Weekly Checkup

ACA Enrollment Varies by State

On Monday Afternoon, the Department of Health and Human Services (HHS) released enrollment numbers for the first three months of operation of the Affordable Care Act’s health insurance exchanges.[1] Despite strong December enrollment, total enrollment is still only 65 percent of the goal set by HHS for January 1st.[2] These goals are partly political benchmarks but are also functional targets: each state exchange needs enough members to absorb high costs. And because each state has a separate risk pool, it is important to examine state enrollment trends independently. Through the end of December, only 10 states have succeeded in meeting or surpassing their enrollment goals, as shown in the chart below. In contrast, none of the 10 worst performing states have enrolled more than 40 percent of their enrollment goals for the first three months of enrollment.

[1] Health Insurance Marketplace: January Enrollment Report for the Period: October 1, 2013 – December 28, 2013, ASPE Issue Brief, Department of Health and Human Services, January 13, 2004, http://aspe.hhs.gov/health/reports/2014/MarketPlaceEnrollment/Jan2014/ib_2014jan_enrollment.pdf

[2] Tavenner, Marilyn, Projected Monthly Enrollment Targets for Health Insurance Marketplaces in 2014, Memo to The Secretary, http://waysandmeans.house.gov/uploadedfiles/enrolltargets_09052013_.pdf