JUNE 2015 ACA State Based Marketplace Public Reporting: Comparing Open Enrollment Period 1 (OEP1) to Open Enrollment Period 2 (OEP2) Introduction The State Health Access Data Assistance Center (SHADAC) monitors enrollment in the fifteen State Based Marketplaces (SBM) and posts monthly reports from the states on the SHADAC website. This document provides an overview of the information states are reporting and, where data allow, shows changes between open enrollment period one (OEP1; October 1, 2013 - March 31, 2014) and open enrollment period two (OEP2; November 15, 2014 - February 15, 2015). All numbers in this report are drawn from state reports warehoused at www.shadac.org/content/insurance-marketplace-enrollment-reports. Fifteen SBMs reported metrics for OEP1, while only thirteen states reported metrics for OEP2. This is because two states—Oregon and Nevada—joined the Healthcare.gov platform in 2015, as a result of which OEP2 data for Oregon and Nevada are included in the enrollment report for Federally Facilitated Marketplace and Partnership models from the Office of the Assistant Secretary for Planning and Evaluation (ASPE). The comparisons in this report include only the thirteen states that provided SBM reports for both OEP1 and OEP2. States report on various enrollment topics and to varying degrees of specificity, with some states reporting in different measures from one OEP to the next. We provide the most common OEP1 and OEP2 SBM reporting metrics in this report along with some less common and new enrollment reporting metrics. FIGURE 1. STATE BASED MARKETPLACE REPORTING METRICS* Open Enrollment Period 2 (OEP 2) Open Enrollment Period 1 (OEP1) State Based Number of Individuals Enrolling 13 Enrollment Reports in Marketplace QHP 13 As indicated in Figure 1, Metal Level 9 10 all thirteen State Based Marketplaces participating Number of Individuals Registered in 9 Mediaid, CHIP or other Public Program 11 in open enrollment periods Carrier 7 one and two are reporting 7 the number of individuals 7 enrolling in Qualified Call Volume 10 Health Plans (QHP). Table 1 Enrollment Pathway (e.g., broker assisted, 6 illustrates each state’s total Navigator assisted, service center assisted) 4 reported enrollment in QHPs 6 Age through their Marketplace 11 for OEP2. Taken together, Gender 5 these thirteen states enrolled 7 2,768,000 people in health County or Geographic Regions 4 6 insurance during OEP2. Number of Unique Visitors to Website 3 States are also reporting 10 * Number of State Based Marketplaces Reporting (out of 13) | STATE HEALTH ACCESS DATA ASSISTANCE CENTER TABLE 1. STATE BASED MARKETPLACE on some less common and new metrics, as seen in Table 2. Of note, half of ENROLLMENT REPORTING, OEP2 the SBM states are differentiating between new and repeat health insurance consumers, indicated in Table 2 by “QHP New Enrollees” and “QHP 2015 State QHP Enrollment Renewals of 2014 Enrollees,” respectively. California 1,412,200 Colorado 139,652 Spotlights Connecticut 110,095 QHP 2015 Renewals of 2014 Enrollees District of Columbia 18,000 Of the eight states reporting QHP re-enrollment data, six reported the Hawaii 10,431 percentage of renewals from OEP1 to OEP2, and two reported only the number Kentucky 102,830 of renewals. Percentage renewals within QHPs have varied widely by state: Maryland 122,778 Washington reported a renewal rate of 58 percent, while California reported a Massachusetts 103,066 92 percent re-enrollment rate. Minnesota 60,092 Comparisons between OEP 1 and OEP2 New York 407,488 Six states offered comparison metrics between OEP1 and OEP2, while the Rhode Island 96,909 remaining seven states with SBM data for both OEP1 and OEP2 did not Vermont 26,245 compare metrics over time. The states that did draw comparisons between Washington 158,302 enrollment periods did so for common metrics such as enrollment, metal level, Total 2,768,088 carrier, age, gender, and county. It is important to note that the metrics used to compare change over time vary by state. TABLE 2. STATE-BASED MARKETPLACE ENROLLMENT Less Common State Reporting REPORTING: LESS COMMON OR NEW METRICS A unique group of states—Colorado, Maryland, and New QHP New Enrollees CA, CO, KY, MN, NY, RI, VT, WA York—have publicized their outreach efforts to ensure they are reaching eligible Marketplace enrollees. Connect for QHP 2015 Renewals of 2014 Enrollees CA, CO, KY, MN, RI, VT, WA Health Colorado conducted a targeted outreach campaign Compares OEP1 vs. OEP2 metrics CA, CT, MD, RI, VT, WA focusing on Latinos, African Americans, and young adults. Outreach Tactics CO, MD, NY Additionally, the state reported many community touch Average Premium Paid CO, WA points in the enrollment effort: organizing education and Race/Ethnicity CA, WA enrollment events, maintaining walk-in enrollment centers, Poverty Level MD, WA facilitating auto-renewals, launching facebook campaigns, and establishing a partnership with Denver’s key urban entertainment promoters. Maryland’s outreach efforts were similar to Colorado’s in that the state focused on Latinos, African Americans, and young adults. Maryland’s marketing touch points differed from Colorado’s, however, as Maryland’s campaign focused on paid advertising in Spanish and English in TV and digital outlets, and on partnership with an African American Newspaper. Implications and Discussion States continue to report Marketplace open enrollment metrics, but they are reporting in less detail for OEP2 than for OEP1. Moreover, only half of the SBM states are publicly comparing their metrics across the enrollment periods in order to demonstrate progress or opportunity areas within the process. Finally, SBM enrollment reporting lacks standardization across states. SHADAC recommends (1) a standardized list of minimum SBM reporting metrics for future enrollment periods so that metrics can be compared both across states and within a single state over time; and (2) that states share best practices and lessons learned in order to increase enrollments within State Based Marketplaces. About SHADAC The State Health Access Data Assistance Center is an independent health policy research center located at the University of Minnesota School of Public Health. For more information, please contact us at shadac@umn.edu, or call 612-624-4802. | STATE HEALTH ACCESS DATA ASSISTANCE CENTER JUNE 2015 | www.shadac.org 2