HHS provides ACA enrollment data

We’ve been asking for it for a while, and yesterday HHS released a 45-page issue brief on the health insurance marketplace enrollment for the initial annual enrollment period.

This very detailed report provides lots of data on eligible and enrolled individuals by state, including demographic data like enrollment by age and gender. Here are the key enrollment  statistics as reported by HHS:

  • Over 8 million people have selected a plan through the Health Insurance Marketplace (SBMs and FFM) through March 31st (including additional special enrollment period (SEP) activity reported through Saturday, April 19th).
  • 2.2 million (28 percent) of the people who selected a Marketplace plan during the initial open enrollment period were young adults between the ages of 18 and 34. A total of 2.7 million (34 percent) were between the ages of 0 and 34 (including additional SEP activity reported through Saturday, April 19th).
  • Nearly 3.8 million people selected a Marketplace plan during the March enrollment surge at the end of the initial open enrollment period, including nearly 1.2 million young adults (ages 18-34), or 31 percent of the total surge, who selected a Marketplace plan during March (including additional SEP activity reported through Saturday, April 19th).
  • 47 percent of the total number of people who selected a Marketplace plan and 52 percent of the young adults (ages 18-34) who selected a Marketplace plan did so during the last month of the initial open enrollment period (including additional SEP activity reported through Saturday, April 19th).
  • The number of young adults who selected Marketplace plans doubled during the last month of the initial open enrollment period, from nearly 1.1 million (during the first 5 months) to more than 2.2 million (including additional SEP activity reported through Saturday, April 19th).
  • Over the course of the initial open enrollment period, consumer interest in the Marketplace was high, as measured by 98 million website visits and 33 million calls to the call centers (FFM and SBMs combined, including additional SEP activity reported through Saturday, April 19th).

The one thing that seems to be missing from this report is the number of enrollees who have actually paid their first month’s premium. Reports are all over the board on this figure, with some recent articles saying that only two-thirds have paid their premium (including a report by the House Energy and Commerce Committee) and others saying that 80-90% have. Individuals enrolled in marketplace plans do have a three-month grace period before their policies will be cancelled.

The report contains data about individuals and families who signed up directly through the Healthcare.gov federal exchange site, directly through state exchange sites, through the issuer’s site with the assistance of a broker, or through a private exchange website.

USA Today elaborates on the report by noting that outgoing HHS Secretary Kathleen Sebelius says that “About 20.8 million people are now enrolled in insurance because of the law,” including “the 8 million who enrolled in private insurance, 4.8 million now covered by Medicaid and the Children’s Health Insurance Program, 5 million who bought coverage outside the state and federal exchanges and 3 million adults younger than 26  covered through their parents’ insurance.”

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