The 2014 health insurance exchange (HIX) open enrollment season is now over, and the first round of results are in. Initial estimates as of April 19, 2014, suggest that more than 8 million individuals are now enrolled in health insurance coverage through the federally-facilitated or state-based HIXs. The latest report from the U.S. Department of Health and Human Services (HHS) gives a snapshot of these 8 million individuals, highlighting the age and gender of the individuals as well as their plan level and financial assistance selections. What the numbers don’t say, however, is becoming a greater focus for stakeholders in the health care industry. This infographic gives a view into the latest enrollment figures from HHS and highlights uncertainties the industry could face as stakeholders begin placing bets for 2015 HIX open enrollment and beyond. For more, visit http://blogs.deloitte.com/centerforhealthsolutions/2014/05/infographic-no-time-to-slow-down-looking-ahead-to-2015-hix-open-enrollment.html

1. 54%
46%
HIX PLAN SELECTION
BY GENDER
65%
SILVER PLAN
of persons
who have selected a HIX
plan selected one with
financial assistance
85%
HIX PLAN SELECTION
BY FINANCIAL ASSISTANCE
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20%
BRONZE PLAN9%
GOLD PLAN
5%
PLATINUM PLAN 2%
CATASTROPHIC PLAN
No time to slow down:
Looking ahead to 2015 HIX open enrollment
TOTAL number of eligible persons
who have selected a plan through the
state-based and federally-facilitated HIXs
State-based HIX enrollees
2,573,585
Federally-facilitated HIX enrollees
5,446,178
STATE AND FEDERAL NUMBERS
HIX PLAN SELECTION by METAL LEVEL
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for Health Solutions
6%
Age <18
11%
Age 18–25
17%
Age 26–34
HIX PLAN SELECTION
BY AGE
OF ENROLLEES
ARE AGE 18-34
28%17%
Age 35–44
23%
Age 45–54
25%
Age 55–64
BY THE NUMBERS
BEYOND THE NUMBERS
As stakeholders begin placing bets for 2015 HIX open enrollment
and beyond, what uncertainties could the health care industry face?
Increasing patient loads
and narrowing networks:
As patient rolls stretch and
networks become smaller,
providers will likely need
to adapt.
Consumer attitudes and
behaviors: Enrollment
numbers reveal age and
gender, but cannot predict how
consumers will spend or what
their health behaviors might be.
Potential regulatory,
legislative, and judicial
changes: The landscape
could continue to change as
regulations, guidance, and
rules continue to evolve.
Variation across states:
Operational approaches,
eligibility requirements, and
technical difficulties look
different in every state, and
for some, could even change.
New options and products:
Different products and
approaches could be
successful in getting the
uninsured consumers who
remain on the sidelines off
the bench and in the game.
Reactions to prescription
drug spending: Specialty
drug spending has come
into focus and greater
utilization management
might be the answer.
8MILLION
On May 1, 2014, the U.S. Department of Health and Human
Services released the summary report for the initial HIX open
enrollment period. What do the numbers say?
Note: In this document, HIX = health insurance exchange. Percentages have
been rounded. Some numbers may not add to totals due to rounding.
Source: Health Insurance Marketplace: Summary Enrollment Report for the
Initial Annual Open Enrollment Period. HHS. May 1, 2014
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