Oregon

2019 OPEN ENROLLMENT ENDS (most states)

Time: D H M S

There's a TON of amazing news out of Oregon today, but I only had room for the most stunning one in the title above. Trust me, this is chock full 'o goodness:

For all the hits Oregon has taken over their website, they continue to calmly, quietly, manually add more and more people to their exchange rolls:

Medical enrollments through Cover Oregon: 315,825
Total private medical insurance enrollments through Cover Oregon 1: 89,744              

Oregon Health Plan enrollments through Cover Oregon: 226,081

Net private medical: 81,369
Net private dental: 15,461

This is a net increase of another 1,029 QHPs and another 14,151 Medicaid enrollees since June 12...or up 21,436 QHPs since the end of Open Enrollment on 4/19 (330 per day on average).

It's worth remembering that Oregon started the year with only about 559,000 uninsured people in the entire state. Add in the 128,434 "Fast Track" Medicaid enrollees and you have a whopping 444,000 people covered one way or the other.

OK, it's difficult to get a bead on how Oregon has been performing since the end of open enrollment, because they bumped theirs out 2 weeks beyond most other states. Even so, they've added 19,214 additional QHP enrollees since the 4/19 HHS report, or over 350 per day.

Interestingly, there's been no change at all in their reported Medicaid enrollment; I'm assuming they just didn't include that data this week since it's changed some every other time.

June 12, 2014
Update: Private coverage and Oregon Health Plan enrollment through Cover Oregon

Medical enrollments through Cover Oregon: 299,452
Total private medical insurance enrollments through Cover Oregon: 87,522
Oregon Health Plan enrollments through Cover Oregon: 211,930

Dental enrollments 
Total private dental insurance enrollments through Cover Oregon 1: 17,751          

Net enrollments 
Net private medical: 80,340
Net private dental: 15,574
 

Four important stories about the technical situation status on various ACA exchange websites:

Idaho moving forward with state-run Obamacare exchange

Officials in Idaho say they’re undaunted by the well-documented failures of Obamacare exchanges in neighboring states and are moving  full-steam ahead with plans to launch their own web portal this November.

While executives at Cover Oregon and Nevada Health  Link abandon their state-run websites and turn to the federal exchange (HealthCare.gov), Your Health Idaho is headed in the opposite direction.

The state relied on the federal website for the open-enrollment period that ended in mid-April because it had less than 200 days last year set up its own web-exchange when state lawmakers authorized the project. It was one of two states — New Mexico is the other — that had to wait a year for its own site, and exchange officials say the delay has been a plus as they meet with other states to discuss what went right or wrong during Obamacare’s first round.

It's rather ironic that Oregon, which had a disastrous exchange website which it's abandoning in order to join the federal exchange, still continues to post their enrollment data on a regular basis (pretty impressive numbers at that, by the way--another 10,204 added to Medicaid in the past week or so), while the federal exchange, which has been running smoothly for months now, has decided to stop posting their own updates. In any event...

Medical enrollments through Cover Oregon: 297,712
Total private medical insurance enrollments through Cover Oregon 1: 85,782                

Oregon Health Plan enrollments through Cover Oregon: 211,930

Dental enrollments 
Total private dental insurance enrollments through CoverOregon 1: 17,578          

Net enrollments 
Net private medical: 78,970
Net private dental: 15,476

A big shout-out to Nick Budnick of The Oregonian, who has been all over Cover Oregon's horribly-troubled-but-surprisingly-successful healthcare exchange from the get-go. He just released a big new story which features an extensive breakdown of Oregon's overall individual insurance market, including both on-exchange QHPs, off-exchange QHPs, grandfathered noncompliant plans and even the "small group" ESI market, among other things. Thankfully, all of these numbers are broken out so I'm able to make sense of them.

They may have flushed a couple hundred million dollars down the drain on their website, but that just makes Oregon's manual QHP processing achievement all the more impressive. Over 6 weeks after the official enrollment period ended, and over 2 weeks after their extension period wrapped up, Oregon continues to push their QHP and Medicaid enrollment totals up:

Medical enrollments through Cover Oregon: 280,334
Total private medical insurance enrollments through Cover Oregon 1: 81,358                

Oregon Health Plan enrollments through Cover Oregon: 198,976

Net private medical 2: 76,275

In spite of their several-hundred-million-dollar meltdown of a website, Oregon has managed to pull off an impressive feat: Between private QHPs, standard Medicaid/CHIP and their "fast track" program (not included below), they've enrolled nearly 400,000 people in healthcare plans of one sort or another via the ACA.

May 8, 2014
Update: Private coverage and Oregon Health Plan enrollment through Cover Oregon

Medical enrollments through Cover Oregon: 271,180
Total private medical insurance enrollments through Cover Oregon 1: 77,583                

Oregon Health Plan enrollments through Cover Oregon: 193,597
Total private dental insurance enrollments through CoverOregon 1: 15,926               

Net enrollments 
Net private medical: 72,890
Net private dental: 14,602

Don't forget, there's still a few states with exchange QHPs trickling in...in the case of Oregon, they can tack on an extra 1,300 to their QHP tally & another 4,700 Medicaid enrollees...in addition to the 128,434 "fast track" Medicaid enrollees they added earlier this year. Their new grand totals now stand at nearly 70K exchange QHPs and over 305K Medicaid additions:

May 1, 2014
Update: Private coverage and Oregon Health Plan enrollment through Cover Oregon

Medical enrollments through Cover Oregon: 251,240
Total private medical insurance enrollments through Cover Oregon 1: 74,103                

Oregon Health Plan enrollments through Cover Oregon: 177,137

Dental enrollments 
Total private dental insurance enrollments through CoverOregon 1: 14,992                

Net enrollments 
Net private medical: 69,586
Net private dental: 13,729
 

Given Oregon's disasterous technical issues, their success in manually processing hundreds of thousands of enrollments is actually quite impressive. In addition, kudos to them for being one of the only sources for dental policies, which has barely been written about by anyone (including myself):

Medical enrollments through Cover Oregon: 242,618
Total private medical insurance enrollments through Cover Oregon 1: 70,192                   

Oregon Health Plan enrollments through Cover Oregon: 172,426

Dental enrollments: Total private dental insurance enrollments through CoverOregon 1: 14,232                   

Net enrollments 
Net private medical 2:  66,052
Net private dental 2: 13,016

Presented without comment:

Oregon should pull the plug on the beleaguered Cover Oregon health insurance exchange and switch to the federal exchange, a technological advisory committee recommended Thursday.

The move is considered almost certain to be adopted by the Cover Oregon board, which meets Friday.

Changing to the federal exchange would cost about $5 million, while a partial fix to the Oregon exchange would cost more than $78 million based on an estimate from Deloitte, a Cover Oregon consultant.

OK, I lied; I do have two comments:

--First, residents of Oregon do still have 3 more days (today, tomorrow and Wednesday) to push their 2014 policy enrollments through the remnants of Cover Oregon, and I'm assuming that the current hobbled-together system will still be in place during the transition period for Qualifying Life Events, Medicaid enrollment and so forth.

Oregon continues to plug along, adding an impressive 3.8K more NET QHPs and 7.3K more Medicaid enrollees the past week...not sure if this runs through 4/15 exactly or if it includes yesterday as well (Oregon is one of the states going beyond 4/15), but I'm lining them up at 4/15 for the moment:

April 17, 2014
Update: Private coverage and Oregon Health Plan enrollment through Cover Oregon

Medical enrollments through Cover Oregon: 228,795
Total private medical insurance enrollments through Cover Oregon 1: 67,474                   

Oregon Health Plan enrollments through Cover Oregon: 161,321

Net enrollments 
Net private medical:  63,709

Oregon continues to slog it's way through enrollments in spite of their technical problems...

April 10, 2014
Update: Private coverage and Oregon Health Plan enrollment through Cover Oregon

Medical enrollments through Cover Oregon: 217,413
Total private medical insurance enrollments through Cover Oregon 1: 63,325 

Oregon Health Plan enrollments through Cover Oregon: 154,088

Net private medical:  59,923

Oregon's Medicaid figure hasn't changed, but the exchange QHP tally is now up to an unspecific 59K (assuming this is as of yesterday):

Cruse said he became a full-fledged enrollee on a Moda plan in February. He’s now one of 59,000 people in Oregon who enrolled in private insurance after successfully navigating through the often cumbersome Cover Oregon process. Another 140,000 enrolled through the site on the Oregon Health Plan. 

UPDATE: OK, scratch that. Looks like this article was quoting the 58,833 "total" QHP figure from the most recent official press release instead of the "net" figure which was exactly 3K less: 55,833.

Leaving this up since it's already posted but sorry about the mixup.

Oregon appears to be purging their old unpaid enrollments, for cleaner totals (along with the dental enrollments, which even I haven't really talked about)...I'm assuming this is through yesterday. Note that the Medicaid number doesn't include an additional 128K enrolled via their "Fast Track" program from earlier:

April 3, 2014 Update: Private coverage and Oregon Health Plan enrollment through Cover Oregon

  • Medical enrollments through Cover Oregon: 200,165
  • Total private medical insurance enrollments through Cover Oregon 1: 58,833                      
  • Oregon Health Plan enrollments through Cover Oregon: 141,332
  • Total private dental insurance enrollments through CoverOregon 1: 12,066                       

Net enrollments 

  • Net private medical:  55,833
  • Net private dental: 11,208

Background: With three months of open enrollment completed, Cover Oregon is expanding the enrollment report beyond what is required by the federal Center for Consumer Information & Insurance Oversight to include net private insurance enrollments and also dental enrollments. 

Van Pelt highlights the more than 300,000 "enrolled in health care coverage since October thanks to Cover Oregon ... and the Oregon Health Authority."

That figure includes:

  • 55,000 people enrolled in private plans using the backup manual processing system set up to cope with the exchange's technology issues.
  • more than 120,000 people enrolled into Oregon Health Plan after the exchange forwarded their information to the state for processing, a workaround for the exchange's broken Medicaid interface.
  • 125,000 people enrolled directly into the Oregon Health Plan using a streamlined system set up to bypass Cover Oregon.

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