8 Million Sign-ups

German Lopez charts the latest enrollment figures:

enrollment

Cohn looks at the demographics:

As for the age mix, you may have heard that about 40 percent of the population eligible for coverage in the marketplaces is between the ages of 18 and 34. That’s true and, obviously, 28 percent is a lot less than 40 percent. The worry has always been that older and sicker people would sign up in unusually high numbers, forcing insurers to raise their prices next year and beyond.

But insurance companies didn’t expect young people to sign up in proportion to their numbers in the population. They knew participation would be a bit lower and they set premiums accordingly. Only company officials know exactly what they were projecting—that’s proprietary information—but one good metric is the signup rate in Massachusetts, in 2007, when that state had open enrollment for its version of the same reforms. According to information provided by Jonathan Gruber, the MIT economist and reform architect, 28.3 percent of Massachusetts enrollees were ages 19 to 34, a comparable age group.

Suderman puts those numbers is a less favorable light:

The administration’s goal, based on Congressional Budget Office estimates, was for 39 percent of the final tally to be between the ages of 18 and 34. The “worst-case scenario,” according to a Kaiser Foundation analysis cited by the administration was if only 25 percent of the final tally was in that age cohort. As it turns out, we do have information about sign-ups in that age group, and the demographic mix is much closer to the worst-case scenario than it is to the administration’s target.

David Nather lets a little more air out of the big enrollment number:

There are still key details that the White House hasn’t included in past enrollment announcements, and it didn’t this time either. The numbers still don’t say how many of the 8 million people have paid their premiums, because they’re not officially enrolled until they’ve paid. The best estimates from the insurance industry have suggested that anywhere from 15 percent to 20 percent haven’t paid yet, though at least some of those have been trying and some will likely settle their bills. And the numbers still don’t tell us how many of the new customers were uninsured before, and how many were just swapping out one health insurance plan for another.

Meanwhile, Sarah Kliff explains why so many pundits underestimated enrollment:

Being uninsured is horrible. But the political conversation over Obamacare was driven almost entirely by people who had, and knew they would be able to keep, their health insurance. It was filled with a lot of assumptions, theories, and speculations about what people who didn’t have good insurance, or any insurance, would do. And after Obamacare’s disastrous launch, the theory took hold that these people wouldn’t find this untested program worth the trouble. It was the permanently insured speculating about the uninsured and the barely insured – and, unsurprisingly, they got it wrong.