Obamacare: How Federal and State Exchanges Stack Up
Policy + Politics

Obamacare: How Federal and State Exchanges Stack Up

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The Obama administration released long-awaited numbers on the rocky HealthCare.gov rollout Wednesday, announcing that 106,185 people had picked an insurance plan in the first month since the federal and state exchanges launched – well below the nearly 500,000 officials had projected would sign up over that period.

The new data show that the state-run exchanges have been significantly more successful than the troubled federal marketplace. The exchanges for 14 states and the District of Columbia have accounted for 79,391 of the new enrollees, or about three quarters of the total. In all, just under 10 percent of people who have been determined to be eligible to enroll in an Obamacare plan have actually chosen a plan, including 21 percent of eligible consumers going through the state-based marketplaces and 4 percent of those using the federal exchange.

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The state-by-state signups vary dramatically. California, the state with the largest population of uninsured, saw more than 35,000 individuals select an insurance plan, by far the most of any state – and thousands more than the federal exchange covering 36 other states. In North Dakota, by contrast, just 42 people signed up through the federal exchange, and just 58 people signed up in South Dakota.

Enrollments in the California exchange plans have accelerated since the beginning of November, state officials announced Wednesday in releasing numbers that cover a broader time period than those released by the U.S. Department of Health and Human Services. In the first 12 days of November, 29,000 people enrolled in insurance plans offered through the state marketplace, called Covered California. That’s about double the signup rate for October, when about a thousand people a day signed up.

“The numbers are better than encouraging. They show momentum and very high consumer interest,” Covered California Executive Director Peter V. Lee said. “As anticipated, consumers spent October comparing plans and educating themselves about their health care options, including financial assistance options.”  In total, the state says nearly 60,000 people have enrolled in insurance plans since Oct. 1.

Here are the state and federal numbers released by the Department of Health and Human Services. The full HHS release is available here.

Total Marketplace Applications, Eligibility Determinations, and  Marketplace Plan Selections By Marketplace Type and State (1) 10-1-2013 to 11-2-2013 
 
Number of Individuals Determined Eligible to Enroll in a Marketplace Plan 
 
State Name  Total Number of Completed Applications (2)  Total Individuals Applying for Coverage in Completed Applications (3)  Total Eligible to Enroll in a Marketplace Plan (4) Eligible to Enroll in a Marketplace Plan with Financial Assistance (5) Determined or Assessed Eligible for Medicaid / CHIP by the Marketplace (6)  Pending/ Other (7)  Number of Individuals Who Have Selected a Marketplace Plan (8)  
States Implementing Their Own Marketplaces (SBMs)
California (9) 
105,782
192,489
93,663
N/A 
79,519
19,307
35,364
Colorado (10) 
20,492
45,575
36,335
8,742
N/A 
9,240
3,736
Connecticut 
12,337
18,815
12,325
6,807
6,490
0
4,418
District Of Columbia (11) 
2,541
N/A 
N/A 
N/A 
N/A 
N/A 
N/A
Hawaii (12) 
1,754
2,379
1,156
N/A 
N/A 
1,223
N/A
Kentucky 
50,279
76,294
39,207
13,201
28,676
8,411
5,586
Maryland 
10,917
N/A 
3,498
2,638
5,923
N/A 
1,284
Massachusetts (13) 
14,413
N/A 
N/A 
N/A 
N/A 
N/A 
N/A
Minnesota (14) 
15,268
31,447
21,532
6,759
9,166
749
1,774
Nevada 
9,186
14,819
N/A 
N/A 
5,710
9,109
1,217
New York 
N/A 
N/A 
134,897
34,267
23,902
N/A 
16,404
Oregon (15) 
8,752
N/A 
190
N/A 
425
N/A 
N/A
Rhode Island 
6,670
9,581
3,326
2,086
3,447
2,808
1,192
Vermont 
3,242
5,540
3,341
1,078
1,411
788
1,325
Washington (16) 
64,990
119,309
29,503
13,375
48,196
41,610
7,091
 SBM Subtotal 
326,623
516,248
378,973
88,953
212,865
93,245
79,391
States With Marketplaces that are Supported by or Fully-Run by HHS (FFM)
Idaho (17)  4,753 10,573 7,733 3,305 1,597 1,243 338
New Mexico (17,18)  4,055 7,529 4,249 1,549 3,552 N/A  172
Alabama  10,573 20,840 14,696 4,910 2,262 3,882 624
Alaska  1,253 2,203 1,606 598 368 229 53
Arizona  17,220 32,897 20,741 7,156 11,339 817 739
Arkansas  7,294 14,059 6,123 2,279 7,430 506 250
Delaware  1,897 3,491 2,204 674 1,200 87 97
Florida  67,366 123,870 93,456 29,637 12,887 17,527 3,571
Georgia  28,642 56,783 41,426 12,757 7,709 7,648 1,390
Illinois  30,901 56,636 35,802 11,603 19,447 1,387 1,370
Indiana  15,982 31,979 19,093 7,890 11,305 1,581 701
Iowa  5,547 10,884 6,104 2,079 4,490 290 136
Kansas  6,061 12,205 9,087 3,009 1,718 1,400 371
Louisiana  7,702 14,163 10,294 3,277 1,460 2,409 387
Maine  3,550 6,497 5,061 2,116 623 813 271
Michigan  23,987 44,025 34,197 12,468 4,978 4,850 1,329
Mississippi  4,339 8,204 5,822 1,662 925 1,457 148
Missouri  14,131 27,911 20,121 7,111 4,157 3,633 751
Montana  2,683 5,205 3,815 1,711 457 933 212
Nebraska  4,947 9,973 7,453 2,967 2,295 225 338
New Hampshire  4,006 7,817 5,767 2,016 1,643 407 269
New Jersey  23,021 42,372 23,985 8,082 17,460 927 741
North Carolina  29,547 57,653 42,110 15,051 7,404 8,139 1,662
North Dakota  969 1,845 1,180 370 585 80 42
Ohio  24,050 45,128 34,374 11,866 7,535 3,219 1,150
Oklahoma  6,905 14,169 9,952 1,432 2,412 1,805 346
Pennsylvania  31,827 57,674 43,966 15,497 3,788 9,920 2,207
South Carolina  11,249 20,980 15,257 4,973 3,112 2,611 572
South Dakota  1,491 3,081 2,279 822 525 277 58
Tennessee  17,598 33,230 24,334 8,573 4,089 4,807 992
Texas  53,904 108,410 80,960 25,520 11,682 15,768 2,991
Utah  6,186 14,580 9,318 3,883 4,816 446 357
Virginia  21,667 42,341 32,534 9,333 4,088 5,719 1,023
West Virginia  3,807 7,096 3,442 1,268 3,103 551 174
Wisconsin  19,098 34,678 22,038 8,911 10,736 1,904 877
Wyoming  1,353 2,654 2,040 822 219 395 85
 FFM Subtotal  519,561 993,635 702,619 237,177 183,396 107,892 26,794
MARKETPLACE TOTAL, All States  846,184 1,509,883 1,081,592 326,130 396,261 201,137 106,185

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