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HealthCare.gov Marketplace Medicaid Unwinding Report

Metadata Updated: June 27, 2024

Metrics from individual Marketplaces during the current reporting period. The report includes data for the states using HealthCare.gov. Sources: HealthCare.gov application and policy data through March 3, 2024, and T-MSIS Analytic Files (TAF) through January 2024 (TAF version 7.1 with T-MSIS enrollment through the end of January 2024). Data include consumers in HealthCare.gov states where the first unwinding renewal cohort is due on or after the end of reporting month (state identification based on HealthCare.gov policy and application data). State data start being reported in the month when the state's first unwinding renewal cohort is due. April data include Arizona, Arkansas, Florida, Indiana, Iowa, Kansas, Nebraska, New Hampshire, Ohio, Oklahoma, South Dakota, Utah, West Virginia, and Wyoming. May data include the previous states and the following new states: Alaska, Delaware, Georgia, Hawaii, Montana, North Dakota, South Carolina, Texas, and Virginia. June data include the previous states and the following new states: Alabama, Illinois, Louisiana, Michigan, Missouri, Mississippi, North Carolina, Tennessee, and Wisconsin. July data include the previous states and Oregon. All HealthCare.gov states are included in this version of the report. Notes:

This table includes Marketplace consumers who: 1) submitted a HealthCare.gov application on or after the start of each state’s first reporting month; and 2) who can be linked to an enrollment record in TAF that shows Medicaid or CHIP enrollment between March 2023 and the latest reporting month. Cumulative counts show the number of unique consumers from the included population who had a Marketplace application submitted or a HealthCare.gov Marketplace policy on or after the start of each state’s first reporting month through the latest reporting month. Net counts show the difference between the cumulative counts through a given reporting month and previous reporting months.
The data used to produce the metrics are organized by week. Reporting months start on the first Monday of the month and end on the first Sunday of the next month when the last day of the reporting month is not a Sunday. For example, the April 2023 reporting period extends from Monday, April 3 through Sunday, April 30. Data are preliminary and will be restated over time to reflect consumers most recent HealthCare.gov status. Data may change as states resubmit T-MSIS data or data quality issues are identified. Data do not represent Marketplace consumers who had a confirmed Medicaid/CHIP loss. Future reporting will look at coverage transitions for people who lost Medicaid/CHIP. See the data and methodology documentation for a full description of the data sources, measure definitions, and general data limitations.

Data notes: Virginia operated a Federally Facilitated Exchange (FFE) on the HealthCare.gov platform during 2023. In 2024, the state started operating a State Based Marketplace (SBM) platform. This table only includes data on 2023 applications and policies obtained through the HealthCare.gov Marketplace. Due to limited Marketplace activity on the HealthCare.gov platform in December 2023, data from December 2023 onward are excluded. The cumulative count and percentage for Virginia and the HealthCare.gov total reflect Virginia data from April 2023 through November 2023. The report may include negative 'net counts' for individuals with QHP selections. Negative counts reflect that there were cumulatively fewer QHP selections from one month to the next.

Percentages shown are of total Marketplace consumers with previous Medicaid or CHIP enrollment. Some cells have a value of "NR" or not reported. State data starts being reported in the month when the state's first unwinding renewal cohort is due.
APTC: Advance Premium Tax Credit; CHIP: Children's Heal

Access & Use Information

Public: This dataset is intended for public access and use. License: See this page for license information.

Downloads & Resources

Dates

Metadata Created Date September 30, 2023
Metadata Updated Date June 27, 2024
Data Update Frequency R/P10Y

Metadata Source

Harvested from Healthdata.gov

Additional Metadata

Resource Type Dataset
Metadata Created Date September 30, 2023
Metadata Updated Date June 27, 2024
Publisher Centers for Medicare & Medicaid Services
Maintainer
Identifier 9a83ba5e-05f5-47f5-82de-f3a59233a912
Data First Published 2023-07-28
Data Last Modified 2024-05-31
Category Unwinding
Public Access Level public
Data Update Frequency R/P10Y
Bureau Code 009:00
Metadata Context https://project-open-data.cio.gov/v1.1/schema/catalog.jsonld
Metadata Catalog ID https://healthdata.gov/data.json
Schema Version https://project-open-data.cio.gov/v1.1/schema
Catalog Describedby https://project-open-data.cio.gov/v1.1/schema/catalog.json
Harvest Object Id 4b706a7b-7d3c-4893-8670-5281b12527d0
Harvest Source Id 651e43b2-321c-4e4c-b86a-835cfc342cb0
Harvest Source Title Healthdata.gov
Homepage URL https://healthdata.gov/d/3ge8-a5ey
License http://opendefinition.org/licenses/odc-odbl/
Program Code 009:000
Source Datajson Identifier True
Source Hash 63216fcb239ed4e921a6010e59baec0fd8a22491bbf10a8176fad2ba894248f7
Source Schema Version 1.1

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