The Healthcare.gov data just came out this afternoon. Nationally, enrollment on Healthcare.gov is about 4% lower this year than it was in 2017 at the end of that open enrollment period. There is significant variation in enrollment by state. North Carolina basically performed at national averages. Louisiana dropped 22% of its enrollment. This might be a Medicaid story, I don’t think it is, but that is vaguely plausible. West Virginia dropped a but less than 20% of its enrollment. At the same time, Kentucky increased enrollment by 11% and other states also saw increased enrollment.
I want to see in-state county level enrollment changes to evaluate the impact of Gold Gapping and Silver Loading. That data won’t be available for a bit, so state level summaries are what I can do quickly tonight.