COVID-19 Vaccine

Methodology reminders:

  • I go by county residents who have received the 2nd COVID-19 shot only (or 1st in the case of the J&J vaccine).
    • Scroll down to also see 3rd/Booster shots, with some important caveats of its own.
  • I base my percentages on the total population via the 2020 U.S. Census as opposed to adults only or those over 11 years old (or even over 4 years old).
Oregon

(sigh) It's a bit silly for me to write about this now, given that the 2022 Open Enrollment Period ended a few weeks ago, but it's still relevant going forward.

As long-time readers know, I was one of a handful of healthcare wonks who coined the phrase "Silver Loading" to describe a wonky policy pricing strategy which insurance carriers started using back in late 2017 to counteract the Trump Administration's decision to terminate Cost Sharing Reduction subsidy reimbursement payments:

Let's say in 2017 a carrier projected that overall claim expenses in 2018 would increase around 5%. To keep things simple, let's say they offered just 3 plans: One Bronze, one Silver (which happends to also be the "benchmark Silver" used to determine subsidies) and one Gold, priced at an average of $450, $600 and $750/month.

Washington HealthPlan Finder

Washington State's ACA exchange, the WA Healthplanfinder, released their 2022 Open Enrollment Period (OEP) report yesterday:

  • 240,000 Washingtonians signed up for coverage; Cascade Care enrollment more than doubled in year two

Washington Health Benefit Exchange (Exchange) released today its initial 2022 open enrollment data. A record 240,000 Washingtonians signed up for 2022 coverage through Washington Healthplanfinder, the state’s online health insurance marketplace. This represents an increase of more than 6% over 2021.

The exact number was included in last week's announcement from the Centers for Medicare & Medicaid Services (CMS): 239,566 Qualified Health Plans (QHPs).

This morning, George Conway (yes, that George Conway) asked a reasonable question on Twitter:

Has anyone estimated how many American lives would have been saved if the entire country had gotten vaccinated at the rates at which people in, say Vermont or Portugal, or at which registered Democrats, have gotten vaccinated?

This is a serious question.

— George Conway (@gtconway3d) February 3, 2022

Several people asked me to chime in.

Now, according to the CDC, Vermont had around 250 total COVID-19 deaths reported as of June 30th, 2021, and is now up to more than double that (516), which means they've had around 266 deaths out of 643,000 residents since 6/30/21, or 41.4 per 100K.

COVID-19

A couple of weeks ago I ran an updated analysis which attempted to estimate a grim but vitally important number: Just how many Trump voters vs. Biden voters have become fatal victims of the GOP/FOX News coordinated anti-vaxx/anti-mask campaign to date, and what sort of impact might this end up having on the midterm elections this November?

I'm not going to attempt to justify this cynical bean counting anymore...the evidence is now overwhelming that Republican leadership, in coordination with outlets like FOX News and other right-wing outlets, made a conscious decision in spring 2021 to push hard against Americans getting vaccinated against COVID-19.

Over 600,000 Americans have died of COVID-19 since the 2020 election, but assuming the death rate is similar among adults who voted and those who didn't, less than 2/3 of those actually voted in the 2020 general election. Besides children under 18 and undocumented immigrants, the sad reality is that there are tens of millions of American adults who are eligible to vote but either aren't registered or are registered but don't cast a ballot every election cycle.

COVID

For months I posted weekly looks at the rate of COVID-19 cases & deaths at the county level since the end of June, broken out by partisan lean (i.e, what percent of the vote Donald Trump received in 2020), as well as by the vaccination rate of each county in the U.S. (nonpartisan).

This basically amounts to the point when the Delta Variant wave hit the U.S., although it had been quietly spreading under the radar for a few months prior to that.

Now that we're a full six weeks into the Omicron Variant wave, I've updated my case/death rate tracking to reflect that as well...because the data so far is showing a completely new chapter as we enter the 3rd year of the Coronavirus Pandemic.

The "start" of the Delta Wave was easy to lock in for my purposes; both cases and deaths from COVID had dropped off dramatically right up until around the end of June. The Delta Wave started showing up in the daily deaths pretty quickly as July started. The transition from the Delta to Omicron was a lot fuzzier, but I've decided to go with December 15th as my transition point.

As always, here's my methodology:

COVID-19 Vaccine

Methodology reminders:

  • I go by county residents who have received the 2nd COVID-19 shot only (or 1st in the case of the J&J vaccine).
    • NEW: Scroll down to also see 3rd/Booster shots, with some important caveats of its own.
  • I base my percentages on the total population via the 2020 U.S. Census as opposed to adults only or those over 11 years old (or even over 4 years old).
  • For most states + DC I use the daily data from the Centers for Disease Control, but there are some where the CDC is either missing county-level data entirely or where the CDC data is less than 90% complete at the county level. Therefore:
    • For Vermont and West Virginia, I'm using data from the COVID Act Now Risk & Vaccine Tracker database
    • For Virginia, I've started using the official state health department dashboard due to some weirdness in the COVID Act Now data for VA. Unfortunately the VA Health Dept. dashboard doesn't allow you to export, view or download all 95 counties/city-counties at once, making this a tedious effort, so I'll only be updating Virginia once a month.
CMS Logo

This is great news, and there's also a small but important wording choice which should be noted:

CMS Commits Over $49 Million to Reduce Uninsured Rate Among Children and Boost Medicaid Enrollment Among Parents, Pregnant People

The Centers for Medicare & Medicaid Services (CMS) committed a record $49.4 million to fund organizations that can connect more eligible children, parents, and pregnant individuals to health care coverage through Medicaid and the Children’s Health Insurance Program (CHIP). Awardees—including state/local governments, tribal organizations, federal health safety net organizations, non-profits, schools, and others—will receive up to $1.5 million each for a three-year period to reduce the number of uninsured children by advancing Medicaid/CHIP enrollment and retention.

ASPE Logo

In the midst of all the data & stats from this morning's CMS report touting the most successful ACA Open Enrollment Period ever, I almost forgot another important related report which the Biden Administration is promoting as well:

This week, HHS’s office of the Assistant Secretary for Planning and Evaluation (ASPE) is also releasing a report analyzing new survey data that showed the uninsured rate fell in 2021 after the American Rescue Plan and outreach efforts took effect. According to the report, the uninsured rate for U.S. population was 8.9% for the third quarter of 2021 (July – September 2021), down from 10.3% for the last quarter of 2020 – corresponding to roughly 4.6 million more people with coverage over that time period. Coverage gains occurred among both children and working age adults, with the largest coverage gains for those with incomes under 200% of the poverty level (roughly $27,000 for a single adult or $56,000 for a family of four).

ACA Signups Logo

January 10th was the last time that the Centers for Medicare & Medicaid Services (CMS) issued a detailed 2022 Open Enrollment Snapshot report which broke out 2022 ACA enrollment across every state.

As of 1/10/22, it had already reached an all-time record of nearly 14.9 million people (13.8 million via Qualified Health Plans, or QHPs, and another million or so who have enrolled in Basic Health Plans (BHPs) in Minnesota and New York specifically).

A few days later, CMS issued another update just ahead of the official January 15th OEP deadline (in most states) which updated the top line QHP tally to over 14.2 million. They broke this out by "over 10 million" enrollees on the federal exchange (HealthCare.Gov), plus another 4.2 million or more in the 18 states which operate their own ACA exchanges.

Tack on the 1.0M BHPs and that's at least 15.2 million nationally.

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