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HIX Enrollment Data Shows Wide Variances Among States

Christopher Cheney, for HealthLeaders Media, May 5, 2014

Health plan enrollment nationwide beat HHS's expectations, but fell short on attaining two key goals of federal officials: enrolling Latinos and adults between 18 to 34 years of age. The differences from state-to-state were, in some cases, pronounced.

The early results are in. While federal officials appear to have beat expectations for 2014 HIX enrollment nationwide, the performance of the new public exchanges varies state-to-state.

In a 45-page report released Thursday, the U.S. Department of Health and Human Services provided detailed demographic data on the people who signed up for individual health insurance policies on the new public exchanges between October 1, 2013 and March 31, 2014.

Some key findings:

  • More than 8 million people signed up for health insurance policies through the Patient Protection and Affordable Care Act exchanges during the enrollment period
  • About 28 percent of 2014 exchange enrollees (2.2 million people) are between 18 and 34 years old
  • Nearly half of the people who signed up for exchange policies —3.8 million—signed up during "the March surge" at the end of the HIX open enrollment period
  • About half of those who enrolled during the surge at the finish were in the 18 –34 age group, a coveted cohort for payers

The report reveals wide variances among states, but indicates that enrollment nationwide exceeded HHS's expectations. Last June, HHS Secretary Kathleen Sebelius and the federal Office of Management and Budget set the national enrollment target for the exchanges at 7 million beneficiaries.

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