, and many very well might have done just that).

AccessHealth CT reported 104.4K QHP selections as of 1/05 a week or so ago. They just posted a new quickie update via Twitter:

So far this year we've had 15,214 new QHP customers, for a total of 108,830. #AHCTBoDMeeting

— Access Health CT (@AccessHealthCT) January 21, 2016

For the record, that also means 93,616 renewals from last year.

They also confirmed later that these numbers are as of 1/19, so that's an additional 4,467 in 14 days, or 319 per day on average.

They'll almost certainly reach their own target of 105K - 115K QHPs, but to achieve my target of 125K they'll have to ramp things up to over 1,300 per day for the remaining 12 days of open enrollment, which is probably pushing it (120K might be doable, however).

This isn't a huge update, especially given yesterday's ASPE report which pegged Connecticut's QHP tally at 102,066 as of December 26th, but every update helps:

JANUARY 8, 2016

As of this week, Access Health CT announced it has more than 104,000 individuals enrolled in qualified health plans. That number could change during the final weeks of open enrollment and as existing customers renew coverage.

Lt. Gov. Nancy Wyman, who chairs the Access Health CT board, said the group is urging residents to check their healthcare coverage to make sure everything is correct for 2016. People without health insurance could face federal tax penalties.

...Access Health CT reported in late December over 34,000 new Connecticut customers had enrolled in health coverage since Nov. 1, on par with last year at this time. The new enrollment number represents 11,000 qualified health plan members and 23,000 Medicaid members.

Yesterday I noted that while Connecticut hasn't posted any enrollment updates since 11/17, a recent news article was very promising.

Today, Access Health CT did indeed post an official update, and while the numbers are quite good, they also have to be pulled apart a bit:

LT. GOV. WYMAN, ACCESS HEALTH CEO JIM WADLEIGH ANNOUNCE MIDENROLLMENT NUMBERS FOR AHCT

Over 34,000 New Customers Sign Up Through AHCT Hartford, Conn.

(December 22, 2015) – Lieutenant Governor Nancy Wyman, Chair of the Board of Access Health CT (AHCT) and Access Health CT CEO Jim Wadleigh today announced that over 34,000 new Connecticut customers have enrolled in quality, affordable coverage since November 1, 2015.

The Connecticut ACA exchange, AccessHealthCT, hasn't given out any official OE3 enrollment updates since November 17th. At the time, their official number appeared to be absurdly high because, like Rhode Island and Massachusetts, CT decided to "front-load" their auto-renewals up front. This is purely a record-keeping/reporting thing, because any of those who have been auto-renewed could still cancel their renewals at any time before January, so it doesn't really impact what the final number ends up being.

Anyway, as of 11/17, Connecticut's official tally was 93,657 current enrollees renewing (either actively or automatically), plus another 5,470 new additions, for a total of 99,127.

Of course, not only does this number not include a solid month's worth of data, the final week of that missing period was last week's mid-December deadline surge. Unlike HC.gov and several other states, CT did not extend their 12/15 deadline for January coverage, although of course residents still have until 1/15 to sign up for February coverage, and until 1/31 to get covered starting in March.

The monthly Access Health CT board meeting is taking place right now; they've posted a few key data tweets. I'll update if anything else relevant is tweeted out:

James Michel, Director of Operations, has shared that 13,300 new accounts have been created & 5,470 individuals have enrolled in QHP plans.

— Access Health CT (@AccessHealthCT) November 19, 2015

Total QHP enrollments as of 11/17: 99,127. #AHCTBoDMeeting

— Access Health CT (@AccessHealthCT) November 19, 2015

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