jueves, 21 de enero de 2016

CMS NEWS: Health Insurance Marketplace Open Enrollment Snapshot Week 11: Jan.10, 2016 – Jan.16, 2016

Centers for Medicare & Medicaid Services

FOR IMMEDIATE RELEASE
January 20, 2016                                                                                                                           

Contact: CMS Media Relations
(202) 690-6145 | CMS Media Inquiries


Health Insurance Marketplace Open Enrollment Snapshot
Week 11: January 10, 2016 – January 16, 2016

Since Open Enrollment began on November 1, about 8.8 million consumers signed-up for health coverage through the HealthCare.gov platform or had their coverage automatically renewed. This week’s snapshot includes weekly and cumulative data for enrollment through HealthCare.gov, a breakdown of cumulative data for 38 states using the HealthCare.gov platform, and cumulative data for local markets.

“As expected, consumer interest is beginning to increase again as we near the deadline for 2016 coverage,” HHS Secretary Sylvia Burwell said. “We know we have more work to do and as we count down to the January 31 final deadline, we’re focused on making sure consumers understand that they must act soon to find affordable health coverage and avoid the fee for choosing to not have health insurance in 2016. Consumers should know that we’re here to help 24 hours a day, 7 days a week.”

As we have previously noted, this year the number of net plan selections accounts for both insurer and consumer-initiated cancellations that occur before the end of Open Enrollment. This is a change from last year, and it will result in a larger number of cancellations being accounted for during, rather than after, Open Enrollment. Last year, cancellations from insurers that happened during Open Enrollment were reflected only in reports on effectuated enrollment after the end of Open Enrollment. As a result, there will likely be a smaller difference this year between plan selection totals at the end of Open Enrollment and subsequent effectuated enrollment.

To provide a clearer picture of underlying enrollment trends, starting this week, we are including the weekly net newplan selection total. This number is in addition to the plan selection total we have been reporting each week, which includes both new and returning consumers. Net new plan selections take into account new plan selections in the reporting week minus any consumer or insurer-initiated cancelations for new plan selections.

Overall, net plan selections for Week 11 totaled 153,631. Over the same time period, net new plan selections totaled 399,885, about the same as the similar week during last year’s Open Enrollment. Cancelations reflected in the net plan selection number for this week were by and large insurer-initiated cancellations of returning consumers who were automatically enrolled for 2016 but actually had their policies terminated at the end of 2015.

Similar to last year, each week, the Centers for Medicare & Medicaid Services (CMS) will release weekly Open Enrollment snapshots for the HealthCare.gov platform, which is used by the Federally-facilitated Marketplaces and State Partnership Marketplaces, as well as some State-based Marketplaces. These snapshots provide point-in-time estimates of weekly plan selections, call center activity and visits to HealthCare.gov oCuidadoDeSalud.gov. The final number of plan selections associated with enrollment activity to date could fluctuate as plan changes or cancellations occur, such as in response to life changes like starting a new job or getting married. In addition, the weekly snapshot only looks at plan selections and does not include the number of consumers who paid their premiums to effectuate their enrollment.

HHS will continue to produce more detailed reports that look at plan selections across the Federally-facilitated Marketplace and State-based Marketplaces later in the Open Enrollment period.

Definitions and details on the data are included in the glossary.


Federal Marketplace Snapshot

Federal Marketplace Snapshot
Week 11
Jan 10 – Jan 16
Cumulative
Nov 1 – Jan 16
Plan Selections (net)
153,631
8,836,102
Applications Submitted (Number of Consumers)
560,581
11,627,465
Call Center Volume
1,138,599
11,535,731
Average Call Center Wait Time
8 minutes 32 seconds
10 minutes 20 seconds
Calls with Spanish Speaking Representative
81,358
700,632
Average Wait for Spanish Speaking Rep
29 seconds
21 seconds
HealthCare.gov Users
3,107,502
23,491,161
CuidadoDeSalud.gov Users
262,859
1,305,585
Window Shopping HealthCare.gov Users
730,139
8,032,535
Window Shopping CuidadoDeSalud.gov Users
15,443
159,445

HealthCare.gov State-by-State Snapshot

Consumers across the country continued to explore their health insurance options by reaching out to a call center representative at 1-800-318-2596, attending enrollment events in their local communities, or visiting HealthCare.gov orCuidadoDeSalud.gov. Individual plan selections for the states using the HealthCare.gov platform include:


Week 11
Cumulative Plan Selections
Nov 1 – Jan 16
Alabama
180,109
Alaska
21,830
Arizona
182,828
Arkansas
68,101
Delaware
26,334
Florida
1,605,623
Georgia
535,918
Hawaii
12,764
Illinois
354,962
Indiana
185,100
Iowa
51,575
Kansas
92,380
Louisiana
195,261
Maine
79,789
Michigan
327,674
Mississippi
97,909
Missouri
266,036
Montana
55,875
Nebraska
82,245
Nevada
77,717
New Hampshire
51,935
New Jersey
266,726
New Mexico
49,777
North Carolina
569,649
North Dakota
20,326
Ohio
225,173
Oklahoma
133,574
Oregon
137,820
Pennsylvania
415,351
South Carolina
211,846
South Dakota
23,890
Tennessee
245,566
Texas
1,152,013
Utah
159,623
Virginia
391,155
West Virginia
35,080
Wisconsin
224,719
Wyoming
21,849


HealthCare.gov Local Market Snapshot

The Week 11 snapshot includes a look at plan section by Designated Market Areas (DMAs) which are local media markets. These data provides another level of detail to better understand total plan selections within local communities. Some DMAs include one or more counties in a state that is not using the HealthCare.gov platform in 2016. Plan selections for those DMAs only include data for the portions of these areas that are using the HealthCare.gov platform, so the cumulative totals in the snapshot do not represent plan selections for the entire DMA. In addition, some DMAs cross into multiple states that use the HealthCare.gov platform and those totals are cumulative for all HealthCare.gov states in that DMA. Because some communities do not fall into a DMA, cumulative plan selections for local markets will not total to the national cumulative plan selection number.

Local Markets in HealthCare.gov States
State
Cumulative Plan Selections
Nov 1 – Jan 16
Abilene-Sweetwater
Texas
9,769
Albany
Georgia
15,452
Albuquerque-Santa Fe
New Mexico
42,596
Alexandria
Louisiana
9,020
Alpena
Michigan
1,954
Amarillo
Texas
13,848
Anchorage
Alaska
14,129
Atlanta
Georgia
405,103
Augusta
Georgia
30,659
Austin
Texas
114,782
Bangor
Maine
22,451
Baton Rouge
Louisiana
41,611
Beaumont-Port Arthur
Texas
13,940
Bend
Oregon
10,166
Billings
Montana
15,843
Biloxi-Gulfport
Mississippi
9,186
Birmingham (Ann and Tusc)
Alabama
71,533
Bluefield-Beckley-Oak Hill
West Virginia
7,391
Boise
Idaho
875*
Boston (Manchester)
Massachusetts
41,480
Buffalo
New York
1,270
Burlington-Plattsburgh
Vermont
4,876
Butte-Bozeman
Montana
9,366
Casper-Riverton
Wyoming
4,794
Cedar Rapids-Wtrlo-Iwc & Dub
Iowa
15,739
Champaign & Sprngfld-Decatur
Illinois
23,165
Charleston
South Carolina
43,332
Charleston-Huntington
West Virginia
15,858
Charlotte
North Carolina
193,013
Charlottesville
Virginia
15,421
Chattanooga
Tennessee
36,984
Cheyenne-Scottsbluf
Wyoming
6,229
Chicago
Illinois
283,454
Cincinnati
Ohio
45,635
Clarksburg-Weston
West Virginia
5,816
Cleveland-Akron (Canton)
Ohio
80,768
Columbia
South Carolina
40,916
Columbia-Jefferson City
Missouri
21,177
Columbus
Georgia
18,992
Columbus
Ohio
44,091
Columbus-Tupelo-West Point
Mississippi
13,046
Corpus Christi
Texas
18,177
Dallas-Ft. Worth
Texas
341,290
Davenport-R. Island-Moline
Iowa/Illinois
16,579
Dayton
Ohio
22,006
Denver
Colorado
6,863
Des Moines-Ames
Iowa
19,184
Detroit
Michigan
170,085
Dothan
Alabama
9,015
Duluth-Superior
Minnesota
6,558
El Paso (Las Cruces)
Texas
59,098
Elmira (Corning)
New York
1,149*
Erie
New York
8,686
Eugene
Oregon
19,252
Evansville
Indiana
14,039
Fairbanks
Alaska
2,644
Fargo-Valley City
North Dakota
10,557
Flint-Saginaw-Bay City
Michigan
29,904
Ft. Myers-Naples
Florida
85,960
Ft. Smith-Fay-Sprngdl-Rgrs
Arkansas
21,967
Ft. Wayne
Indiana
21,615
Gainesville
Florida
18,543
Glendive
Montana
530*
Grand Rapids-Kalmzoo-B.Crk
Michigan
66,347
Great Falls
Montana
7,763
Green Bay-Appleton
Wisconsin
49,711
Greensboro-H.Point-W.Salem
North Carolina
102,010
Greenville-N.Bern-Washngtn
North Carolina
41,113
Greenvll-Spart-Ashevll-And
North Carolina
112,382
Greenwood-Greenville
Mississippi
6,748
Harlingen-Wslco-Brnsvl-Mca
Texas
50,320
Harrisburg-Lncstr-Leb-York
Pennsylvania
60,850
Harrisonburg
Virginia
11,846
Hattiesburg-Laurel
Mississippi
10,713*
Helena
Montana
2,581*
Honolulu
Hawaii
12,764
Houston
Texas
307,320
Huntsville-Decatur
Alabama
36,120
Idaho Falls-Pocatello
Idaho
2,735
Indianapolis
Indiana
84,951
Jackson
Mississippi
38,481
Jackson
Tennessee
11,105
Jacksonville
Florida
96,077
Johnstown-Altoona
Pennsylvania
19,165
Jonesboro
Arkansas
5,542
Joplin-Pittsburg
Missouri
15,012
Juneau
Alaska
3,010*
Kansas City
Kansas/Missouri
100,895
Knoxville
Tennessee
49,047
La Crosse-Eau Claire
Wisconsin
23,268
Lafayette
Indiana
3,151
Lafayette
Louisiana
24,353
Lake Charles
Louisiana
6,591*
Lansing
Michigan
14,655
Laredo
Texas
13,439
Las Vegas
Nevada
54,556
Lima
Ohio
1,589
Lincoln & Hastings-Krny
Nebraska
36,727
Little Rock-Pine Bluff
Arkansas
32,998
Louisville
Kentucky
8,460
Lubbock
Texas
12,640
Macon
Georgia
21,651
Madison
Wisconsin
33,226
Marquette
Michigan
9,404
Medford-Klamath Falls
Oregon
13,958
Memphis
Tennessee
58,688
Meridian
Mississippi
3,875*
Miami-Ft. Lauderdale
Florida
598,705
Milwaukee
Wisconsin
82,131
Minneapolis-St. Paul
Minnesota
11,002
Minot-Bismarck-Dickinson
North Dakota
11,450
Missoula
Montana
19,763
Mobile-Pensacola (Ft Walt)
Alabama
61,941
Monroe-El Dorado
Louisiana/Arkansas
19,860
Montgomery-Selma
Alabama
18,961*
Myrtle Beach-Florence
Florida
38,795
Nashville
Tennessee
97,599
New Orleans
Louisiana
80,809
New York
New York
210,936
Norfolk-Portsmth-Newpt News
Virginia
76,664
North Platte
Nebraska
1,660
Odessa-Midland
Texas
11,827
Oklahoma City
Oklahoma
67,566
Omaha
Nebraska
36,754
Orlando-Daytona Bch-Melbrn
Florida
299,858
Ottumwa-Kirksville
Missouri
3,615
Paducah-Cape Girard-Harsbg
Illinois/Kentucky/Missouri
20,351
Panama City
Florida
20,792
Parkersburg
West Virginia
2,815
Peoria-Bloomington
Illinois
12,857
Philadelphia
Pennsylvania
274,630
Phoenix (Prescott)
Arizona
129,985
Pittsburgh
Pennsylvania
78,213
Portland
Oregon
89,967
Portland-Auburn
Maine
58,465
Presque Isle
Maine
4,058
Quincy-Hannibal-Keokuk
Illinois/Missouri/Iowa
7,130
Raleigh-Durham (Fayetvlle)
North Carolina
152,541
Rapid City
South Dakota
7,368
Reno
Nevada
21,557
Richmond-Petersburg
Virginia
74,425
Roanoke-Lynchburg
Virginia
47,907
Rochestr-Mason City-Austin
Minnesota/Iowa
1,337
Rockford
Illinois
12,469
Salisbury
Maryland
6,780
Salt Lake City
Utah
160,143
San Angelo
Texas
4,414
San Antonio
Texas
103,816
Savannah
Georgia
44,633
Sherman-Ada
Texas
9,042
Shreveport
Louisiana
34,199
Sioux City
Iowa
9,997
Sioux Falls(Mitchell)
South Dakota
17,846
South Bend-Elkhart
Indiana
23,983
Spokane
Washington
1,269
Springfield
Missouri
52,704
St. Joseph
Missouri
3,735
St. Louis
Missouri
122,974
Tallahassee-Thomasville
Florida
25,540
Tampa-St. Pete (Sarasota)
Florida
259,086
Terre Haute
Indiana
9,541
Toledo
Ohio
17,773
Topeka
Kansas
11,748
Traverse City-Cadillac
Michigan
25,184
Tri-Cities
Tennessee
24,636
Tucson (Sierra Vista)
Arizona
31,023
Tulsa
Oklahoma
46,247
Tyler-Longview(Lfkn&Ncgd)
Texas
22,605
Victoria
Texas
2,121
Waco-Temple-Bryan
Texas
25,438
Washington, DC (Hagerstown)

165,980
Wausau-Rhinelander
Wisconsin
20,470
West Palm Beach-Ft. Pierce
Florida
179,009
Wheeling-Steubenville
Ohio
6,242
Wichita Falls & Lawton
Texas
10,011
Wichita-Hutchinson Plus
Kansas
35,250
Wilkes Barre-Scranton
Pennsylvania
44,805
Wilmington
Delaware
31,680
Yakima-Pasco-Rchlnd-Knnwck
Oregon
1,741
Youngstown
Ohio
12,976
Yuma-El Centro
Arizona
3,537
Zanesville
Ohio
1,231
*Because there was a change of 11 or fewer enrollments for Week 11, data for Week 10 was used as a placeholder to adhere to privacy standards.

Glossary
Plan Selections: The weekly and cumulative metrics provide a preliminary total of those who have submitted an application and selected a plan. Each week’s plan selections reflect the total number of plan selections for the week and cumulatively from the beginning of Open Enrollment to the end of the reporting period, net of any cancellations from a consumer or cancellations from an insurer during that time.

Because of further automation in communication with insurers, the number of net plan selections reported this year account for insurer-initiated plan cancellations that occur before the end of Open Enrollment for reasons such as non-payment of premiums. This change will result in a larger number of cancellations being accounted for during Open Enrollment than last year. Last year, these cancellations were reflected only in reports on effectuated enrollment after the end of Open Enrollment. As a result, there may also be a smaller difference this year between plan selections at the end of Open Enrollment and subsequent effectuated enrollment, although some difference will remain because plan cancellations related to non-payment of premium will frequently occur after the end of Open Enrollment.

Plan selections include those consumers who are automatically re-enrolled into their current plan or another plan with similar benefits, which occurs at the end of December.

To have their coverage effectuated, consumers generally need to pay their first month’s health plan premium. This release does not include totals for effectuated enrollments.

Net New Plan Selections: Weekly net new plan selections take into account new plan selections minus any consumer or insurer-initiated cancelations for new plan selections.

Marketplace: Generally, references to the Health Insurance Marketplace in this report refer to 38 states that use the HealthCare.gov platform. The states using the HealthCare.gov platform are Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Illinois, Indiana, Iowa, Kansas, Louisiana, Maine, Michigan, Mississippi, Missouri, Montana, Nebraska, New Hampshire, New Jersey, Nevada, New Mexico, North Carolina, North Dakota, Ohio, Oklahoma, Oregon, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, West Virginia, Wisconsin, and Wyoming.

HealthCare.gov States: The 38 states that use the HealthCare.gov platform for the 2016 benefit year, including the Federally-facilitated Marketplace, State Partnership Marketplaces and State-based Marketplaces.

Local Markets: Cumulative plan selections for local markets are based on Designated Market Areas (DMAs) which are media markets. Some DMAs include one or more counties in a state that is not using the HealthCare.gov platform in 2016. Plan selections for those DMAs only include data for the portions of these areas that are using the HealthCare.gov platform, so the cumulative totals in the snapshot do not represent plan selections for the entire DMA.

Applications Submitted: This includes a consumer who is on a completed and submitted application or who, through the automatic re-enrollment process, which occurs at the end of December, had an application submitted to a Marketplace using the HealthCare.gov platform. If determined eligible for Marketplace coverage, a new consumer still needs to pick a health plan (i.e., plan selection) and pay their premium to get covered (i.e., effectuated enrollment). Because families can submit a single application, this figure tallies the total number of people on a submitted application (rather than the total number of submitted applications).

Call Center Volume: The total number of calls received by the Federally-facilitated Marketplace call center over the course of the week covered by the snapshot or from the start of Open Enrollment. Calls with Spanish speaking representatives are not included.

Calls with Spanish Speaking Representative: The total number of calls received by the Federally-facilitated Marketplace call center where consumers chose to speak with a Spanish-speaking representative. These calls are not included within the Call Center Volume metric.

Average Call Center Wait Time: The average amount of time a consumer waited before reaching a customer service representative. The cumulative total averages wait time over the course of the extended time period.

HealthCare.gov or CuidadodeSalud.gov  Users: These user metrics total how many unique users viewed or interacted with HealthCare.gov or CuidadodeSalud.gov , respectively, over the course of a specific date range. For cumulative totals, a separate report is run for the entire Open Enrollment period to minimize users being counted more than once during that longer range of time and to provide a more accurate estimate of unique users. Depending on an individual’s browser settings and browsing habits, a visitor may be counted as a unique user more than once.

Window Shopping HealthCare.gov Users or CuidadoDeSalud.gov Users: These user metrics total how many unique users interacted with the window-shopping tool at HealthCare.gov or CuidadoDeSalud.gov, respectively, over the course of a specific date range. For cumulative totals, a separate report is run for the entire Open Enrollment period to minimize users being counted more than once during that longer range of time and to provide a more accurate estimate of unique users. Depending on an individual’s browser settings and browsing habits, a visitor may be counted as a unique user more than once. Users who window-shopped are also included in the total HealthCare.gov orCuidadoDeSalud.gov user total.

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