D A T A R E P O R T OCTOBER 31,

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1 D A T A R E P O R T OCTOBER 31, SUMMARY DASHBOARD 3-4 QUALIFIED HEALTH PLANS 5-9 ENROLLMENT 10 SHOP 11 CONSUMER ASSISTANCE 12 WEBSITE & MOBILE

2 S U M M A R Y D A S H B O A R D Qualified Health Plans (QHP) vs. Medicaid Enrollment SYSTEM DASHBOARD Applications 184,840 associated to users QHP Medicaid Completed 100,277 Determined 21,613 Enrollment in Progress 17,268 Completed 5 180, , , , ,000 80,000 60,000 40,000 20,000 0 Enrolled in QHP 127,620 July August September October November December Enrollment Started 13,040 Other 32,642 Other includes: blank status, inactive, cancelled, denied, in process, partially enrolled and submitted. Determined 1 Enrollment in Progress 9% Enrollment Started Other 18% 1,200,000 1,000, , , , ,000 0 Enrolled in Medicaid 1,055,710 July August September October November December MAGI Medicaid enrollments (based Modified Adjusted Growth Income), covered in chart above, go through Maryland Health Connection. Non-MAGI Medicaid, about 300,000 enrollments with other eligibility criteria, go through the Maryland Department of Health (MDH). Maryland Health Connection Data Report 2

3 Q U A L I F I E D H E A L T H P L A N S D A S H B O A R D 5 Total QHP Enrollees 127,620 New Renewal 6 40,000 35,000 30,000 25,000 20,000 15,000 10,000 5,000 0 QHP Consumers by Age Group 34,299 25,871 23,450 21,959 12,097 4,952 4, Financial Help With Tax Credits Without Tax Credits Target Enrollment for year-olds: 30% Current Enrollment for year-olds: 28% QHP Enrollment by Household Income and Metal Level UNKNOWN** 4,486 1,045 3, ,597 >400% 2, , ,004 >300% - <=400% 5, , ,677 >250% - <=300% 3, , ,114 >200% - <=250% 4, , ,213 >150% - <=200% 4, , ,493 >138% - <=150% , ,317 >=100% - <=138% ,507 <100% ,125 1,162 11,309-5,000 10,000 15,000 20,000 25,000 30,000 BRONZE CATASTROPHIC GOLD PLATINUM SILVER **Enrollees who did not submit household income information and thus were not eligible for financial help. Household income eligibility based on percentages above the Federal Poverty Level, defined as $12,140 for an individual and $25,100 for a family of four. Maryland Health Connection Data Report 3

4 Q U A L I F I E D H E A L T H P L A N S S E L E C T I O N S QHP Consumers by Carrier Enrollment by Plan Choice 4 5 HMO KP MD Silver 6000/35/Dental 32,392 HMO BlueChoice HMO Silver $3,500 VisionPlus 25,579 Enrollment by Plan Type 122,509 HMO HealthyBlue HMO Gold $1,000 HMO BlueChoice HMO HSA Bronze $6,550 HMO KP MD Bronze 6200/20%/HSA/Dental 8,075 15,793 20,817 HMO KP MD Silver 3000/30/Dental 4,456 HMO KP MD Silver 2750/20%/HSA/Dental 2,959 HMO KP MD Gold 0/20/Dental 2, ,111 PPO HealthyBlue PPO Gold $1,000 2,555 POS HMO EPO PPO HMO BlueChoice HMO Young Adult $7,350 2,309 PPO BluePreferred PPO Silver $3,500 VisionPlus 1,762 Catastrophic Enrollment by Metal Level Bronze Silver 2,419 27,297 68,231 HMO KP MD Bronze 5500/50/Dental HMO KP MD Gold 1000/20/Dental HMO KP MD Gold 1500/20/Dental HMO KP MD Silver 2000/30/Dental HMO KP MD Bronze 6500/50/Dental 1,627 1,442 1,270 1,079 1,010 Gold 28,663 HMO KP MD Platinum 0/5/Dental 1,009 Platinum 1,010 PPO BluePreferred PPO HSA Bronze $6, Metal levels (platinum, gold, silver, bronze) differ based on how you and the insurance company share the cost of your care. For example, insurance companies cover 90 cents on the dollar for platinum plans and 60 cents on the dollar for bronze plans. Financial help is only available through silver plans. There are also different play types. Some allow you to see almost any doctor or healthcare facility; others limit your choices to a network of doctors and facilities or require you to pay more if you use providers outside the network. HMO KP MD Catastrophic 7350/0/Dental PPO BluePreferred PPO HSA Silver $2,000 HMO KP MD Silver 2750/20%/HSA/Dental/Ped Dental HMO BlueChoice HMO Young Adult $7,150 HMO KP MD Platinum 0/20/Dental/Ped Dental HMO KP MD Bronze 6500/50/Dental/Ped Dental Maryland Health Connection Data Report 4

5 E N R O L L M E N T D I S T R I B U T I O N B Y C O U N T Y Allegany Anne Arundel Baltimore Baltimore City Calvert Caroline Carroll Cecil Charles Dorchester Frederick Garrett Harford Howard Kent Montgomery Other Prince Georges Queen Annes Saint Marys Somerset Talbot Washington Wicomico Worcester 1,165 15,500 9,799 16,542 7,768 1,250 11, ,532 2,913 17,321 2,048 20,719 1,966 24, ,790 4,945 31, ,307 4,008 34,525 7,883 34, ,826 34, ,242 1,342 6,596 1,530 17, ,529 1,217 6,437 3,161 32,705 2,514 26,321 2,156 10,499 73, , , , ,805 Other enrollees may include dependents living out of state and residents of border counties whose mailing addresses may be in the ZIP code of a neighboring state. Qualified Health Plans Medicaid Maryland Health Connection Data Report 5

6 Q U A L I F I E D H E A L T H P L A N S B Y C O U N T Y Change compares period beginning with start of open enrollment Nov. 1 and ending on end date on the report cover with comparable time frame a year earlier (closest date available +/- 3 days). Largest Growth by Month Kent 3 change Smallest Growth by Month Baltimore City -2 change Largest Growth by Year Caroline 2 change Smallest Growth by Year Baltimore City -9% change County lines include bodies of water. Maryland Health Connection Data Report 6

7 Q U A L I F I E D H E A L T H P L A N S R A C E A N D E T H N I C I T Y Enrollment Percentages by Race by County Hispanic Enrollment as a % of Total White Other Black or African American Asian Pacific American ALLEGANY 7 2 ANNE ARUNDEL 4 3 8% 1 9% BALTIMORE BALTIMORE CITY % CALVERT CAROLINE 6 CARROLL 6 3 CECIL 6 30% CHARLES 29% DORCHESTER FREDERICK 5 3 8% 1 GARRETT 8 1 HARFORD 5 28% 9% HOWARD 2 3 9% 3 KENT 58% 3 MONTGOMERY % PRINCE GEORGES 10% 4 38% 10% 2 QUEEN ANNES 6 3 SAINT MARYS 5 29% 9% SOMERSET 40% 40% 1 TALBOT 60% 3 WASHINGTON 6 2 WICOMICO % WORCESTER 5 3 Race/ethnicity is reported voluntarily. Individuals reporting voluntarily as Hispanic by ethnicity are also counted under race as they reported it. Maryland Health Connection Data Report 7

8 M E D I C A I D B Y C O U N T Y Change compares period beginning with Nov. 1 and ending on end date on the report cover with comparable time frame a year earlier. Largest Growth by Month Howard 9% monthly growth Smallest Growth by Month Kent 0% monthly growth Largest Growth by Year Howard -20% yearly growth Smallest Growth by Year: Somerset -3 yearly growth County lines include bodies of water. Maryland Health Connection Data Report 8

9 M E D I C A I D R A C E A N D E T H N I C I T Y Period is from Nov. 1 to the end date on report cover. Enrollment Percentage Race by County Hispanic Enrollment as % of Total White Other Black or African American Asian Pacific American ALLEGANY 70% ANNE ARUNDEL % BALTIMORE % 8% BALTIMORE CITY 10% 2 6 CALVERT CAROLINE % 1 CARROLL 6 29% CECIL 59% 28% 1 CHARLES DORCHESTER FREDERICK % GARRETT 8 1 HARFORD 4 2 HOWARD 18% 38% 29% 1 1 KENT 49% MONTGOMERY 1 50% 2 10% 3 OTHER PRINCE GEORGES 4 4 QUEEN ANNES 68% 1 1 9% SAINT MARYS 4 28% SOMERSET 39% 1 4 TALBOT 48% WASHINGTON 5 29% 1 WICOMICO WORCESTER 5 2 Race/ethnicity is reported voluntarily. Individuals reporting voluntarily as Hispanic by ethnicity are also counted under race as they reported it. Maryland Health Connection Data Report 9

10 S M A L L B U S I N E S S H E A L T H O P T I O N S P R O G R A M ( S H O P ) E N R O L L M E N T SHOP % Employers by Carrier 39% 3 2 An employer may be enrolled in more than one carrier and dental SHOP % Employees by Carrier SHOP # Covered Lives by Carrier Maryland Health Connection Data Report 10

11 C O N S U M E R A S S I S T A N C E Change compares period from start of open enrollment Nov. 1 to the end date on report cover with comparable time frame a year earlier (closest date available +/- 3 days). Calls Offered 94,772 2 from previous year. 100,000 Call Center Volumes 94,772 90,000 87,583 Average Speed Answer 0:45 min - 3:19 from previous year. 80,000 77,203 72,735 70,000 Average Hold Time 60,000 1:30 min - 0:22 from previous year. 50,000 40,000 % QHP vs. Medicaid vs. CHIP Enrollments by Type of Consumer Assister Calls Handled Time 33,541 35, :06 min - 1:29 from previous year. 30,000 20, Average Quality Percent Rating 9 from previous year. 10,000-4, , % Navigators % Brokers % Call Center QHP MA MCHP Calls Offered Calls Handled Calls on Hold Calls Abandoned Maryland Health Connection Data Report 11

12 W E B S I T E A N D M O B I L E Website Visitors # Mobile App Downloads # Enrollments Completed By Mobile App 1,547, ,074 51,780 Website Enrollment By Age % 27.9 Mobile Enrollment By Age 10.30% 5.69% % 17.90% , , , ,489 Unique Website Visitors By Month Website vs Mobile App Enrollment 250, , , , , , , , , , , , ,973 1,131,550 51, ,000 50,000-0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% Website Mobile App Maryland Health Connection Data Report 12